Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Nov 13:2010:582-6.

Clinical information system post-adoption evaluation at the georges pompidou university hospital

Jean-Marc Palm  1 , Thierry Dart, Isabelle Dupuis, Laurence Leneveut, Patrice Degoulet
Affiliations

Clinical information system post-adoption evaluation at the georges pompidou university hospital

Jean-Marc Palm et al. AMIA Annu Symp Proc. .

Abstract

The evaluation of a clinical information system (CIS) at different stages of deployment and routine use is a key factor to improve acceptability and use by health professionals. This paper examines on an expectation-confirmation model (ITPAM) the relationships between the determinants of success of a CIS in a cross-sectional survey performed at the Georges Pompidou University Hospital (HEGP). Results for the groups of physicians and nurses that replied to the survey (n=312) suggest that health professional satisfaction (overall R(2)=0.60) is determined by the quality of user support (r=.21, p=<0001), ease of use (r=.19, p=<0001), confirmation of expectations (r=.15, p=.0037), usefulness (r=.12, p=.0068), and compatibility (r=.10, p=.0206). The best predictor of physician satisfaction (R(2)=0.71) was compatibility (r=.21, p=.0072) whereas for nurses (R(2)=0.52) it was user support (r=.22, p=<0001) and ease of use (r=.22, p=.0001). Confirmation of expectations had an impact on post-adoption expectation and user's satisfaction, and confirms its importance for CIS evaluation studies.

PubMed Disclaimer

Figures

Figure 1:
Figure 1:
Health IT Post-Adoption Model (ITPAM)
Figure 2:
Figure 2:
Results of tested ITPAM (Total n=312)
See this image and copyright information in PMC

References

    1. Bhattacherjee A. Understanding information systems continuance: an expectation-confirmation model, MIS. Quarterly. 2001;25(3):351–70.
    1. Ammenwerth E, Mansmann U, Iller C, Eichstadter R. Factors affecting and affected by user acceptance of computer-based nursing documentation: results of a two-year study. J Am Med Inform Assoc. 2003;10:69–84. - PMC - PubMed
    1. Ash JS, Bates DW. Factors and forces affecting EHR system adoption: report of a 2004 ACMI discussion. J Am Med Inform Assoc. 2005;12(1):8–12. - PMC - PubMed
    1. Degoulet P, Marin L, Lavril M, et al. The HEGP component-based clinical information system. Int J Med Inform. 2003;69:115–26. - PubMed
    1. Rogers EM. The Diffusion of innovation. Fifth ed. New York: The Free Press; 2003.

LinkOut - more resources