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Empowering physicians with health information technology: An empirical investigation in Chinese hospitals

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dc.contributor.authorChen, Yangen
dc.contributor.authorAljafari, Rubaen
dc.contributor.authorXiao, Boen
dc.contributor.authorVenkatesh, Viswanathen
dc.coverage.countryChinaen
dc.date.accessioned2022-05-24T17:18:15Zen
dc.date.available2022-05-24T17:18:15Zen
dc.date.issued2021-05-01en
dc.date.updated2022-05-09T00:31:13Zen
dc.description.abstractOBJECTIVE: Few studies examine physicians' use of different features of health information technology (HIT) in relation to their psychological empowerment and stress, especially in China, where many hospitals are being pushed to share digitized medical information. Further, there are mixed findings about the impact of HIT on stress, with some studies suggesting that HIT increases stress and others suggesting no effect. Hence, there is a need for a nuanced view of HITs to incorporate different features, regions, and outcomes. This work seeks to extend the existing body of knowledge on HIT by assessing the effects of basic (data-related) and advanced (clinical) HIT features on physician empowerment, stress, and ultimately, job satisfaction in Chinese hospitals. MATERIALS AND METHODS: We surveyed 367 physicians at 5 class 3 hospitals (ie, regional hospitals that provide specialist medical and healthcare services and carry out high levels of teaching and scientific research tasks) in 5 provinces in China. We specified and estimated a structural equation model using partial least squares. RESULTS: Physicians who used advanced features experienced improvement in all dimensions of physician empowerment and significant reduction in stress. Physicians who used basic technology, however, experienced improvement in fewer dimensions of physician empowerment and no significant change in stress. Except for efficacy, all dimensions of physician empowerment and stress predicted job satisfaction. CONCLUSIONS: Healthcare professionals should assess the purpose of HIT features and expect different effects on intermediate and ultimate outcomes. The nuanced view of HIT features and processes leading to outcomes sheds light on their differential effects and resolves inconsistencies in prior findings on HIT effects.en
dc.description.notesSource info: Chen, Y., Aljafari, R., Xiao, B., and Venkatesh, V. “Empowering Physicians with Health Information Technology: An Empirical Investigation in Chinese Hospitals,” Journal of the American Medical Informatics Association (28:5), 2021, 915-922. https://doi.org/10.1093/jamia/ocab034en
dc.description.versionAccepted versionen
dc.format.extentPages 915-922en
dc.format.extent8 page(s)en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1093/jamia/ocab034en
dc.identifier.eissn1527-974Xen
dc.identifier.issn1067-5027en
dc.identifier.issue5en
dc.identifier.orcidVenkatesh, Viswanath [0000-0001-8473-376X]en
dc.identifier.other6169470 (PII)en
dc.identifier.pmid33712828en
dc.identifier.urihttp://hdl.handle.net/10919/110163en
dc.identifier.volume28en
dc.language.isoenen
dc.publisherOxford University Pressen
dc.relation.urihttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000648977800004&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=930d57c9ac61a043676db62af60056c1en
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectadvanced (clinical) technologyen
dc.subjectbasic (data-related) technologyen
dc.subjectBURNOUTen
dc.subjectCONTEXTen
dc.subjectempowermenten
dc.subjecthealth information technology useen
dc.subjectJOB-SATISFACTIONen
dc.subjectMedical Informaticsen
dc.subjectMEDICINEen
dc.subjectPATIENT-CAREen
dc.subjectPERFORMANCEen
dc.subjectPSYCHOLOGICAL EMPOWERMENTen
dc.subjectQUALITYen
dc.subjectstressen
dc.subjectTRENDSen
dc.subject.meshHumansen
dc.subject.meshAttitude of Health Personnelen
dc.subject.meshAttitude to Computersen
dc.subject.meshJob Satisfactionen
dc.subject.meshMedical Informaticsen
dc.subject.meshAdulten
dc.subject.meshAgeden
dc.subject.meshMiddle Ageden
dc.subject.meshMedical Staff, Hospitalen
dc.subject.meshChinaen
dc.subject.meshFemaleen
dc.subject.meshMaleen
dc.subject.meshYoung Adulten
dc.subject.meshSurveys and Questionnairesen
dc.subject.meshEmpowermenten
dc.titleEmpowering physicians with health information technology: An empirical investigation in Chinese hospitalsen
dc.title.serialJournal of the American Medical Informatics Associationen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
dcterms.dateAccepted2021-02-24en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Pamplin College of Businessen
pubs.organisational-group/Virginia Tech/Pamplin College of Business/Business Information Technologyen
pubs.organisational-group/Virginia Tech/All T&R Facultyen
pubs.organisational-group/Virginia Tech/Pamplin College of Business/PCOB T&R Facultyen

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