title: Clinical information systems end user satisfaction: the expectations and needs congruencies effects.
abstract: Prior research on information systems (IS) shows that users' attitudes and continuance intentions are associated with their satisfaction with information systems. As such, the increasing amount of investments in clinical information systems (CIS) signifies the importance of understanding CIS end users' (i.e., clinicians) satisfaction. In this study, we develop a conceptual framework to identify the cognitive determinants of clinicians' satisfaction formation. The disconfirmation paradigm serves as the core of the framework. The expectations and needs congruency models are the two models of this paradigm, and perceived performance is the basis of the comparisons in the models. The needs and expectations associated with the models are also specified. The survey methodology is adopted in this study to empirically validate the proposed research model. The survey is conducted at a public hospital and results in 112 and 203 valid responses (56% and 98% response rates) from doctors and nurses respectively. The partial least squares (PLS) method is used to analyze the data. The results of the study show that perceived CIS performance is the most influential factor on clinicians' (i.e., doctors and nurses) satisfaction. Doctors' expectations congruency is the next significant determinant of their satisfaction. Contrary to most previous findings, nurses' expectations and expectations congruency do not show a significant effect on their satisfaction. However, the needs congruency is found to significantly affect nurses' satisfaction.
authors.affiliation: School of Computing, National University of Singapore, 13 Computing Drive, Singapore 117417, Singapore. Electronic address: Faezeh.karimi@sydney.edu.au.
authors.forename: Faezeh
authors.initials: F
authors.lastname: Karimi
authors.affiliation: School of Computing, National University of Singapore, 13 Computing Drive, Singapore 117417, Singapore. Electronic address: dpoo@comp.nus.edu.sg.
authors.forename: Danny C C
authors.initials: DC
authors.lastname: Poo
authors.affiliation: Khoo Teck Puat Hospital, Singapore. Electronic address: tan.yung.ming@alexandrahealth.com.sg.
authors.forename: Yung Ming
authors.initials: YM
authors.lastname: Tan
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007588:Job Satisfaction; D016018:Least-Squares Analysis; D008297:Male; D008490:Medical Informatics / Q000379:methods; D008875:Middle Aged; D009726:Nurses; D009741:Nursing Staff, Hospital; D010820:Physicians; D014584:User-Computer Interface; D055815:Young Adult
keywords: Clinical information systems; End user satisfaction; Expectations congruency; Needs congruency