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Investigating factors influencing the physicians’ adoption of electronic health record (EHR) in healthcare system of Bangladesh: An empirical study

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  • Hossain, Akram
  • Quaresma, Rui
  • Rahman, Habibur

Abstract

Electronic Health Record (EHR) can promote awareness or knowledge about healthcare among patients and healthcare professionals to improve collaboration between different governmental bodies, and enhance healthcare quality. The aim of the study is to identify the critical farctors affecting the physicians’ adoption of EHR in healthcare system of Bangladesh by extending the Unified Theory of Acceptance and Use of Technology (UTAUT) to include Personal Innovativeness in Information Technology and Resistance to Change. A cross-sectional survey questionnaire was used to collect data from 300 participants in different private and public hospitals in Dhaka, the capital city of Bangladesh. The study used partial least square (PLS) method, a statistical analysis technique based on the structural equation modeling (SEM), to analyze the collected data. The results of the study determined that Social Influence (β = 0.19, P < 0.05), Facilitating Conditions (β = 0.19, P < 0.05), and Personal Innovativeness in Information Technology (β = 0.19, P < 0.05) had a significant influence on physicians’ Behavioral Intention to adopt the EHR system, whereas Performance Expectancy (β = 0.08, P > 0.05), Effort Expectancy (β = -0.02, P > 0.05), and Resistance to Change (β = 0.03, P > 0.05) had no significant influence. The findings suggest that policymakers should increase the adoption of the EHR system by developing social strategies to encourage physicians to stimulate each other to use the EHR system and ensuring technical sufficiency, training to facilitate the use of the EHR system. In addition, the policymakers should identify physicians who possess a propensity to experiment with new information technologies as well as reduce existing challenges and barriers such as computers crush, poor infrastructure with erratic power supply etc. Moreover, we identify future research areas that provide scholars opportunities to push theoretical and empirical boundaries and offer further insights into the study of the EHR system.

