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Electronic medical records: are physicians ready?
J Healthc Manag. 1999 Nov-Dec; 44(6):440-54; discussion 454-5.JH

Abstract

The use of electronic medical records (EMR) in healthcare organizations will require substantial changes in the way physicians and their staff provide patient care. This study is the first part of a larger study assessing factors that influence successful implementation of EMR in ambulatory care settings. The purposes of this study were to identify specific attitudes or factors that should be targeted before implementating an EMR project, and demonstrate empirical support for a model of perceived usefulness of EMR. We found that computer experience, computer anxiety, and perceptions of organizational support predict the degree to which physicians and mid-level practitioners view the EMR effort positively. Strategies for the successful management of EMR implementation include engaging the physicians and practitioners in computer activities prior to implementation and providing strong organizational support before and during the redesign effort. Acceptance of EMR by physicians and their support staff is essential if computerization is to be successful, yet anecdotal reports of resistance and negative attitudes are frequently reported. Empirical studies indicate that physicians have not yet embraced this technology. As part of strategic planning and deployment of a computerized patient record, attitudes of end-users must be assessed. Using an integrative framework from the job design literature and management information sciences, we propose that multiple factors influence attitudes toward EMR, offer a conceptual model of end-user acceptance, and present findings from an empirical test of our model.

Authors+Show Affiliations

Pennsylvania State University, University Park, USA. KXD9@psu.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10662431

Citation

Dansky, K H., et al. "Electronic Medical Records: Are Physicians Ready?" Journal of Healthcare Management / American College of Healthcare Executives, vol. 44, no. 6, 1999, pp. 440-54; discussion 454-5.
Dansky KH, Gamm LD, Vasey JJ, et al. Electronic medical records: are physicians ready? J Healthc Manag. 1999;44(6):440-54; discussion 454-5.
Dansky, K. H., Gamm, L. D., Vasey, J. J., & Barsukiewicz, C. K. (1999). Electronic medical records: are physicians ready? Journal of Healthcare Management / American College of Healthcare Executives, 44(6), 440-54; discussion 454-5.
Dansky KH, et al. Electronic Medical Records: Are Physicians Ready. J Healthc Manag. 1999 Nov-Dec;44(6):440-54; discussion 454-5. PubMed PMID: 10662431.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Electronic medical records: are physicians ready? AU - Dansky,K H, AU - Gamm,L D, AU - Vasey,J J, AU - Barsukiewicz,C K, PY - 2000/2/8/pubmed PY - 2000/2/8/medline PY - 2000/2/8/entrez SP - 440-54; discussion 454-5 JF - Journal of healthcare management / American College of Healthcare Executives JO - J Healthc Manag VL - 44 IS - 6 N2 - The use of electronic medical records (EMR) in healthcare organizations will require substantial changes in the way physicians and their staff provide patient care. This study is the first part of a larger study assessing factors that influence successful implementation of EMR in ambulatory care settings. The purposes of this study were to identify specific attitudes or factors that should be targeted before implementating an EMR project, and demonstrate empirical support for a model of perceived usefulness of EMR. We found that computer experience, computer anxiety, and perceptions of organizational support predict the degree to which physicians and mid-level practitioners view the EMR effort positively. Strategies for the successful management of EMR implementation include engaging the physicians and practitioners in computer activities prior to implementation and providing strong organizational support before and during the redesign effort. Acceptance of EMR by physicians and their support staff is essential if computerization is to be successful, yet anecdotal reports of resistance and negative attitudes are frequently reported. Empirical studies indicate that physicians have not yet embraced this technology. As part of strategic planning and deployment of a computerized patient record, attitudes of end-users must be assessed. Using an integrative framework from the job design literature and management information sciences, we propose that multiple factors influence attitudes toward EMR, offer a conceptual model of end-user acceptance, and present findings from an empirical test of our model. SN - 1096-9012 UR - https://www.unboundmedicine.com/medline/citation/10662431/Electronic_medical_records:_are_physicians_ready L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=10662431.ui DB - PRIME DP - Unbound Medicine ER -