Factors influencing health information system acceptance: a cross-sectional study from a low-middle-income country.
Date
2024-09-30
Authors
Raya Sawalha
Fayez Ahmad
Hamzeh Al Zabadi
Abdulsalam Khayyat
Samar Thabet Jallad
Tareq Amro
Rami Zagha
Journal Title
Journal ISSN
Volume Title
Publisher
Frontiers Media SA
Abstract
Background: The Avicenna unified Health Information System (HIS) was
implemented by the Palestinian Ministry of Health in 2010 across government
hospitals. Despite its potential, the acceptance of Avicenna HIS by healthcare
providers remains unclear after 14 years of application. Understanding the
factors that influence healthcare provider acceptance is essential for
optimizing the system’s success. We investigated factors affecting acceptance
of Avicenna HIS among healthcare providers in Palestinian healthcare
institutions, focusing on perceived usefulness, ease of use, human factors,
technological factors, and organizational support.
Materials and methods: A cross-sectional study was conducted at the Palestine
Medical Complex (PMC) in Ramallah, West Bank, where the Avicenna HIS has
been fully implemented since 2010. A systematic random sampling was used
to select participants, resulting in 300 completed questionnaires. The study
utilized a self-administered questionnaire adapted from a structured tool
based on the Technology Acceptance Model (TAM). The questionnaire was
validated through expert review and pilot testing, achieving a Cronbach’s
alpha of 0.86. Each selected healthcare provider was contacted face-to-face,
and written informed consent was obtained before administering the
questionnaire.
Results: A total of 300 questionnaires were completed and returned. The study
sample included 178 males (59.3%) and 122 females (40.7%). The majority of
participants was aged 20–39 years (270 participants, 90%) and held a
bachelor’s degree (250 participants, 83.3%). Nurses comprised the largest
professional group (153 participants, 51.0%). High levels of perceived
usefulness and ease of use were reported, both with mean scores of 4.511
(S.D. = 0.295). Technological factors had a mean score of 4.004 (S.D. = 0.228),
while organizational factors scored 2.858 (S.D. = 0.304). Overall acceptance of
the HIS was moderately high, with a mean score of 4.218 (S.D. = 0.387).
Significant differences in perceived usefulness and ease of use were noted
based on gender, age, and experience.
Description
Keywords
Citation
Sawalha, R., Ahmad, F., Al Zabadi, H., Khayyat, A., Jallad, S. T., Amro, T., & Zagha, R. (2024). Factors influencing health information system acceptance: a cross-sectional study from a low-middle-income country. Frontiers in Health Services, 4, 1458096.