Evidence map›Paper›PMID 39097725›Full record

ArticleBMC health services research2024

Understanding the predictors of health professionals' intention to use electronic health record system: extend and apply UTAUT3 model.

Habtamu Setegn Ngusie, Sisay Yitayih Kassie, Alemu Birara Zemariam, Agmasie Damtew Walle, Ermias Bekele Enyew, Mulugeta Desalegn Kasaye, Binyam Tariku Seboka, Shegaw Anagaw Mengiste

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Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Habtamu Setegn NgusieDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Woldia University, Woldia, P.O.Box: 400, Ethiopia. habtamuhi3@gmail.com.
Sisay Yitayih KassieDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Alemu Birara ZemariamDepartment of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, Woldia University, Woldia, Ethiopia.
Agmasie Damtew WalleDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.
Ermias Bekele EnyewDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Mulugeta Desalegn KasayeDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Binyam Tariku SebokaSchool of Public Health, Dilla University, Dilla, Ethiopia.
Shegaw Anagaw MengisteUniversity of South-Eastern Norway, Post Office Box 235, Kongsberg, N-3603, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe implementation of Electronic Health Record (EHR) systems is a critical challenge, particularly in low-income countries, where behavioral intention plays a crucial role. To address this issue, we conducted a study to extend and apply the Unified Theory of Acceptance and Use of Technology 3 (UTAUT3) model in predicting health professionals' behavioral intention to use EHR systems.

methodsA quantitative research approach was employed among 423 health professionals in Southwest Ethiopia. We assessed the validity of the proposed model through measurement and structural model statistics. Analysis was done using SPSS AMOS version 23. Hypotheses were tested using structural equation modeling (SEM) analysis, and mediation and moderation effects were evaluated. The associations between exogenous and endogenous variables were examined using standardized regression coefficients (β), 95% confidence intervals, and p-values, with a significance level of p-value < 0.05.

resultsThe proposed model outperformed previous UTAUT models, explaining 84.5% (squared multiple correlations (R

conclusionThe extended UTAUT3 model accurately predicts health professionals' intention to use EHR systems and provides a valuable framework for understanding technology acceptance in healthcare. We recommend that digital health implementers and concerned bodies consider the comprehensive range of direct, indirect, and moderating effects. By addressing personal innovativeness, performance expectancy, attitude, hedonic motivation, technology anxiety, and the gender-specific impact of social influence, interventions can effectively enhance behavioral intention toward EHR systems. It is crucial to design gender-specific interventions that address the differences in social influence and personal innovativeness between males and females.

Indexed as

Electronic Health RecordsIntentionAdultAttitude of Health PersonnelAttitude to ComputersEthiopiaFemaleHealth PersonnelHumansMaleMiddle AgedSurveys and QuestionnairesBehavioral intentionElectronic health recordHealth professionalsMediation effectModeration effectStructural equation modelingTechnology acceptanceUTAUTUTAUT2UTAUT3

Identifiers

PMID39097725
PMCPMC11298108

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.