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  • Hossain, Akram & Quaresma, Rui & Rahman, Habibur, 2019. "Investigating factors influencing the physicians’ adoption of electronic health record (EHR) in healthcare system of Bangladesh: An empirical study," International Journal of Information Management, Elsevier, vol. 44(C), pages 76-87.
    • Handle: RePEc:eee:ininma:v:44:y:2019:i:c:p:76-87
    DOI: 10.1016/j.ijinfomgt.2018.09.016
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    as
    1. Ritu Agarwal & Jayesh Prasad, 1998. "A Conceptual and Operational Definition of Personal Innovativeness in the Domain of Information Technology," Information Systems Research, INFORMS, vol. 9(2), pages 204-215, June.
    2. Ahmad, Syed Zamberi & Khalid, Khalizani, 2017. "The adoption of M-government services from the user’s perspectives: Empirical evidence from the United Arab Emirates," International Journal of Information Management, Elsevier, vol. 37(5), pages 367-379.
    3. Williams, Faustine & Boren, Suzanne Austin, 2008. "The role of electronic medical record in care delivery in developing countries," International Journal of Information Management, Elsevier, vol. 28(6), pages 503-507.
    4. Lian, Jiunn-Woei, 2015. "Critical factors for cloud based e-invoice service adoption in Taiwan: An empirical study," International Journal of Information Management, Elsevier, vol. 35(1), pages 98-109.
    5. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    6. Oecd, 2013. "Electronic and Mobile Commerce," OECD Digital Economy Papers 228, OECD Publishing.
    7. Christen, Elisabeth & Francois, Joseph & Hoekman, Bernard, 2012. "CGE modeling of market access in services," Policy Research Working Paper Series 6106, The World Bank.
    8. Caldeira, Mário & Serrano, António & Quaresma, Rui & Pedron, Cristiane & Romão, Mário, 2012. "Information and communication technology adoption for business benefits: A case analysis of an integrated paperless system," International Journal of Information Management, Elsevier, vol. 32(2), pages 196-202.
    9. Martins, Carolina & Oliveira, Tiago & Popovič, Aleš, 2014. "Understanding the Internet banking adoption: A unified theory of acceptance and use of technology and perceived risk application," International Journal of Information Management, Elsevier, vol. 34(1), pages 1-13.
    10. Sheppard, Blair H & Hartwick, Jon & Warshaw, Paul R, 1988. "The Theory of Reasoned Action: A Meta-analysis of Past Research with Recommendations for Modifications and Future Research," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 15(3), pages 325-343, December.
    11. Alalwan, Ali Abdallah & Dwivedi, Yogesh K. & Rana, Nripendra P., 2017. "Factors influencing adoption of mobile banking by Jordanian bank customers: Extending UTAUT2 with trust," International Journal of Information Management, Elsevier, vol. 37(3), pages 99-110.
    12. Bernard Barraqué, 2012. "Re-municipalization of water services in Paris," Post-Print hal-00797293, HAL.
    13. Wei Hu & Yongjian Li, 2012. "Retail service for mixed retail and E-tail channels," Annals of Operations Research, Springer, vol. 192(1), pages 151-171, January.
    14. Alalwan, Ali Abdallah & Dwivedi, Yogesh K. & Rana, Nripendra P. & Algharabat, Raed, 2018. "Examining factors influencing Jordanian customers’ intentions and adoption of internet banking: Extending UTAUT2 with risk," Journal of Retailing and Consumer Services, Elsevier, vol. 40(C), pages 125-138.
    15. Sundqvist, Anneli & Svärd, Proscovia, 2016. "Information culture and records management: a suitable match? Conceptualizations of information culture and their application on records management," International Journal of Information Management, Elsevier, vol. 36(1), pages 9-15.
    16. Nripendra P. Rana & Yogesh K. Dwivedi & Banita Lal & Michael D. Williams & Marc Clement, 0. "Citizens’ adoption of an electronic government system: towards a unified view," Information Systems Frontiers, Springer, vol. 0, pages 1-20.
    17. Lean, Ooh Kim & Zailani, Suhaiza & Ramayah, T. & Fernando, Yudi, 2009. "Factors influencing intention to use e-government services among citizens in Malaysia," International Journal of Information Management, Elsevier, vol. 29(6), pages 458-475.
    18. Joe, Harry, 1993. "Multivariate dependence measures and data analysis," Computational Statistics & Data Analysis, Elsevier, vol. 16(3), pages 279-297, September.
    19. Oliveira, Tiago & Faria, Miguel & Thomas, Manoj Abraham & Popovič, Aleš, 2014. "Extending the understanding of mobile banking adoption: When UTAUT meets TTF and ITM," International Journal of Information Management, Elsevier, vol. 34(5), pages 689-703.
    20. Gagnon, Marie-Pierre & Simonyan, David & Ghandour, El Kebir & Godin, Gaston & Labrecque, Michel & Ouimet, Mathieu & Rousseau, Michel, 2016. "Factors influencing electronic health record adoption by physicians: A multilevel analysis," International Journal of Information Management, Elsevier, vol. 36(3), pages 258-270.
    21. ., 2012. "Universal Service Obligation," Chapters, in: Regulatory Reform of Public Utilities, chapter 12, pages 187-202, Edward Elgar Publishing.
    22. Bigdeli, Alinaghi Ziaee & Kamal, Muhammad Mustafa & de Cesare, Sergio, 2013. "Electronic information sharing in local government authorities: Factors influencing the decision-making process," International Journal of Information Management, Elsevier, vol. 33(5), pages 816-830.
    23. Viswanath Venkatesh & Fred D. Davis, 2000. "A Theoretical Extension of the Technology Acceptance Model: Four Longitudinal Field Studies," Management Science, INFORMS, vol. 46(2), pages 186-204, February.
    24. Shirley Taylor & Peter A. Todd, 1995. "Understanding Information Technology Usage: A Test of Competing Models," Information Systems Research, INFORMS, vol. 6(2), pages 144-176, June.
    25. Wu, Jen-Her & Kao, Hao-Yun & Sambamurthy, Vallabh, 2016. "The integration effort and E-health compatibility effect and the mediating role of E-health synergy on hospital performance," International Journal of Information Management, Elsevier, vol. 36(6), pages 1288-1300.
    26. Liébana-Cabanillas, Francisco & Marinković, Veljko & Kalinić, Zoran, 2017. "A SEM-neural network approach for predicting antecedents of m-commerce acceptance," International Journal of Information Management, Elsevier, vol. 37(2), pages 14-24.
    27. ., 2012. "Postal Service," Chapters, in: Regulatory Reform of Public Utilities, chapter 8, pages 121-136, Edward Elgar Publishing.
    28. Carlsson, Bo, 2006. "Internationalization of innovation systems: A survey of the literature," Research Policy, Elsevier, vol. 35(1), pages 56-67, February.
    29. ., 2012. "Symbolic analysts and the service underclass," Chapters, in: A World in Emergence, chapter 7, pages 95-121, Edward Elgar Publishing.
    30. Jallow, Abdou Karim & Demian, Peter & Anumba, Chimay J. & Baldwin, Andrew N., 2017. "An enterprise architecture framework for electronic requirements information management," International Journal of Information Management, Elsevier, vol. 37(5), pages 455-472.
    31. Mengistu Kifle & Victor W.A. Mbarika & Pratim Datta, 2006. "Telemedicine in sub‐Saharan Africa: The case of teleophthalmology and eye care in Ethiopia," Journal of the American Society for Information Science and Technology, Association for Information Science & Technology, vol. 57(10), pages 1383-1393, August.
    32. Weerakkody, Vishanth & El-Haddadeh, Ramzi & Al-Sobhi, Faris & Shareef, Mahmud Akhter & Dwivedi, Yogesh K., 2013. "Examining the influence of intermediaries in facilitating e-government adoption: An empirical investigation," International Journal of Information Management, Elsevier, vol. 33(5), pages 716-725.
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    Keywords

    EHR; eHealth; Physician; UTAUT;
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