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Int. J. Environ. Res. Public Health 2014, 11(6), 6037-6051;

Importance-Satisfaction Analysis for Primary Care Physicians’ Perspective on EHRs in Taiwan

Graduate Institute of Information Management, National Taipei University, New Taipei City 23741, Taiwan
School of Health Care Administration, Taipei Medical University, Taipei 11035, Taiwan
School of Public Health, National Defense Medical Center, Taipei 114, Taiwan
This paper is an extended version of our paper published in The Asia-Pacific HL7 Conference on Health Care Information Standards 2013 (APHL7 2013), Taipei, Taiwan, 25–26 October 2013.
Author to whom correspondence should be addressed.
Received: 27 February 2014 / Revised: 28 May 2014 / Accepted: 3 June 2014 / Published: 6 June 2014
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The Taiwan government has been promoting Electronic Health Records (EHRs) to primary care physicians. How to extend EHRs adoption rate by measuring physicians’ perspective of importance and performance of EHRs has become one of the critical issues for healthcare organizations. We conducted a comprehensive survey in 2010 in which a total of 1034 questionnaires which were distributed to primary care physicians. The project was sponsored by the Department of Health to accelerate the adoption of EHRs. 556 valid responses were analyzed resulting in a valid response rate of 53.77%. The data were analyzed based on a data-centered analytical framework (5-point Likert scale). The mean of importance and satisfaction of four dimensions were 4.16, 3.44 (installation and maintenance), 4.12, 3.51 (product effectiveness), 4.10, 3.31 (system function) and 4.34, 3.70 (customer service) respectively. This study provided a direction to government by focusing on attributes which physicians found important but were dissatisfied with, to close the gap between actual and expected performance of the EHRs. The authorities should emphasize the potential advantages in meaningful use and provide training programs, conferences, technical assistance and incentives to enhance the national level implementation of EHRs for primary physicians. View Full-Text
Keywords: electronic health records; primary care physician; importance-satisfaction analysis electronic health records; primary care physician; importance-satisfaction analysis

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Ho, C.-H.; Wen, H.-C.; Chu, C.-M.; Yi-SyuanWu; Wang, J.-L. Importance-Satisfaction Analysis for Primary Care Physicians’ Perspective on EHRs in Taiwan. Int. J. Environ. Res. Public Health 2014, 11, 6037-6051.

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