L'évaluation de la prédisposition organisationnelle à l'adoption du dossier de santé électronique (DSE) par les médecins de l'est du Québec

Authors: Ghandour, El Kebir
Advisor: Gagnon, Marie-Pierre
Abstract: Electronic health records (EHR) are an important application of information and communications technology (ICT) for the health care sector. The EHR is considered to have great potential to improve the quality, continuity, safety and effectiveness of health care. However, these benefits cannot be achieved without proper implementation witch must necessarily pass through the adoption of EHR by health care professionals, notably by physicians who are the main users. This study aims to explore the contribution of organizational factors in organizational readiness for adoption and use of EHR by physicians in primary health care facilities in eastern Quebec. We conducted an exploratory quantitative survey among decision-makers from 24 primary care organizations in eastern Quebec. Data collection was performed using a questionnaire adapted to the Quebec context and the health sector, and whose psychometric properties were tested at the same time. Data collection was conducted between May and July 2011. The data analysis was conducted to improve the measurement tool, and to demonstrate its psychometric validity and the relevance of the theoretical model proposed. We performed descriptive statistics and exploratory correlation analyses. Our results are consistent with the literature and we can note a significant correlation between the effectiveness of the implementation and the climate for implementation. However, only the dimension “time for utilisation” of the “climate for implementation” construct predicts the quality of the use of EHR by physicians. No significant correlations were noted between the effectiveness of the implementation and the other constructs. These results provide interesting avenues for further research on organizational readiness for EHR adoption and contribute to our understanding of organizational factors related to the implementation of the EHR in primary care organizations of Quebec.
Document Type: Mémoire de maîtrise
Issue Date: 2012
Open Access Date: 18 April 2018
Permalink: http://hdl.handle.net/20.500.11794/23274
Grantor: Université Laval
Collection:Thèses et mémoires

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