An investigation of clinician acceptance of a guideline based patient registry system for chronic disease management
Date
2005-09-21T23:45:24Z
Authors
Fortin, Patricia Marie
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Abstract
In 2002 federal funds, known as the Primary Care Health Transition Fund
(PCHTF) were transferred to the provinces to experiment with different models of health
services delivery in primary care. The Northern Health Authority used the fund to
implement a Chronic Disease Management Community Collaborative using the Institute
for Healthcare Improvement Breakthrough Series and the British Columbia (B.C.)
Expanded Chronic Care Model. Included in the Chronic Care Model is an information
systems component that enables a population-based approach using guidelines and data
to plan, organize, monitor and deliver care for patients with chronic illnesses. In British
Columbia a secure web based system, known as the Chronic Disease Management
(CDM) Toolkit was developed by the Ministry of Health and made accessible to all
physicians in the province to facilitate CDM by collaboratives and individual general
practitioners (GPs). Technology acceptance is a mature concept in the information
systems literature, and models of technology acceptance are important in health care with
the increasing deployment of information systems to support clinical and management
work processes. Understanding what variables influence clinicians to use appropriate
technology could promote the diffusion of technology in health care. The Unified
Theory of Acceptance and Use of Technology (UTAUT) is a recent (2003) model that
consolidates eight models of technology acceptance that are prominent in the information
systems literature.
The UTAUT analysis revealed that social influence, usefulness, and
facilitating conditions are important variables for the acceptance of new technology.
With some adaptations to fit the health care context, the UTAUT was found to be an
effective tool to measure CDM Toolkit acceptance in the Northern Health Authority. The
field observations highlighted salient issues not captured by the UTAUT, including
security certificate implementation, access and confidentiality, physician participation,
data entry, flow sheets, infrastructure and training.
Description
Keywords
Technology acceptance, Chronic disease management, Unified Theory of Acceptance and Use of Technology, UTAUT