EMRS Adoption: Exploring the effects of information security management awareness and perceived service quality

Objectives

This study proposes a research model that combines information system (IS) continuance theory with the DeLone and McLean IS success model to more clearly comprehend the influences of system characteristics on electronic health record system (EMRS) adoption. As Information security management (ISM) awareness enables health workers to be better able to prevent security violations, this study further explores the effects of perceived service quality on the relationship between ISM awareness and system characteristics of EMRS.

Methods

Data were gathered from a questionnaire survey of 200 health professionals in Taiwan, and the structural equation modelling technique was utilized to test the research model.

Results

The findings of this study enrich our understanding of the effect of ISM awareness and perceived service quality on the improvement of EMRS quality in the post-adoption stage. Specifically, the results indicate that with sufficient technical support and high ISM awareness, it can facilitate to enhance the quality of system characteristics of EMRS, which in turn favourably increases users’ willing to continue using the system to advance their healthcare practices, resulting in successful adoption of EMRS.

Conclusions

This study suggests that practitioners who want to successfully implement an EMRS should not merely pay attention to the issue of system design, but also be concerned with and knowledgeable about the formulation of ISM policy and its effective implementation. A successful EMRS adoption therefore should interact well with the ISM policy and sufficient technical support, and both of technical and managerial aspects are necessary fully considered and effectively integrated for the best outcome.