Motivating medical information system performance by system quality, service quality, and job satisfaction for evidence-based practice

• Published in: BMC medical informatics and decision making Vol. 12; no. 1; p. 135
• Main Authors: Chang, Ching-Sheng, Chen, Su-Yueh, Lan, Yi-Ting
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 21.11.2012; BioMed Central; BMC
• Subjects: Adult; AMOS 17.0 (structural equation modeling); Analysis; Cross-Sectional Studies; Evidence-based medicine; Evidence-Based Practice; Factor Analysis, Statistical; Female; Hospital Information Systems - standards; Hospital Information Systems - statistics & numerical data; Hospitals; Humans; Information management; Information systems; Job Satisfaction; Male; Medical informatics; Medical Staff, Hospital - psychology; Middle Aged; Models, Statistical; Motivation; Nursing Staff, Hospital - psychology; Patient safety; Quality of service; Service quality; Studies; System performance; System quality; Taiwan; Web sites; Young Adult; Taiwan
• ISSN: 1472-6947; 1472-6947
• DOI: 10.1186/1472-6947-12-135

No previous studies have addressed the integrated relationships among system quality, service quality, job satisfaction, and system performance; this study attempts to bridge such a gap with evidence-based practice study. The convenience sampling method was applied to the information system users of three hospitals in southern Taiwan. A total of 500 copies of questionnaires were distributed, and 283 returned copies were valid, suggesting a valid response rate of 56.6%. SPSS 17.0 and AMOS 17.0 (structural equation modeling) statistical software packages were used for data analysis and processing. The findings are as follows: System quality has a positive influence on service quality (γ11= 0.55), job satisfaction (γ21= 0.32), and system performance (γ31= 0.47). Service quality (β31= 0.38) and job satisfaction (β32= 0.46) will positively influence system performance. It is thus recommended that the information office of hospitals and developers take enhancement of service quality and user satisfaction into consideration in addition to placing b on system quality and information quality when designing, developing, or purchasing an information system, in order to improve benefits and gain more achievements generated by hospital information systems.