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Article: Incentives and barriers that influence clinical computerization in Hong Kong: A population-based physician survey
Title | Incentives and barriers that influence clinical computerization in Hong Kong: A population-based physician survey |
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Authors | |
Issue Date | 2003 |
Publisher | Hanley & Belfus, Inc. The Journal's web site is located at http://www.elsevier.com/locate/jamia |
Citation | Journal Of The American Medical Informatics Association, 2003, v. 10 n. 2, p. 201-212 How to Cite? |
Abstract | Objective: Given the slow adoption of medical informatics in Hong Kong and Asia, we sought to understand the contributory barriers and potential incentives associated with information technology implementation. Design and Measurements: A representative sample of 949 doctors (response rate = 77.0%) was asked through a postal survey to rank a list of nine barriers associated with clinical computerization according to self-perceived importance. They ranked seven incentives or catalysts that may influence computerization. We generated mean rank scores and used multidimensional preference analysis to explore key explanatory dimensions of these variables. A hierarchical cluster analysis was performed to identify homogenous subgroups of respondents. We further determined the relationships between the sets of barriers and incentives/catalysts collectively using canonical correlation. Results: Time costs, lack of technical support and large capital investments were the biggest barriers to computerization, whereas improved office efficiency and better-quality care were ranked highest as potential incentives to computerize. Cost vs. noncost, physician-related vs. patient-related, and monetary vs. nonmonetary factors were the key dimensions explaining the barrier variables. Similarly, within-practice vs external and "push" vs "pull" factors accounted for the incentive variables. Four clusters were identified for barriers and three for incentives/catalysts. Canonical correlation revealed that respondents who were concerned with the costs of computerization also perceived financial incentives and government regulation to be important incentives/catalysts toward computerization. Those who found the potential interference with communication important also believed that the promise of improved care from computerization to be a significant incentive. Conclusion: This study provided evidence regarding common barriers associated with clinical computerization. Our findings also identified possible incentive strategies that may be employed to accelerate uptake of computer systems. |
Persistent Identifier | http://hdl.handle.net/10722/49375 |
ISSN | 2023 Impact Factor: 4.7 2023 SCImago Journal Rankings: 2.123 |
PubMed Central ID | |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Leung, GM | en_HK |
dc.contributor.author | Yu, PLH | en_HK |
dc.contributor.author | Wong, IOL | en_HK |
dc.contributor.author | Johnston, JM | en_HK |
dc.contributor.author | Tin, KYK | en_HK |
dc.date.accessioned | 2008-06-12T06:40:47Z | - |
dc.date.available | 2008-06-12T06:40:47Z | - |
dc.date.issued | 2003 | en_HK |
dc.identifier.citation | Journal Of The American Medical Informatics Association, 2003, v. 10 n. 2, p. 201-212 | en_HK |
dc.identifier.issn | 1067-5027 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/49375 | - |
dc.description.abstract | Objective: Given the slow adoption of medical informatics in Hong Kong and Asia, we sought to understand the contributory barriers and potential incentives associated with information technology implementation. Design and Measurements: A representative sample of 949 doctors (response rate = 77.0%) was asked through a postal survey to rank a list of nine barriers associated with clinical computerization according to self-perceived importance. They ranked seven incentives or catalysts that may influence computerization. We generated mean rank scores and used multidimensional preference analysis to explore key explanatory dimensions of these variables. A hierarchical cluster analysis was performed to identify homogenous subgroups of respondents. We further determined the relationships between the sets of barriers and incentives/catalysts collectively using canonical correlation. Results: Time costs, lack of technical support and large capital investments were the biggest barriers to computerization, whereas improved office efficiency and better-quality care were ranked highest as potential incentives to computerize. Cost vs. noncost, physician-related vs. patient-related, and monetary vs. nonmonetary factors were the key dimensions explaining the barrier variables. Similarly, within-practice vs external and "push" vs "pull" factors accounted for the incentive variables. Four clusters were identified for barriers and three for incentives/catalysts. Canonical correlation revealed that respondents who were concerned with the costs of computerization also perceived financial incentives and government regulation to be important incentives/catalysts toward computerization. Those who found the potential interference with communication important also believed that the promise of improved care from computerization to be a significant incentive. Conclusion: This study provided evidence regarding common barriers associated with clinical computerization. Our findings also identified possible incentive strategies that may be employed to accelerate uptake of computer systems. | en_HK |
dc.format.extent | 386 bytes | - |
dc.format.mimetype | text/html | - |
dc.language | eng | en_HK |
dc.publisher | Hanley & Belfus, Inc. The Journal's web site is located at http://www.elsevier.com/locate/jamia | en_HK |
dc.relation.ispartof | Journal of the American Medical Informatics Association | en_HK |
dc.subject.mesh | Attitude to Computers | en_HK |
dc.subject.mesh | Computer Systems - economics | en_HK |
dc.subject.mesh | Physicians - psychology | en_HK |
dc.subject.mesh | Practice Management - organization & administration | en_HK |
dc.subject.mesh | Attitude of Health Personnel | en_HK |
dc.title | Incentives and barriers that influence clinical computerization in Hong Kong: A population-based physician survey | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1067-5027&volume=10&issue=2&spage=201&epage=212&date=2003&atitle=Incentives+and+barriers+that+influence+clinical+computerization+in+Hong+Kong:+a+population-based+physician+survey | en_HK |
dc.identifier.email | Leung, GM: gmleung@hkucc.hku.hk | en_HK |
dc.identifier.email | Yu, PLH: plhyu@hkucc.hku.hk | en_HK |
dc.identifier.email | Wong, IOL: iolwong@hku.hk | en_HK |
dc.identifier.email | Johnston, JM: jjohnsto@hku.hk | en_HK |
dc.identifier.email | Tin, KYK: tinyiukei@hkucc.hku.hk | en_HK |
dc.identifier.authority | Leung, GM=rp00460 | en_HK |
dc.identifier.authority | Yu, PLH=rp00835 | en_HK |
dc.identifier.authority | Wong, IOL=rp01806 | en_HK |
dc.identifier.authority | Johnston, JM=rp00375 | en_HK |
dc.identifier.authority | Tin, KYK=rp00494 | en_HK |
dc.description.nature | published_or_final_version | en_HK |
dc.identifier.doi | 10.1197/jamia.M1202 | en_HK |
dc.identifier.pmid | 12595409 | en_HK |
dc.identifier.pmcid | PMC150373 | en_HK |
dc.identifier.scopus | eid_2-s2.0-0037353291 | en_HK |
dc.identifier.hkuros | 76454 | - |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0037353291&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 10 | en_HK |
dc.identifier.issue | 2 | en_HK |
dc.identifier.spage | 201 | en_HK |
dc.identifier.epage | 212 | en_HK |
dc.identifier.isi | WOS:000181847300009 | - |
dc.publisher.place | United States | en_HK |
dc.identifier.scopusauthorid | Leung, GM=7007159841 | en_HK |
dc.identifier.scopusauthorid | Yu, PLH=7403599794 | en_HK |
dc.identifier.scopusauthorid | Wong, IOL=7102513940 | en_HK |
dc.identifier.scopusauthorid | Johnston, JM=7403397964 | en_HK |
dc.identifier.scopusauthorid | Tin, KYK=7003796897 | en_HK |
dc.identifier.issnl | 1067-5027 | - |