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Möchten Krankenhausärtze wirklich auf digitale Systeme umsteigen?: die Akzeptanz gegenüber einem Bildarchivierungs- und Übermittlungssystem in einer Universitätsklinik

Philippe Duyck UGent, Bram Pynoo UGent, PIETER DEVOLDER UGent, TONY VOET UGent, LUC ADANG UGent and JAN VERCRUYSSE UGent (2008) ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN. 180(7). p.631-638
abstract
Purpose: Radiology departments are making the transition from analog film to digital images by means of PACS (Picture Archiving and Communication System). It is critical for the hospital that its physicians adopt and accept the new digital work method regarding radiological information. The aim of this study is to investigate hospital physicians' acceptance of PACS using questionnaires pre- and post-implementation and to identify main influencing factors. Materials and Methods: The study was conducted in an 1169 bed university hospital. The UTAUT (Unified Theory of Acceptance and Use of Technology) questionnaire [1] was administered at two times: one month pre-implementation (T1) and 1.5 years post-implementation (T2) of PACS, targeting all hospital physicians with the exemption of radiologists. The UTAUT scales (Behavioral Intention BI; Facilitating Conditions FC; Effort Expectancy EE; Performance Expectancy PE; Anxiety ANX; Social Influence SI; System Use USE; Attitude toward technology ATT; Self-Efficacy SE) were used to assess questions regarding: a) PACS' usefulness, b) PACS' ease of learning/using, c) PACS support availability, d) the perceived pressure to use PACS, e) physicians' attitude towards PACS and f) physicians' intention to use and actual use of PACS. Results: At T I scale ratings were positive toward the PACS implementation. The ratings on all scales with the exception of self-efficacy improved at T2. Regression analysis revealed that the key factor for intention to use PACS at T1 was the usefulness of PACS, while the availability and awareness of support was its most important predictor at T2. Overall, PE was the best predictor of BI, but all four UTAUT-determinants (PE, FC, EE and SI) were salient for its prediction. Variance explained in BI ranged from 31 to 37 % while variance explained in USE was very low (3 %). Conclusion: The implementation of PACS has succeeded. At T1 the physicians were welcoming PACS and this was confirmed at T2. Experience with PACS led to an overall improved attitude toward PACS. The key factors for physicians' intentions to use PACS were the usefulness of PACS (at T1 and overall) and the availability of support (at T2).
Please use this url to cite or link to this publication:
author
organization
alternative title
Do hospital physicians really want to go digital? : acceptance of a picture archiving and communication system in a university hospital
year
type
journalArticle (original)
publication status
published
subject
keyword
UTAUT, PACS, information system, hospital setting, technology acceptance, INFORMATION-TECHNOLOGY, USER ACCEPTANCE, RECOGNITION, MODEL, VIEW, PACS
journal title
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN
Rofo-Fortschr. Gebiet Rontgenstrahlen Bildgeb. Verfahr.
volume
180
issue
7
pages
631 - 638
Web of Science type
Article
Web of Science id
000257710100006
JCR category
RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
JCR impact factor
1.639 (2008)
JCR rank
55/90 (2008)
JCR quartile
3 (2008)
ISSN
1438-9029
DOI
10.1055/s-2008-1027344
language
German
UGent publication?
yes
classification
A1
id
428564
handle
http://hdl.handle.net/1854/LU-428564
date created
2008-08-18 08:50:00
date last changed
2016-03-11 09:14:53
@article{428564,
  abstract     = {Purpose: Radiology departments are making the transition from analog film to digital images by means of PACS (Picture Archiving and Communication System). It is critical for the hospital that its physicians adopt and accept the new digital work method regarding radiological information. The aim of this study is to investigate hospital physicians' acceptance of PACS using questionnaires pre- and post-implementation and to identify main influencing factors. 
