Role of work engagement in behavioural intention to use electronic medical records: A cross-sectional study
DOI:
https://doi.org/10.46542/pe.2023.234.9298Keywords:
Electronic Medical Record, Medical student, Unified Theory of Acceptance and Use of Technology (UTAT), Work engagementAbstract
Background: In this era of a rapidly advancing technological landscape, the Electronic Medical Record (EMR) has increased the awareness of health services on the importance of the roles of workers in utilising information technology.
Objective: To analyse the factors influencing behavioural intention in the EMR system by adding the work engagement factor as an exogenous variable based on the Unified Theory of Acceptance and Use of Technology (UTAUT) theoretical framework.
Method: This cross-sectional study enrolled a sample of 195 participants from a population of 390 medical students. Data analysis used structural models with multivariate structural equation modelling.
Results: Facilitating conditions (t-statistic=3.154; p=0.0001), performance expectancy (t-statistic=2.983, p=0.003), and work engagement (t-statistic=4.998, p=0.0001) had an effect on the behavioural intention, while effort expectancy (t-statistic=0.779, p=0.436) and social influence (t-statistic=0.266, p=0.790) did not affect the behavioural intention.
Conclusion: Performance expectancy, facilitating conditions, and work engagement could affect behavioural intention by R²=74%. Work engagement had the strongest effect among other exogenous variables.
References
Abdekhoda, M., Ahmadi, M., Dehnad, A., Noruzi, A. & Gohari, M. (2016). Applying Electronic Medical Records in health care. Applied Clinical Informatics, 07(02):341–354 https://doi.org/10.4338/aci-2015-11-ra-0165
Anggita, M. & Trenggana, A. (2020). Pengaruh Customer Engagement Dan E-Service Quality Terhadap Niat Beli Ulang Dengan Kepuasan Pelanggan Sebagai Variabel Mediator Tiket.Com. ProBank, 5(1):83–99 https://doi.org/10.36587/probank.v5i1.570
Archer, N. & Cocosila, M. (2011). A comparison of physician pre-adoption and adoption views on electronic health records in Canadian medical practices. Journal of Medical Internet Research, 13(3):e57 https://doi.org/10.2196/jmir.1726
Bao, C., Bardhan, I.R., Singh, H., Meyer, B.A. & Kirksey, K. (2020). Patient-provider engagement and its impact on health outcomes: A longitudinal study of patient portal use. MIS Quarterly: Management Information Systems, 44(2):699–723 https://doi.org/10.25300/MISQ/2020/14180
Buse, K. & Hawkes, S. (2015). Health in the sustainable development goals: ready for a paradigm shift? Globalization and health, 11:13 https://doi.org/10.1186/s12992-015-0098-8
Chadha, V.K. (2006). Sample size determination in health studies. NTI Bulletin, 42(3&4):55-62 https://ntiindia.kar.nic.in/ntibulletin/NTI%20BULLETIN%202006-2011/NTIBulletin%2042_3_4_2006/pages/pdf/03_MainPaper_Sampling.pdf
Fanani, O. N. (2021) Pengaruh Social Media Engagement Terhadap Minat Berkunjung Wisatawan Dengan Sikap Sebagai Variabel Intervening (Studi pada Pengunjung Obyek Wisata Baru di Karanganyar ). Universitas Muhammadiyah Surakarta. https://eprints.ums.ac.id/93114/1/Naskah Publikasi.pdf
Fillion, G., Braham, H. & Ekionea, J.P.B. (2012). Testing UTAUT on the use of ERP systems by middle managers and end-users of medium- to large-sized Canadian enterprises. Academy of Information and Management Sciences Journal, 15(2):1–28 https://www.proquest.com/openview/65b1c341b32289b115230146f28de987/1
Hennington, A. & Janz, B.D. (2007). Information Systems and Healthcare XVI: Physician Adoption of Electronic Medical Records: Applying the UTAUT Model in a Healthcare Context. Communications of the Association for Information Systems, 19(1) https://doi.org/10.17705/1cais.01905
Hepola, J., Karjaluoto, H. & Shaikh, A.A. (2016). Consumer Engagement and Behavioral Intention Toward Continuous Use of Innovative Mobile Banking Applications: A Case Study of Finland. International Conference on Information Systems https://jyx.jyu.fi/handle/123456789/56351
