Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Dec 8, 2022
Date Accepted: May 30, 2023
Factors influencing the clinicians’ use of hospital information systems for infection prevention and control: based on the extended DeLone and McLean Model
ABSTRACT
Background:
Healthcare-associated infections (HAIs) has become a serious public health problem. Various types of information systems have begun to be applied in hospital infection prevention and control (IPC) practice, but few studies have evaluated their application in multiple dimensions.
Objective:
The aims of this study were to: (1) apply the extended DeLone and McLean Information Systems Success model (D&M model) to examine how IPCIS’ information quality, system quality, and service quality, as well as organization culture affect clinicians’ use intention, satisfaction and perceived net benefits. (2) identify what factors of these dimensions are of most important to clinicians’ use intention.
Methods:
We conducted an online survey of 12,317 clinicians from secondary and tertiary hospital hospitals. Data were analyzed using the partial least squares and importance-performance matrix analysis.
Results:
Among technical factors, system quality, information quality, and service quality were significantly related to all outcome variables: user satisfaction, intention to use, and perceived net benefits (communication benefits, decision-making benefits, and organizational benefits, etc.). IPC culture had a significant effect on intention to use, and also indirectly affected perceived net benefit. In addition, service quality (providing user training) and information quality (readability) show higher importance and lower performance for use intention.
Conclusions:
This study provides valuable insights into the IPCIS usage of clinicians from technology and organization culture factors. we evaluate the application of IPCIS based on the extended D&M model, and finds that technical factors (system quality, information quality, service quality) and hospital infection prevention and control culture have a significant impact on the successful application of IPCIS. Furthermore, service quality and information quality show higher importance and lower performance for use intention. These results provide empirical evidence and specific practical directions for further improving the construction of IPCIS.
Citation
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