Materials and Methods: The study was conducted in an 1169 bed university hospital. The UTAUT (Unified Theory of Acceptance and Use of Technology) questionnaire [1] was administered at two times: one month pre-implementation (T1) and 1.5 years post-implementation (T2) of PACS, targeting all hospital physicians with the exemption of radiologists. The UTAUT scales (Behavioral Intention BI; Facilitating Conditions FC; Effort Expectancy EE; Performance Expectancy PE; Anxiety ANX; Social Influence SI; System Use USE; Attitude toward technology ATT; Self-Efficacy SE) were used to assess questions regarding: a) PACS' usefulness, b) PACS' ease of learning/using, c) PACS support availability, d) the perceived pressure to use PACS, e) physicians' attitude towards PACS and f) physicians' intention to use and actual use of PACS. 
Results: At T I scale ratings were positive toward the PACS implementation. The ratings on all scales with the exception of self-efficacy improved at T2. Regression analysis revealed that the key factor for intention to use PACS at T1 was the usefulness of PACS, while the availability and awareness of support was its most important predictor at T2. Overall, PE was the best predictor of BI, but all four UTAUT-determinants (PE, FC, EE and SI) were salient for its prediction. Variance explained in BI ranged from 31 to 37 \% while variance explained in USE was very low (3 \%). 
Conclusion: The implementation of PACS has succeeded. At T1 the physicians were welcoming PACS and this was confirmed at T2. Experience with PACS led to an overall improved attitude toward PACS. The key factors for physicians' intentions to use PACS were the usefulness of PACS (at T1 and overall) and the availability of support (at T2).},
  author       = {Duyck, Philippe and Pynoo, Bram and DEVOLDER, PIETER and VOET, TONY and ADANG, LUC and VERCRUYSSE, JAN},
  issn         = {1438-9029},
  journal      = {ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN},
  keyword      = {UTAUT,PACS,information system,hospital setting,technology acceptance,INFORMATION-TECHNOLOGY,USER ACCEPTANCE,RECOGNITION,MODEL,VIEW,PACS},
  language     = {ger},
  number       = {7},
  pages        = {631--638},
  title        = {M{\"o}chten Krankenhaus{\"a}rtze wirklich auf digitale Systeme umsteigen?: die Akzeptanz gegen{\"u}ber einem Bildarchivierungs- und {\"U}bermittlungssystem in einer Universit{\"a}tsklinik},
  url          = {http://dx.doi.org/10.1055/s-2008-1027344},
  volume       = {180},
  year         = {2008},
}

Chicago
Duyck, Philippe, Bram Pynoo, PIETER DEVOLDER, TONY VOET, LUC ADANG, and JAN VERCRUYSSE. 2008. “Möchten Krankenhausärtze Wirklich Auf Digitale Systeme Umsteigen?: Die Akzeptanz Gegenüber Einem Bildarchivierungs- Und Übermittlungssystem in Einer Universitätsklinik.” Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren 180 (7): 631–638.
APA
Duyck, Philippe, Pynoo, B., DEVOLDER, P., VOET, T., ADANG, L., & VERCRUYSSE, J. (2008). Möchten Krankenhausärtze wirklich auf digitale Systeme umsteigen?: die Akzeptanz gegenüber einem Bildarchivierungs- und Übermittlungssystem in einer Universitätsklinik. ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 180(7), 631–638.
Vancouver
1.
Duyck P, Pynoo B, DEVOLDER P, VOET T, ADANG L, VERCRUYSSE J. Möchten Krankenhausärtze wirklich auf digitale Systeme umsteigen?: die Akzeptanz gegenüber einem Bildarchivierungs- und Übermittlungssystem in einer Universitätsklinik. ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN. 2008;180(7):631–8.
MLA
Duyck, Philippe, Bram Pynoo, PIETER DEVOLDER, et al. “Möchten Krankenhausärtze Wirklich Auf Digitale Systeme Umsteigen?: Die Akzeptanz Gegenüber Einem Bildarchivierungs- Und Übermittlungssystem in Einer Universitätsklinik.” ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN 180.7 (2008): 631–638. Print.