title: Determinants of user satisfaction with a Clinical Information System.
abstract: Clinical Information Systems (CIS) implementation has faced user resistance. Consequently, we aimed to assess the acceptability of an integrated CIS. We designed an electronic survey instrument from two theoretical models (Delone and McLean, and Technology Acceptance Model). Dimensions hypothesized to be determinant of user satisfaction were: user characteristics, CIS use, quality, usefulness, and service quality. The questionnaire was administered to physicians, nurses and medical secretaries of the Georges Pompidou university Hospital (HEGP) in Paris. Answers were obtained from 324 users (93 physicians, 174 nurses, and 57 secretaries). Cronbach's alpha coefficients showed a correct reliability within each dimension. Secretaries and nurses were more satisfied with the CIS than physicians. Except for CIS use, after adjustment for confounders, female gender, perceived CIS quality, usefulness, and service quality were strongly correlated with user satisfaction. This study reinforces the necessity of several models and dimensions to evaluate the acceptability of a complex CIS, with a specific approach for different user profiles.
authors.affiliation: Medical Informatics Department, Georges Pompidou European Hospital (HEGP), University of Paris 5, INSERM, U729, HEGP, Paris, France. sie.jeanmarc.palm@umontreal.ca
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Palm
authors.forename: Isabelle
authors.initials: I
authors.lastname: Colombet
authors.forename: Claude
authors.initials: C
authors.lastname: Sicotte
authors.forename: Patrice
authors.initials: P
authors.lastname: Degoulet
mesh_terms: D001292:Attitude to Computers; D003258:Consumer Behavior; D005260:Female; D006751:Hospital Information Systems; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008502:Medical Secretaries; D008505:Medical Staff, Hospital; D010297:Paris; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires