Ransome Epie Bawack1, Jean Robert Kala Kamdjoug2. 1. Catholic University of Central Africa, GRIAGES, B.P: 11628, Yaoundé 237, Cameroon. Electronic address: ransome.bawack@gmail.com. 2. Catholic University of Central Africa, GRIAGES, B.P: 11628, Yaoundé 237, Cameroon. Electronic address: jrkala@gmail.com.
Abstract
PURPOSE: Despite the great potential Health Information Systems (HIS) have in improving the quality of healthcare delivery services, very few studies have been carried out on the adoption of such systems in developing countries. This article is concerned with investigating the adequacy of UTAUT1 in determining factors that influence the adoption of HIS by clinicians in developing countries, based on the case of Cameroon. METHODS: A paper-based questionnaire was distributed to clinicians in 4 out of 7 major public hospitals in Cameroon. A modified UTAUT was tested using structural equation modeling (SEM) method to identify the determinants of clinicians' intention to use HIS. Self-efficacy and cost-effectiveness were determinants used to extend the original UTAUT. RESULTS: 228 out of 286 questionnaires were validated for this study. The original UTAUT performed poorly, explaining 12% of the variance in clinicians' intention to use HIS. Age was the only significant moderating factor, improving the model to 46%. Self-efficacy and cost effectiveness has no direct significant effect on HIS adoption in the context of this study. CONCLUSIONS: The original UTAUT is not adequate in identifying factors that influence the adoption of HIS by clinicians in developing countries. Simplifying the model by using age as the only moderating factor significantly increases the model's ability to predict HIS adoption in this context. Thus, the younger clinicians are more likely and ready to adopt HIS than the older ones. Context-specific should also be used to increase the explanatory power of UTAUT in any given context.
PURPOSE: Despite the great potential Health Information Systems (HIS) have in improving the quality of healthcare delivery services, very few studies have been carried out on the adoption of such systems in developing countries. This article is concerned with investigating the adequacy of UTAUT1 in determining factors that influence the adoption of HIS by clinicians in developing countries, based on the case of Cameroon. METHODS: A paper-based questionnaire was distributed to clinicians in 4 out of 7 major public hospitals in Cameroon. A modified UTAUT was tested using structural equation modeling (SEM) method to identify the determinants of clinicians' intention to use HIS. Self-efficacy and cost-effectiveness were determinants used to extend the original UTAUT. RESULTS: 228 out of 286 questionnaires were validated for this study. The original UTAUT performed poorly, explaining 12% of the variance in clinicians' intention to use HIS. Age was the only significant moderating factor, improving the model to 46%. Self-efficacy and cost effectiveness has no direct significant effect on HIS adoption in the context of this study. CONCLUSIONS: The original UTAUT is not adequate in identifying factors that influence the adoption of HIS by clinicians in developing countries. Simplifying the model by using age as the only moderating factor significantly increases the model's ability to predict HIS adoption in this context. Thus, the younger clinicians are more likely and ready to adopt HIS than the older ones. Context-specific should also be used to increase the explanatory power of UTAUT in any given context.
Authors: Matheus Costa Stutzel; Michel Pedro Filippo; Alexandre Sztajnberg; Rosa Maria E M da Costa; André da Silva Brites; Luciana Branco da Motta; Célia Pereira Caldas Journal: BMC Med Inform Decis Mak Date: 2019-07-22 Impact factor: 2.796