title: Clinical information system post-adoption evaluation at the georges pompidou university hospital.
abstract: The evaluation of a clinical information system (CIS) at different stages of deployment and routine use is a key factor to improve acceptability and use by health professionals. This paper examines on an expectation-confirmation model (ITPAM) the relationships between the determinants of success of a CIS in a cross-sectional survey performed at the Georges Pompidou University Hospital (HEGP). Results for the groups of physicians and nurses that replied to the survey (n=312) suggest that health professional satisfaction (overall R(2)=0.60) is determined by the quality of user support (r=.21, p=<0001), ease of use (r=.19, p=<0001), confirmation of expectations (r=.15, p=.0037), usefulness (r=.12, p=.0068), and compatibility (r=.10, p=.0206). The best predictor of physician satisfaction (R(2)=0.71) was compatibility (r=.21, p=.0072) whereas for nurses (R(2)=0.52) it was user support (r=.22, p=<0001) and ease of use (r=.22, p=.0001). Confirmation of expectations had an impact on post-adoption expectation and user's satisfaction, and confirms its importance for CIS evaluation studies.
authors.affiliation: Collaborative Research for Effective Diagnostics, Sherbrooke University, Québec, Canada.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Palm
authors.forename: Thierry
authors.initials: T
authors.lastname: Dart
authors.forename: Isabelle
authors.initials: I
authors.lastname: Dupuis
authors.forename: Laurence
authors.initials: L
authors.lastname: Leneveut
authors.forename: Patrice
authors.initials: P
authors.lastname: Degoulet
mesh_terms: D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D006785:Hospitals, University; D006801:Humans; D009726:Nurses; D010820:Physicians; D011795:Surveys and Questionnaires