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Factors Influencing the Use of Health Information Exchange by Physicians—Using the National Health Insurance PharmaCloud System in Taiwan

Author

Listed:
  • Chiou-Hwa Chuang

    (Medical Information Management Office, National Taiwan University Hospital, Taipei 100225, Taiwan
    National Defense Medical Center, School of Public Health, Taipei 114201, Taiwan)

  • Yi-Fan Li

    (Division of Clinical Chinese Medicine, National Research Institute of Chinese Medicine (NRICM), Ministry of Health and Welfare, Taipei 112304, Taiwan)

  • Lu-Cheng Kuo

    (National Taiwan University Hospital and College of Medicine, Taipei 100025, Taiwan)

  • Ming-Chin Yang

    (Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei 100025, Taiwan)

  • Li-Ting Kao

    (National Defense Medical Center, School of Public Health, Taipei 114201, Taiwan
    National Defense Medical Center, Graduate Institute of Life Sciences, Taipei 114201, Taiwan
    Department of Pharmacy Practice, Tri-Service General Hospital, Taipei 114202, Taiwan
    National Defense Medical Center, School of Pharmacy, Taipei 114201, Taiwan)

Abstract

This study aimed to investigate the factors influencing physicians use of the PharmaCloud system in Taiwan through Technology Continuance Theory (TCT) and to construct a TCT-based structured questionnaire to demonstrate the attitude and behavior of physicians in the Taiwanese medical system. It focused on investigating “confirmation”, “perceived usefulness”, “perceived ease of use”, “attitude”, “satisfaction”, and “continuance intention” towards the preload-based comparison and manual search in PharmaCloud by attending physicians during their outpatient clinics. Path analysis was used to analyze the cause and effect relationship between variables. This study collected 528 valid questionnaires and the results of path analysis found that factors affecting physicians’ continued use of preload-based comparison in PharmaCloud included “perceived usefulness”, “satisfaction”, and “attitude” (all p < 0.001); however, factors that influenced physicians’ continued use of manual search in PharmaCloud were only “satisfaction” and “attitude” (all p < 0.001). Additionally, the effects of “perceived usefulness” and “perceived ease of use” on “satisfaction” could only be seen in preload-based comparison in PharmaCloud. In conclusion, when physicians’ actual use of PharmaCloud met their expectations, physicians had higher levels of confirmation and better perceived usefulness, which naturally increased their satisfaction and attitude towards PharmaCloud and positively prompted them to continue using it.

Suggested Citation

  • Chiou-Hwa Chuang & Yi-Fan Li & Lu-Cheng Kuo & Ming-Chin Yang & Li-Ting Kao, 2021. "Factors Influencing the Use of Health Information Exchange by Physicians—Using the National Health Insurance PharmaCloud System in Taiwan," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8415-:d:611231
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    References listed on IDEAS

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    3. Liao, Chechen & Palvia, Prashant & Chen, Jain-Liang, 2009. "Information technology adoption behavior life cycle: Toward a Technology Continuance Theory (TCT)," International Journal of Information Management, Elsevier, vol. 29(4), pages 309-320.
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