Iriani, S., Suyanto, M. & Amborowati, A. (2014). Pengujian Sistem Informasi Pengelolaan Keuangan Daerah Berbasis Web Kabupaten Pacitan Dengan Menggunakan Unified Theory of Acceptance and Use of Technology (UTAUT). Indonesian Journal on Networking and Security, 3(2):60–66 https://ijns.org/journal/index.php/ijns/article/view/143
Jedwab, R.M., Hutchinson, A.M., Manias, E., Calvo, R.A., Dobroff, N., Glozier, N. & Redley, B. (2021). Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study. International Journal of environmental research and public health, 18(5):2726 https://doi.org/10.3390/ijerph18052726
Kang, M. (2014). Understanding Public Engagement: Conceptualizing and Measuring its Influence on Supportive Behavioral Intentions. Journal of Public Relations Research, 26(5):399–416 https://doi.org/10.1080/1062726X.2014.956107
Kementerian Kesehatan RI (2023) ‘Membangun Integrasi Menuju Transformasi Digital Kesehatan’, 82 https://oss2.dto.kemkes.go.id/artikel-web-dto/Digital-Transformation-Strategy-2024.pdf
Lu, L., Lu, A.C.C., Gursoy, D. & Neale, N.R. (2016). Work engagement, job satisfaction, and turnover intentions: A comparison between supervisors and line-level employees. International Journal of Contemporary Hospitality Management, 28(4):737–761 https://doi.org/10.1108/IJCHM-07-2014-0360
Lulin, Z., Owusu-Marfo, J., Antwi, H.A. & Xu, X. (2020). The Contributing Factors to Nurses’ Behavioral Intention to Use Hospital Information Technologies in Ghana. SAGE Open Nursing, 6(301):2377960820922024 https://doi.org/10.1177/2377960820922024
Nasir, M. (2013). Evaluasi Penerimaan Teknologi Informasi Mahasiswa di Palembang Menggunakan Model UTAUT. Seminar Nasional Aplikasi Teknologi Informasi (SNATI), 1(1):15–2013 https://journal.uii.ac.id/Snati/article/view/3006
Pujani, V., Sermiaty, R. & Kotama, D.T.W. (2019). Kesiapan Mengadopsi Sistim Informasi Pada Rumah Sakit Pemerintah di Kota Padang. Jurnal Nasional Teknologi dan Sistem Informasi, 5(1):9–16 https://doi.org/10.25077/TEKNOSI.v5i1.2019.9-16
Schaufeli, W. (2012). Work Engagement. What Do We Know and Where Do We Go? Romanian Journal of Applied Psychology, 14:3–10 https://www.wilmarschaufeli.nl/publications/Schaufeli/374.pdf
Sugiarsi, S. & Rohmadi. (2020). Literatur Review: Mengapa Rekam Medis Tidak Lengkap? Indonesian of Health Information Management Journal, 8(2):45–52 https://inohim.esaunggul.ac.id/index.php/INO/article/view/212
Venkatesh, V., Morris, M. G., Davis, G.B. & Davis, F.D. (2003). User acceptance of information technology: Toward a unified view. MIS Quarterly: Management Information Systems, 27(3):425–478 https://doi.org/10.2307/30036540
Venkatesh, V., Thong, J.Y.L. & Xu, X. (2016). Unified theory of acceptance and use of technology: A synthesis and the road ahead. Journal of the Association for Information Systems, 17(5):328–376 https://doi.org/10.17705/1jais.00428
Wu, Y.L., Tao, Y.H. & Yang, P.C. (2008). The use of a unified theory of acceptance and the use of technology to confer the behavioural model of 3G mobile telecommunication users. Journal of Statistics and Management Systems, 11(5):919–949 https://doi.org/10.1080/09720510.2008.107013 51
Wu, Y. & Zhu, W. (2021). The Role of CSR Engagement in Customer-Company Identification and Behavioural Intention During the COVID-19 Pandemic. Frontiers in Psychology, 12:721410 https://doi.org/10.3389/fpsyg.2021.721410
Yu, YC., Huang, TY. & Hou, TW. (2012). Forward Secure Digital Signature for Electronic Medical Records. J Med Syst 36:399–406
Yulida, R., Lazuardi, L. & Pertiwi, A.A.P. (2021) ‘Tantangan Implementasi Rekam Medis Elektronik Berdasarkan Dimensi Sumber Daya Manusia Di Rsgm Prof. Soedomo Yogyakarta’, PROSIDING DISKUSI ILMIAH" Inovasi dan Teknologi Informasi untuk Mendukung Kinerja PMIK dalam Masa Pandemi Covid 19", 102–106 https://doi.org/10.1007/s10916-010-9484-1
Zhou, T. (2012) ‘Examining location-based services usage from the perspectives of a unified theory of acceptance and use of technology and privacy risk’, Journal of Electronic Commerce Research, 13(2):135–144 http://www.jecr.org/node/50
