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의료정보시스템 성공 모델에 관한 연구-HOT-fit 모델을 기반으로-

Success Model of Medical Information System: Based on Human, Organization, and Technology-fit Model

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키워드

주제분류경영학

초록

연구의 목적은 HOT-fit 모델을 기반으로 의료정보시스템 성공 모델을 연구하는 것이다. 의료정보시스템 만족에 영향을 미치는 요인을 파악하기 위하여 HOT-fit 모델을 기반으로 인적요인(혁신성, 자기 효능감), 조직요인(상대적 이점, 병원규모), 기술요인(호환성, 보안성)으로 구분한다. 의료정보시스템 성과를 파악하기 위하여 DeLone과 McLean(2003)이 제안한 IS 성공 모델을 기반으로 의료정보시스템에 대한 만족과 성과와의 관계를 파악한다. 또한 흥미성과 신뢰가 의료정보시스템 성과에 미치는 영향력을 파악하기 위하여 병원 근무자들을 대상으로 설문조사를 실시하였다. 가설검증결과, 인적요인인 혁신성과 자기 효능감은 의료정보시스템 만족에 긍정적인 영향을 미쳤고, 조직요인인 상대적 이점도 만족에 긍정적인 영향을 미쳤다. 기술요인인 호환성과 보안성은 의료정보시스템 만족에 긍정적인 영향력을 보여주었다. 의료정보시스템에 대한 만족은 흥미성, 성과, 신뢰에 정(+)의 영향을 미쳤고, 흥미성은 의료정보시스템 성과에 정(+)의 영향을 미쳤다. 본 연구는 의료정보시스템에 관심을 가지고 있는 연구자와 실무자에게 유용한 정보를 제공할 수 있을 것이다.

Abstract

The purpose of this study is to investigate user’s acceptance of medical information system based on the HOT-fit(Human, Organization, Technology fit) model and DeLone & McLean’s IS(Information System) success model. First, we examine the relationships between human factors(innovativeness and self-efficacy), organization factors(relative advantage and hospital size), and technology factors(compatibility and security) and satisfaction of medical information system. Second, we study the relationships among satisfaction, enjoyment, trust, and performance of medical information system. we collected 219 questionnaires form staffs(doctors, nurses, and employees) in hospitals. The results shows that innovativeness, self-efficacy, relative advantage, compatibility and security had a positive effect on the satisfaction of medical information system. The causal links were found between satisfaction and enjoyment and trust of medical information system as well as between satisfaction and enjoyment and performance of medical information system. This study could contribute to researchers and practitioners in healthcare sections.

참고문헌 (53)

