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Adoption of clinical decision support systems in a developing country: Antecedents and outcomes of physician’s threat to perceived professional autonomy

Objective The basic objective of this research is to study the antecedents and outcomes of professional autonomy which is a central construct that affects physicians’ intention to adopt clinical decision support systems (CDSS). The antecedents are physicians’ attitude toward knowledge sharing and i...

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Main Authors: Esmaeilzadeh, Pouyan, Sambasivan, Murali, Kumar, Naresh, Nezakati, Hossein *
Format: Article
Published: Elsevier 2015
Subjects:
HD28 Management. Industrial Management
R Medicine (General)
Online Access:http://eprints.sunway.edu.my/2023/
https://doi.org/10.1016/j.ijmedinf.2015.03.007
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spelling my.sunway.eprints.20232022-04-26T06:46:20Z http://eprints.sunway.edu.my/2023/ Adoption of clinical decision support systems in a developing country: Antecedents and outcomes of physician’s threat to perceived professional autonomy Esmaeilzadeh, Pouyan Sambasivan, Murali Kumar, Naresh Nezakati, Hossein * HD28 Management. Industrial Management R Medicine (General) Objective The basic objective of this research is to study the antecedents and outcomes of professional autonomy which is a central construct that affects physicians’ intention to adopt clinical decision support systems (CDSS). The antecedents are physicians’ attitude toward knowledge sharing and interactivity perception (about CDSS) and the outcomes are performance expectancy and intention to adopt CDSS. Besides, we include (1) the antecedents of attitude toward knowledge sharing—subjective norms, social factors and OCB (helping behavior) and (2) roles of physicians’ involvement in decision making, computer self-efficacy and effort expectancy in our framework. Methods Data from a stratified sample of 335 Malaysian physicians working in 12 public and private hospitals in Malaysia were collected to test the hypotheses using Structural Equation Modeling (SEM). Results The important findings of our research are: (1) factors such as perceived threat to professional autonomy, performance expectancy, and physicians’ involvement in making decision about CDSS have significant impact on physicians’ intention to adopt CDSS; (2) physicians’ attitude toward knowledge sharing, interactivity perception and computer self-efficacy of physicians play a crucial role in influencing their perceived threat to professional autonomy; and (3) social network, shared goals and OCB (helping behavior) impact physicians’ attitude toward knowledge sharing. Conclusions The findings provide a comprehensive understanding of the factors that influence physicians’ intention to adopt CDSS in a developing country. The results can help hospital managers manage CDSS implementation in an effective manner. Elsevier 2015-08 Article PeerReviewed Esmaeilzadeh, Pouyan and Sambasivan, Murali and Kumar, Naresh and Nezakati, Hossein * (2015) Adoption of clinical decision support systems in a developing country: Antecedents and outcomes of physician’s threat to perceived professional autonomy. International Journal of Medical Informatics, 84 (8). pp. 548-560. ISSN 1386-5056 https://doi.org/10.1016/j.ijmedinf.2015.03.007 doi:10.1016/j.ijmedinf.2015.03.007
institution Sunway University
building Sunway Campus Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Sunway University
content_source Sunway Institutional Repository
url_provider http://eprints.sunway.edu.my/
topic HD28 Management. Industrial Management
R Medicine (General)
spellingShingle HD28 Management. Industrial Management
R Medicine (General)
Esmaeilzadeh, Pouyan
Sambasivan, Murali
Kumar, Naresh
Nezakati, Hossein *
Adoption of clinical decision support systems in a developing country: Antecedents and outcomes of physician’s threat to perceived professional autonomy
description Objective The basic objective of this research is to study the antecedents and outcomes of professional autonomy which is a central construct that affects physicians’ intention to adopt clinical decision support systems (CDSS). The antecedents are physicians’ attitude toward knowledge sharing and interactivity perception (about CDSS) and the outcomes are performance expectancy and intention to adopt CDSS. Besides, we include (1) the antecedents of attitude toward knowledge sharing—subjective norms, social factors and OCB (helping behavior) and (2) roles of physicians’ involvement in decision making, computer self-efficacy and effort expectancy in our framework. Methods Data from a stratified sample of 335 Malaysian physicians working in 12 public and private hospitals in Malaysia were collected to test the hypotheses using Structural Equation Modeling (SEM). Results The important findings of our research are: (1) factors such as perceived threat to professional autonomy, performance expectancy, and physicians’ involvement in making decision about CDSS have significant impact on physicians’ intention to adopt CDSS; (2) physicians’ attitude toward knowledge sharing, interactivity perception and computer self-efficacy of physicians play a crucial role in influencing their perceived threat to professional autonomy; and (3) social network, shared goals and OCB (helping behavior) impact physicians’ attitude toward knowledge sharing. Conclusions The findings provide a comprehensive understanding of the factors that influence physicians’ intention to adopt CDSS in a developing country. The results can help hospital managers manage CDSS implementation in an effective manner.
format Article
author Esmaeilzadeh, Pouyan
Sambasivan, Murali
Kumar, Naresh
Nezakati, Hossein *
author_facet Esmaeilzadeh, Pouyan
Sambasivan, Murali
Kumar, Naresh
Nezakati, Hossein *
author_sort Esmaeilzadeh, Pouyan
title Adoption of clinical decision support systems in a developing country: Antecedents and outcomes of physician’s threat to perceived professional autonomy
title_short Adoption of clinical decision support systems in a developing country: Antecedents and outcomes of physician’s threat to perceived professional autonomy
title_full Adoption of clinical decision support systems in a developing country: Antecedents and outcomes of physician’s threat to perceived professional autonomy
title_fullStr Adoption of clinical decision support systems in a developing country: Antecedents and outcomes of physician’s threat to perceived professional autonomy
title_full_unstemmed Adoption of clinical decision support systems in a developing country: Antecedents and outcomes of physician’s threat to perceived professional autonomy
title_sort adoption of clinical decision support systems in a developing country: antecedents and outcomes of physician’s threat to perceived professional autonomy
publisher Elsevier
publishDate 2015
url http://eprints.sunway.edu.my/2023/
https://doi.org/10.1016/j.ijmedinf.2015.03.007
_version_ 1731228857270272000
score 13.211869

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