首页|临床决策支持系统使用意愿影响因素研究

临床决策支持系统使用意愿影响因素研究

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目的 研究临床医生对临床决策支持系统的使用意愿及其影响因素,为系统的管理优化提供参考.方法 基于任务技术匹配理论和技术接受理论构建模型并提出研究假设,对247名临床医生进行问卷调查.利用偏最小二乘法结构方程模型对数据进行分析.结果 模型中各因素对医生使用意愿的解释程度为65.8%.任务特征(β=0.168,P<0.001)和技术特征(β=0.749,P<0.001)正向影响任务技术匹配度,任务技术匹配度正向影响感知易用性(β=0.692,P<0.001)与绩效期望(β=0.508,P<0.001),感知易用性(β=0.108,P=0.073)对使用意愿的影响没有统计学意义,绩效期望(β=0.228,P<0.001)正向影响其使用意愿,任务技术匹配度(β=-0.281,P<0.001)和感知易用性(β=-0.377,P<0.001)负向影响感知风险,感知风险负向影响医生的绩效期望(β=-0.308,P<0.001)与使用意愿(β=-0.579,P<0.001).结论 完善优化系统功能、提高系统特性与用户业务的适配度能够提升医生绩效水平,降低医生的感知风险,最终能提高医生对临床决策支持系统的使用意愿.
A Study of Factors Influencing Willingness to Use Clinical Decision Support Systems
Objective To study clinicians'willingness to use clinical decision support system and its influencing factors,and to provide reference for the management optimization of the system.Methods A model was constructed and research hypotheses were formulated based on task-technology fit theory and technology acceptance theory,and a questionnaire survey was conducted on 247 clinicians.The data were analyzed using partial least squares structural equation modeling.Results The extent to which the factors in the model explained physicians'willingness to use was 65.8%.Task characteristics(β=0.168,P<0.01)and technical characteristics(β=0.749,P<0.01)positively influenced task-technology match,task-technology match positively influenced perceived ease of use(β=0.692,P<0.01)with performance expectations(β=0.508,P<0.01),perceived ease of use(β=0.108,P=0.073)had no statistically significant effect on the willingness to use was not statistically significant,performance expectations(β=0.228,P<0.01)positively influenced their willingness to use,task technical match(β=-0.281,P<0.01)and perceived ease of use(β=-0.377,P<0.01)negatively influenced perceived risk,and perceived risk negatively influenced physicians'performance expectations(β=-0.308,P<0.01)and willingness to use(β=-0.579,P<0.01).Conclusion Improving and optimizing system functions and improving the adaptability of system features to users'business can improve doctors'performance level,reduce users'perceived risk,and increase doctors'willingness to use clinical decision support systems.

clinical decision support systemtask technology fit theorytechnology acceptance theorywillingness to usestructural equation modeling

郑锐、季梦婷、于广军

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上海交通大学公共卫生学院,上海市,200025

上海交通大学医学院附属仁济医院,上海市,200127

上海市儿童医院上海儿童精准医学大数据工程技术研究中心,上海市,200062

临床决策支持系统 任务技术匹配理论 技术接受理论 使用意愿 结构方程模型

国家自然科学基金重大项目国家自然科学基金面上项目2022年度教育部人文社会科学研究青年基金

722935857207414622YJC630043

2024

中国卫生信息管理杂志
卫生部统计信息中心

中国卫生信息管理杂志

CSTPCD
影响因子:1.2
ISSN:1672-5166
年,卷(期):2024.21(4)
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