  1. 권영모, "스마트폰 모바일뱅킹 이용의도에 관한 연구", 산업경제연구, 28(1), pp.529~549 (2015), 한국산업경제학회
  2. 김상현, "소셜커머스 특징과 개인 특징이 신뢰와 신뢰성과에 미치는 영향에 대한 실증연구", 경영연구, 26(3), pp.95~121 (2011), 한국산업경영학회
  3. 노미진, "전자의무기록 성과에 관한 연구: 정보신뢰와 기술신뢰를 중심으로", 경영연구, 28(1), pp.193~216 (2013), 한국산업경영학회
  4. 배병렬, "Amos 19 구조방정식 모델링-원리와 실제" (2011), 도서출판 청람
  5. 송태민, "u-Health 수용요인의 교차타당성 검증:공급자와 수요자 집단간 분석", 보건정보통계학회지, 37(1), pp.98~108 (2012), 한국보건정보통계학회
  6. 이용기, "의사와 병원에 대한 환자 만족, 신뢰, 그리고 충성도의 구조적 관계", 마케팅논집(Journal of Marketing Studies), 19(3), pp.51~75 (2011), 한국전략마케팅학회
  7. 이종택, "의료정보시스템의 기술 및 시장 동향 분석을 통한 주요 이슈 도출 및 향후 발전 방향 고찰", 한국지능정보시스템학회 2013년 추계학술대회, pp.135~142 (2013)
  8. 장영일, "의료서비스 소비자들의 의료 웹사이트 및 어플리케이션 사용확산에 관한 연구", 경영과 정보연구, 32(5), pp.19~43 (2013), 대한경영정보학회
  9. 장인순, "병원규모에 따른 간호사의 조직문화유형과 직무만족 비교연구", 한국직업건강간호학회지, 20(1), pp.1~13 (2011), 한국직업건강간호학회
  10. 조현주, "병원정보시스템의 서비스채널 역할을 위한 UI요건 연구", 디지털디자인학연구, 14(2), pp.513~522 (2014), 한국디지털디자인학회
  11. 한용준, "의료서비스 품질지각 정보가 서비스 만족, 신뢰, 행동의도에 미치는 영향 연구 - 정교화 가능성 모델의 관점에서 -", 고객만족경영연구, 15(3), pp.155~178 (2013), 한국고객만족경영학회
  12. 한주랑, "병원규모 및 직종별 종업원 만족도 영향요인", 보건의료산업학회지, 9(3), pp.31~42 (2015), 보건의료산업학회
  13. Agarwal, R., "Time files when you're having fun : cognitive absorption and beliefs about information technology usage", MIS Quarterly, 24(4), pp.665~694 (2000)
  14. Aggelidis, V. P., "Hospital information systems : Measuring end user computing satisfaction(EUCS)", Journal of Biomedical Informatics, 45, pp.566~579 (2012)
  15. Ahmadi, H., "Organizational decision to adopt hospital information system : An empirical investigation in the case of Malaysian public hospital", International Journal of Medical Informatics, 84, pp.166~188 (2015)
  16. Alharthi, H., "Physician satisfaction with electronic medical records in a major Saudi Government hospital", Journal of Taibah University Medical Sciences, 9(3), pp.213~218 (2014)
  17. Bisdikian, C., "Inference management, trust and obfuscation principles for quality of information in emerging pervasive environments", Pervasive and Mobile Computing, 11, pp.168~187 (2014)
  18. Boies, K., "Communication and trust are key : Unlocking the relationship between leadership and team performance and creativity", The Leadership Quarterly, 26, pp.1080~1094 (2015)
  19. Bossen, C., "Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success : Approach, results, and success factors", International Journal of Medical Informatics, 82, pp.940~953 (2013)
  20. Brender, J., "Research needs and priorities in health informatics", International Journal of Medical Informatics, pp.58~59 (2000)
  21. Castaldo, S., "Research in Social and Administrative Pharmacy" (2015), Article in Press
  22. Chang, I. C., "Factors affecting the adoption of electronic signature : Executives' perspective of hospital information department", Decision Support Systems, 44, pp.350~359 (2014)
  23. Chen, R. F., "An investigation on physicians acceptance of hospital information systems : A case study", International Journal of Medical Informatics, 81, pp.810~820 (2012)
  24. Chen, Y. C., "The effects of perceived relevance of travel blogs’ content on the behavioral intention to visit a tourist destination", Computers in Human Behavior, 30, pp.787~799 (2014)
  25. Comande, G., "An empirical study of healthcare providers and patients’ perceptions of electronic health records", Computers in Biology and Medicine, 59, pp.194~201 (2015)
  26. Davis, F. D., "Extrinsic and intrinsic motivation to use computers in the workplace", Journal of Applied Social Psychology, 22, pp.1111~1132 (1992)
  27. DeLone, W. H., "Measuring e-commerce success : Applying the DeLone & McLean information systems success model", International Journal of Electronic commerce, 9(1), pp.31~47 (2004)
  28. Dillon, T. W., "Nursing self-efficacy of an integrated clinical and administrative information system", Computer, Informatics, Nursing, 21(4), pp.198~205 (2003)
  29. Goo, J., "Leaning for healthy outcomes : Exploration and exploitation with electronic medical records", Information & Management, 52, pp.550~562 (2015)
  30. Hwang, Y., "Customer self-service systems : The effects of perceived Web quality with service contents on enjoyment, anxiety, and e-trust", Decision Support Systems, 43, pp.746~760 (2007)
