医生电子病历系统间接使用行为对工作绩效的影响
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安徽医科大学卫生管理学院

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安徽省创新环境建设专项项目(202106f01050016)


Impact of Electronic Medical Record Indirect Usage on Doctors' Work Performance
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School of Health Management, Anhui Medical University

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    摘要:

    为探究医生电子病历系统间接使用行为与工作绩效之间的关系,文章基于社会网络理论、技术接受模型和感知风险理论提出间接系统使用与工作绩效关系的研究假设和理论模型。通过方便抽样的方法对安徽省6家三级公立医院的医生开展线上问卷调查,经过资料整理分析,共获得506份有效数据。采用SmartPLS3.0进行信效度检验和模型分析,结果显示医生的电子病历系统间接使用行为发生率为77.6%,感知有用性正向影响医生的间接系统使用行为,感知易用性负向影响间接系统使用行为,感知风险对间接系统使用行为无显著影响,间接系统使用行为正向影响医生的任务绩效和医患沟通质量,关系强度正向调节间接系统使用行为与医生任务绩效和医患沟通质量之间的关系。基于以上研究结果,笔者认为医院管理者应理解医生间接使用行为的合理性,建立间接系统使用制度,强化医院信任文化建设,规范医生的间接使用行为,优化电子病历系统操作和功能。

    Abstract:

    In order to explore the relationship between the indirect use behavior of doctors' electronic medical record system and work performance, this paper puts forward the research hypothesis and theoretical model of the relationship between the indirect system use and work performance based on social network theory, technology acceptance model and perceived risk theory. Through convenient sampling method, online questionnaire survey was conducted on doctors in 6 tertiary public hospitals in Anhui Province. After data analysis, 506 valid data were obtained. SmartPLS3.0 was used for reliability and validity test and model analysis. The results showed that the incidence of doctors' indirect use behavior of electronic medical record system was 77.6%. Perceived usefulness had a positive impact on doctors' indirect system use behavior, perceived ease of use had a negative impact on indirect system use behavior, perceived risk had no significant impact on indirect system use behavior, and indirect system use behavior had a positive impact on doctors' task performance and doctor-patient communication quality, The strength of the relationship positively regulates the relationship between the use of indirect systems and the performance of doctors' tasks and the quality of doctor-patient communication. Based on the above research results, the author believes that hospital managers should understand the rationality of doctors' indirect use behavior, establish an indirect system use system, strengthen the construction of hospital trust culture, standardize doctors' indirect use behavior, and optimize the operation and function of electronic medical record system.

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  • 收稿日期:2023-02-06
  • 最后修改日期:2023-03-07
  • 录用日期:2023-03-09
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