From E-Prescribing to Drug Management System: Impacts of Stress on Usage Continuance

From E-Prescribing to Drug Management System: Impacts of Stress on Usage Continuance

Rola El Halabieh (Clinical and Health Informatics Research Group, McGill University, Montreal, Canada), Anne Beaudry (John Molson School of Business, Concordia University, Montreal, Canada) and Robyn Tamblyn (Clinical and Health Informatics Research Group, McGill University, Montreal, Canada)
DOI: 10.4018/IJHISI.2018010105
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This study focuses on user reactions to the replacement of an information system they had been using. More specifically, a survey of physicians involved in the transition from an e-prescribing system to a new integrated drug management system was conducted. Data about physicians' level of stress induced by the system transition, satisfaction with the new system, and intention to continue to use the system, were collected as well as system usage logs before, during, and after the transition. Results indicate that physicians experiencing higher level of stress used the new system less during the transition as well as during the two months post-transition than their counterparts who reported lower level of stress. Although satisfaction with the new system was positively related to physicians' intention to use, it was not significantly related to actual usage. A discussion of the results and their implications for research and practice concludes the paper.
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Literature Review

While a number of studies have focused on various antecedents of IT use (e.g., Taylor & Todd, 1995; Venkatesh, Morris, Davis & Davis, 2003), the bulk of studies focusing on user acceptance of IT conducted over the last decades stops at users’ behavioral intention to use. Others have examined the drivers of intention to continue to use (e.g. Bhattacherjee, 2001). Recently, more studies have examined the triggers of continued use (e.g., Limayem, Hirt & Cheng, 2007; Venkatesh et al., 2003), extended use (Hsieh, Rai & Mark, 2008) or effective use (Burton-Jones & Grange, 2012). While prior research has significantly contributed to further our understanding of user acceptance and use of IT – despite a few exceptions (e.g., Keil, Beranek & Konsynski, 1995; Sicotte et al., 2009) – it largely focuses on users’ reactions to a new IT without taking into account usage of the prior system – the one that has been replaced– and rather focuses on other triggers expected to lead individuals to use the new technology.

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