  31. Kim, M., "The effects of service interactivity on the satisfaction and the loyalty of smartphone users", Telematics and Informatics, 32, pp.949~960 (2015)
  32. Kuo, A. M. H., "Opportunities and challenges of cloud computing to improve health care services", Journal of Medical Internet Research, 13(3), pp.67~ (1867)[DOI]
  33. Lee, K. Y., "Do emotions play a mediating role in the relationship between owner leadership styles and manager customer orientation, and performance in service environment?", International Journal of Hospitality Management, 30, pp.942~952 (2011)
  34. Li, M., "Hedonic or utilitarian? Exploring the impact of communication style alignment on user’s perception of virtual health advisory services", International Journal of Information Management, 35, pp.229~243 (2015)
  35. Lian, J. W., "An exploratory study to understand the critical factors affecting the decision to adopt cloud computing in Taiwan hospital", International Journal of Information Management, 34, pp.28~36 (2014)
  36. Maass, W., "Design and evaluation of ubiquitous information systems and use in healthcare", Decision Support Systems, 54, pp.597~609 (2012)
  37. Maillet, E., "Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an Electronic Patient Record in acute care settings : An extension of the UTAUT", International Journal of Medical Informatics, 84, pp.36~47 (2015)
  38. Marques, A., "Medical records system adoption in European Hospitals", Electronic Journal of Information Evaluation, 14(1), pp.89~99 (2011)
  39. Ozawa, S., "How do you measure trust in the health system? A systematic review of the literature", Social Science & Medicine, 91, pp.10~14 (2013)
  40. Petter, S., "Evaluating the success of an emergency response medical information system", International Journal of Medical Informatics, 80, pp.480~489 (2011)
  41. Poon, P., "Critical success factors revisited : success and failure cases of information systems for senior executives", Decision Support Systems, 30, pp.393~418 (2001)
  42. Portela, F., "Adoption of pervasive intelligent information systems in intensive medicine", Procedia Technology, 9, pp.1022~1032 (2013)
  43. Premkumar, G., "Adoption of new information technologiesin rural small business", OMEGA-International Journal of Management Science, 27(4), pp.467~484 (1999)
  44. Rieger, D., "The winner takes it all : The effect of in-game success and need satisfaction on mood repair and enjoyment", Computer in Human Behavior, 39, pp.281~286 (2014)
  45. Rogers, R., "It’s not the model that doesn’t fit, it’s the controller! The role of cognitive skills in understanding the links between natural mapping, performance, and enjoyment of console video games", Computers in Human Behavior, 49, pp.588~596 (2015)
  46. Singh, A., "Enhancing supply chain outcomes through information technology and trust", Computers in Human Behavior, 54, pp.290~300 (2016)
  47. Tamborini, R., "Media enjoyment as need satisfaction : The contribution of hedonic and nonhedonic needs", Journal of Communication, 61(6), pp.1025~1042 (2011)
  48. Tung, F. C., "An extension of trust and TAM model with IDT in the adoption of the electronic logistics information system in HIS in the medical industry", International Journal of Medical Informatics, 77, pp.324~335 (2008)
  49. Venkatesh, V., "User acceptance enablers in individual decision making about technology : toward an integrated model", Decision Sciences, 33, pp.297~316 (2002)
  50. Yi, M. Y., "Predicting the use of web-based information systems :Self-efficacy, enjoyment, learning goal orientation, and the technology acceptance model", International Journal of Human-Computer Studies, 59, pp.431~449 (2003)
  51. Yucel, G., "A fuzzy risk assessment model for hospital information system implementation", Expert Systems with Applications, 39, pp.1211~1218 (2011)
  52. Yusof, M. M., "Investigating evaluation frameworks for health information systems", International Journal of Medical Informatics, 77, pp.377~385 (2008)
  53. Zimmer, A., "Optimizing treatment initiation : Effects of a patient education program about fingolimod treatment on knowledge, self-efficacy and patient satisfaction", Multiple Sclerosis and Related Disorders, 4, pp.444~450 (2015)

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