title: Motivating medical information system performance by system quality, service quality, and job satisfaction for evidence-based practice.
abstract: BACKGROUND
  No previous studies have addressed the integrated relationships among system quality, service quality, job satisfaction, and system performance; this study attempts to bridge such a gap with evidence-based practice study.
  
  
  METHODS
  The convenience sampling method was applied to the information system users of three hospitals in southern Taiwan. A total of 500 copies of questionnaires were distributed, and 283 returned copies were valid, suggesting a valid response rate of 56.6%. SPSS 17.0 and AMOS 17.0 (structural equation modeling) statistical software packages were used for data analysis and processing.
  
  
  RESULTS
  The findings are as follows: System quality has a positive influence on service quality (γ11= 0.55), job satisfaction (γ21= 0.32), and system performance (γ31= 0.47). Service quality (β31= 0.38) and job satisfaction (β32= 0.46) will positively influence system performance.
  
  
  CONCLUSIONS
  It is thus recommended that the information office of hospitals and developers take enhancement of service quality and user satisfaction into consideration in addition to placing b on system quality and information quality when designing, developing, or purchasing an information system, in order to improve benefits and gain more achievements generated by hospital information systems.
authors.affiliation: R.O.C Naval academy, Kaohsiung City, Taiwan. arthur0660@yahoo.com.tw
authors.forename: Ching-Sheng
authors.initials: CS
authors.lastname: Chang
authors.forename: Su-Yueh
authors.initials: SY
authors.lastname: Chen
authors.forename: Yi-Ting
authors.initials: YT
authors.lastname: Lan
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D055317:Evidence-Based Practice; D005163:Factor Analysis, Statistical; D005260:Female; D006751:Hospital Information Systems / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology; D008875:Middle Aged; D015233:Models, Statistical; D009042:Motivation; D009741:Nursing Staff, Hospital / Q000523:psychology; D013624:Taiwan; D055815:Young Adult