Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Nov 10, 2021
Open Peer Review Period: Nov 10, 2021 - Jan 5, 2022
Date Accepted: May 30, 2022
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Perception of physicians as predictors of the future use of the National Death Information System (SINADEF) in Peru: a cross-sectional study
ABSTRACT
Background:
A computer application called the National Death Information System (SINADEF) was implemented so that doctors can prepare death certificates in electronic format and the information is available online. Whether physicians believe SINADEF is useful and easy to operate, this could support its successful large-scale implementation.
Objective:
Identify the perceptions of physicians and other factors as predictors of their attitude towards the future use of SINADEF to certify a death.
Methods:
Observational, cross-sectional study. A survey was applied to physicians working in Peru, who used SINADEF to certify a death, for a period of 12 months, starting in November 2019. The questions measured the dimensions of Subjective Norm, Image, Job Relevance, Output Quality, Demonstrability of Results, Perceived Usefulness, Perceived Ease of Use, and Behavioral Intention to Use. Chi-square and logistic regression tests were used in the analysis, and a confidence level of 95%
Results:
Two hundred seventy-two physicians responded to the survey, 183 (67.3%) men, the average age was 45.3 ± 10.1 years. The age range was 24 to 73 years. In the bivariate analysis, the intention to use SINADEF was found to be associated with Perceived Usefulness, expressed as "Using SINADEF avoids falsifying a death certificate" (p = 0,000), "Using SINADEF reduces the risk of errors" (p = 0,000), "Using SINADEF allows to carry out a certificate in less time" (p = 0,000); and the perceived Ease of use expressed as "I think SINADEF is easy to use" (p = 0,000). In the logistic regression Perceived Usefulness, (OR 3.2; p = 0.002); the Perceived Ease of Use (OR 3.8; p = 0.001); and training in filling out death certificates (OR 8.9; p = 0.03) were found to be predictors of the Behavioral Intention to Use SINADEF.
Conclusions:
Physicians who perceive that SINADEF is easy to use, that it is useful, because it reduces the risk of falsification of a death certificate, and who received training in filling out a death certificate have a very high probability of continuing to use the system.
Citation
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