ArticleBMC medical informatics and decision making2016
Critical factors influencing physicians' intention to use computerized clinical practice guidelines: an integrative model of activity theory and the technology acceptance model.
Article in BMC medical informatics and decision making, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Exploring the role of professional identity in the implementation of clinical decision support systems-a narrative review.Implementation science : IS · 2024Pooled it
- Theories Informing eHealth Implementation: Systematic Review and Typology Classification.Journal of medical Internet research · 2021Pooled it
- The effectiveness of guideline implementation strategies in the dental setting: a systematic review.Implementation science : IS · 2019Pooled it
- A Systematic Review of the Technology Acceptance Model in Health Informatics.Applied clinical informatics · 2018Pooled it
- Multilayered and digitally structured presentation formats of trustworthy recommendations: a combined survey and randomised trial.BMJ open · 2017Trial
- Predictors of Mobile Health App Acceptance Among Nurses in Kashan, Iran: Cross-Sectional Study.JMIR mHealth and uHealth · 2026Article
- Doctor performance drivers: insights from various theoretical perspectives.Frontiers in sociology · 2026Article
- Qualitative study on physicians' acceptance of a clinical decision support system for anemia management in patients receiving hemodialysis.BMC health services research · 2025Article
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- Critical Success Factors Influencing the Acceptance of a Casemix-Based Hospital Information System: Cross-Sectional Study.Journal of medical Internet research · 2025Article
- Design and Psychometric Evaluation of Nurses' Mobile Health Device Acceptance Scale (NMHDA-Scale): Application of the Expectation-Confirmation Theory.JMIR human factors · 2024Article
- Health professionals' acceptance of mobile-based clinical guideline application in a resource-limited setting: using a modified UTAUT model.BMC medical education · 2024Article
- Predictive Factors of Physicians' Satisfaction and Quality of Work Under Teleconsultation Conditions: Structural Equation Analysis.JMIR human factors · 2024Article
- Using Theories, Models, and Frameworks to Inform Implementation Cycles of Computerized Clinical Decision Support Systems in Tertiary Health Care Settings: Scoping Review.Journal of medical Internet research · 2023Article
- Article
- Attitudes Toward the Adoption of 2 Artificial Intelligence-Enabled Mental Health Tools Among Prospective Psychotherapists: Cross-sectional Study.JMIR human factors · 2023Article
- Physician Compliance With a Computerized Clinical Decision Support System for Anemia Management of Patients With End-stage Kidney Disease on Hemodialysis: Retrospective Electronic Health Record Observational Study.JMIR formative research · 2023Article
- Digital transition in rural emergency medicine: Impact of job satisfaction and workload on communication and technology acceptance.PloS one · 2023Article
- Clinician Acceptance of Order Sets for Pain Management: A Survey in Two Urban Hospitals.Applied clinical informatics · 2022Article
- Exploring the perspectives of primary care providers on use of the electronic Patient Reported Outcomes tool to support goal-oriented care: a qualitative study.BMC medical informatics and decision making · 2021Article
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2 authors.
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Abstract
backgroundWith the widespread use of information communication technologies, computerized clinical practice guidelines are developed and considered as effective decision supporting tools in assisting the processes of clinical activities. However, the development of computerized clinical practice guidelines in Taiwan is still at the early stage and acceptance level among major users (physicians) of computerized clinical practice guidelines is not satisfactory. This study aims to investigate critical factors influencing physicians' intention to computerized clinical practice guideline use through an integrative model of activity theory and the technology acceptance model.
methodsThe survey methodology was employed to collect data from physicians of the investigated hospitals that have implemented computerized clinical practice guidelines. A total of 505 questionnaires were sent out, with 238 completed copies returned, indicating a valid response rate of 47.1 %. The collected data was then analyzed by structural equation modeling technique.
resultsThe results showed that attitudes toward using computerized clinical practice guidelines (γ = 0.451, p < 0.001), organizational support (γ = 0.285, p < 0.001), perceived usefulness of computerized clinical practice guidelines (γ = 0.219, p < 0.05), and social influence (γ = 0.213, p < 0.05) were critical factors influencing physicians' intention to use computerized clinical practice guidelines, and these factors can explain 68.6 % of the variance in intention to use computerized clinical practice guidelines.
conclusionsThis study confirmed that some subject (human) factors, environment (organization) factors, tool (technology) factors mentioned in the activity theory should be carefully considered when introducing computerized clinical practice guidelines. Managers should pay much attention on those identified factors and provide adequate resources and incentives to help the promotion and use of computerized clinical practice guidelines. Through the appropriate use of computerized clinical practice guidelines, the clinical benefits, particularly in improving quality of care and facilitating the clinical processes, will be realized.
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