The Sri Lankan enigma: demystifying public healthcare information systems acceptance
Abstract The deployment of Health Information Systems (HIS) in Sri Lanka has been low in adoption compared to developed countries. There has been a dearth of studies to identify the factors that improve the adoption of HIS in developing countries. Thus, this study investigates the factors influencin...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-024-12173-8 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841559723930812416 |
|---|---|
| author | Thiviyan Senthilrajah Supunmali Ahangama |
| author_facet | Thiviyan Senthilrajah Supunmali Ahangama |
| author_sort | Thiviyan Senthilrajah |
| collection | DOAJ |
| description | Abstract The deployment of Health Information Systems (HIS) in Sri Lanka has been low in adoption compared to developed countries. There has been a dearth of studies to identify the factors that improve the adoption of HIS in developing countries. Thus, this study investigates the factors influencing the acceptance of HIS among public healthcare staff. A survey was administered among 170 medical professionals, including nurses and doctors. Partial Least Squares Structural Equation Modelling (PLS-SEM) was applied to the dataset with 5000 bootstrap subsamples. The research model was developed based on the prior literature and by extending the Technology Acceptance Model (TAM) to the context of public healthcare. A positive relationship was observed between the actual use of HIS and constructs such as perceived usefulness, perceived ease of use, attitude, behavioural intention, prior use of HIS by supervisors, computer anxiety and facilitating conditions. These findings confirm the applicability of the proposed extended TAM in the public healthcare system of a developing country. Furthermore, HIS practitioners and policymakers in the healthcare sector would find these results valuable. |
| format | Article |
| id | doaj-art-319797e155f6482295e61682a24da304 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-319797e155f6482295e61682a24da3042025-01-05T12:12:38ZengBMCBMC Health Services Research1472-69632025-01-0125111510.1186/s12913-024-12173-8The Sri Lankan enigma: demystifying public healthcare information systems acceptanceThiviyan Senthilrajah0Supunmali Ahangama1Department of Information Technology, Faculty of Information Technology, University of MoratuwaDepartment of Information Technology, Faculty of Information Technology, University of MoratuwaAbstract The deployment of Health Information Systems (HIS) in Sri Lanka has been low in adoption compared to developed countries. There has been a dearth of studies to identify the factors that improve the adoption of HIS in developing countries. Thus, this study investigates the factors influencing the acceptance of HIS among public healthcare staff. A survey was administered among 170 medical professionals, including nurses and doctors. Partial Least Squares Structural Equation Modelling (PLS-SEM) was applied to the dataset with 5000 bootstrap subsamples. The research model was developed based on the prior literature and by extending the Technology Acceptance Model (TAM) to the context of public healthcare. A positive relationship was observed between the actual use of HIS and constructs such as perceived usefulness, perceived ease of use, attitude, behavioural intention, prior use of HIS by supervisors, computer anxiety and facilitating conditions. These findings confirm the applicability of the proposed extended TAM in the public healthcare system of a developing country. Furthermore, HIS practitioners and policymakers in the healthcare sector would find these results valuable.https://doi.org/10.1186/s12913-024-12173-8Technology acceptance modelHealth information systemsElectronic medical recordsElectronic health recordsAttitudeBehaviour intention |
| spellingShingle | Thiviyan Senthilrajah Supunmali Ahangama The Sri Lankan enigma: demystifying public healthcare information systems acceptance BMC Health Services Research Technology acceptance model Health information systems Electronic medical records Electronic health records Attitude Behaviour intention |
| title | The Sri Lankan enigma: demystifying public healthcare information systems acceptance |
| title_full | The Sri Lankan enigma: demystifying public healthcare information systems acceptance |
| title_fullStr | The Sri Lankan enigma: demystifying public healthcare information systems acceptance |
| title_full_unstemmed | The Sri Lankan enigma: demystifying public healthcare information systems acceptance |
| title_short | The Sri Lankan enigma: demystifying public healthcare information systems acceptance |
| title_sort | sri lankan enigma demystifying public healthcare information systems acceptance |
| topic | Technology acceptance model Health information systems Electronic medical records Electronic health records Attitude Behaviour intention |
| url | https://doi.org/10.1186/s12913-024-12173-8 |
| work_keys_str_mv | AT thiviyansenthilrajah thesrilankanenigmademystifyingpublichealthcareinformationsystemsacceptance AT supunmaliahangama thesrilankanenigmademystifyingpublichealthcareinformationsystemsacceptance AT thiviyansenthilrajah srilankanenigmademystifyingpublichealthcareinformationsystemsacceptance AT supunmaliahangama srilankanenigmademystifyingpublichealthcareinformationsystemsacceptance |