Alanazi, Abdullah
(2015)
A COMPREHENSIVE MODEL TO EXPLAINING USERS’ ACCEPTANCE AND INTENTION TO USE ELECTRONIC HEALTH RECORDS(EHR)IN REHABILITATION FACILITIES IN SAUDI ARABIA.
Doctoral Dissertation, University of Pittsburgh.
(Unpublished)
Abstract
This study provided a literature-based model that was developed by using a general and cumulative approach to explain user attitudes toward EHR. The model embodies the Theory of Reasoned Action (TRA), the Technology Acceptance Model (TAM), and the barriers that hinder users from proper use of the EHR system. Dimensions related to Human, Technological, Organizational, Professional, Legal, and Financial sources of influence were identified and tested in a special care setting. Because rehabilitation care facilities require an interdisciplinary (interactive) and multidisciplinary (additive) care approach, they pose an extra challenge. The current situation of the Saudi healthcare system demands a transition to a more connected and integrated system among different facilities of a single provider and across different providers. This situation underscores the need to have EHR in place and demands that particular attention be paid to user acceptance of the system. Thus, current and potential users of EHR in Saudi Arabia were targeted and asked to rate the importance of each source of influence on their attitudes toward EHR. The sample size was 319, comprising respondents from more than 20 hospitals and rehabilitation care facilities, and 263 responses were eligible for statistical analysis. Examining the model revealed that human, technological, organizational, and professional dimensions are the necessary and sufficient predictors for users in the tested settings. This calls for raising awareness of EHR and its anticipated benefits and difficulties. Continuous learning and ongoing training sessions are key aspects in attaining users’ acceptance of EHR. The findings of this study also call for developing policies and legal procedures to regulate the use of EHR in Saudi Arabia by establishing a national regulator and enforcement bodies to oversee issues related to system security and patient privacy. Furthermore, it is worth proposing an act or policy (stimuli) to promote the adoption and meaningful use of EHR and to keep costs of EHR low, especially for the private sector. Regarding future directions, the proposed model is to be taken to different levels and examined in different care settings, geographic areas, and with different technologies, including but not limited to mHealth, cloud computing, and telehealth.
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Details
| Item Type: |
University of Pittsburgh ETD
|
| Status: |
Unpublished |
| Creators/Authors: |
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| ETD Committee: |
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| Date: |
28 September 2015 |
| Date Type: |
Publication |
| Defense Date: |
14 July 2015 |
| Approval Date: |
28 September 2015 |
| Submission Date: |
3 June 2015 |
| Access Restriction: |
3 year -- Restrict access to University of Pittsburgh for a period of 3 years. |
| Number of Pages: |
205 |
| Institution: |
University of Pittsburgh |
| Schools and Programs: |
School of Health and Rehabilitation Sciences > Health Information Management |
| Degree: |
PhD - Doctor of Philosophy |
| Thesis Type: |
Doctoral Dissertation |
| Refereed: |
Yes |
| Uncontrolled Keywords: |
EHR Acceptance, Attitude toward EHR, Rehabilitation Facilities, Technology Acceptance. |
| Date Deposited: |
28 Sep 2015 19:50 |
| Last Modified: |
28 Sep 2018 05:15 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/25740 |
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