Acceptance Model of a Mandatory Health Information System in Indonesia

Abstract

Objectives: The purpose of this study was to develop a model of acceptance of the Mother and Child Health InformationSystem in the Ngawi Regency Health Office, Indonesia based on the technology acceptance model, by integrating organizationalsupport and personal characteristics as external variables and enjoyment as an intervening variable. Methods: Thedesign of this study was cross-sectional. The subjects of this study were 217 village midwives who had operated the Maternaland Child Health Information System in the Ngawi Regency Health Office, Indonesia. The variables studied were perceivedorganizational support, personal characteristics, perceived ease of use, perceived usefulness, perceived enjoyment, behavioralintention, and actual system use. Data were collected through questionnaires, and then analyzed using structural equationmodeling. Results: In terms of the total effect, the most meaningful factor affecting actual system use was perceived organizationalsupport (0.766), followed in descending order by behavioral intention to use (0.344), perceived enjoyment (0.238),personal characteristics (0.118), perceived usefulness (0.054), and perceived ease of use (0.048). Conclusions: In the acceptancemodel of the Mother and Child Health Information System in Ngawi Regency, perceived organizational support wasthe main determinant of actual system use, while enjoyment was the main intermediate determinant of the indirect effects ofperceived organizational support and personal characteristics on actual system use.