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南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
第2期 总第115期 南
2023年4月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 167 ·
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Impact of electronic medical record indirect usage on doctors’work

performance

1，2
1
1
1
WANG Dan ，LU Chao ，BAO Dawang ，GUO Sasa ，WANG Zhuoyun 2
1. School of Health Management，Anhui Medical University，Hefei 230031；2. Management Teaching and Research Office，the
Second Affiliated Hospital of Anhui Medical University，Hefei 230601，China
Abstract：This paper proposes a research hypothesis and theoretical model of the relationship between the
indirect use of the system and doctors’ work performance based on social network theory， technology
acceptance model and perceived risk theory. We conducted an online questionnaire to doctors in six tertiary
public hospitals in Anhui Province through convenient sampling and obtained 506 valid data after collation and
analysis. The reliability and validity test and model analysis using SmartPLS 3.0 showed that the incidence of
doctors’indirect use of electronic medical record systems was 77.6%. Perceived usefulness positively impacts
doctors’indirect system use behavior，while perceived ease of use negatively impacts indirect system use
behavior. Perceived risk has no significant impact on indirect system use behavior，while indirect system use
behavior positively impacts doctors’task performance and doctor⁃patient communication quality. The strength of
the relationship positively moderates the relationship between the use of indirect systems and the performance of
doctors’tasks and doctor ⁃ patient communication quality. Above findings suggest that hospital administrators
should understand the rationality of doctors’indirect use behavior. The authors recommend establishing an
indirect system use system， strengthening the hospital trust culture， standardizing doctors’ indirect use
behavior，and optimizing electronic medical record system function.
Key words：electronic medical record system；indirect system use behavior；job performance；social
network theory