title: Adoption of health information technologies by physicians for clinical practice: The Andalusian case.
abstract: OBJECTIVE
  We investigated the level of adoption of Health Information Technologies (HIT) services, and the factors that influence this, amongst specialised and primary care physicians; in Andalusia, Spain.
  
  
  METHODS
  We analysed the physicians' responses to an online survey. First, we performed a statistical descriptive analysis of the data; thereafter, a principal component analysis; and finally an order logit model to explain the effect of the use in the adoption and to analyse which are the existing barriers.
  
  
  RESULTS
  The principal component analysis revealed three main uses of Health Information Technologies: Electronic Health Records (EHR), ePrescription and patient management and telemedicine services. Results from an ordered logit model showed that the frequency of use of HIT is associated with the physicians' perceived usefulness. Lack of financing appeared as a common barrier to the adoption of the three types of services. For ePrescription and patient management, the physician's lack of skills is still a barrier. In the case of telemedicine services, lack of security and lack of interest amongst professionals are the existing barriers.
  
  
  CONCLUSIONS
  EHR functionalities are fully adopted, in terms of perceived usefulness. EPrescription and patient management are almost fully adopted, while telemedicine is in an early stage of adoption.
authors.affiliation: Technical University of Madrid, Campus Montegancedo, 28223 Pozuelo de Alarcón, Madrid, Spain. Electronic address: elena.villalba@upm.es.
authors.forename: Elena
authors.initials: E
authors.lastname: Villalba-Mora
authors.affiliation: Department of Business and Economics, University of Southern Denmark, Campusvej 55, 5230 Odense, Denmark; CREATES, Aarhus University, Fuglesangs Allé 4, 8210 Aarhus, Denmark.
authors.forename: Isabel
authors.initials: I
authors.lastname: Casas
authors.affiliation: Information and Communication Department, Open University of Catalonia, Rambla de Poble Nou 156, 08018 Barcelona, Spain.
authors.forename: Francisco
authors.initials: F
authors.lastname: Lupiañez-Villanueva
authors.affiliation: Institute for Prospective Technological Studies, Joint Research Centre, European Commission, C/Inca Garcilaso, 3, 41092 Seville, Spain.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Maghiros
mesh_terms: D000328:Adult; D000368:Aged; D001292:Attitude to Computers; D005260:Female; D006801:Humans; D008297:Male; D008490:Medical Informatics / Q000706:statistics & numerical data*; D016347:Medical Records Systems, Computerized / Q000706:statistics & numerical data*; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D013030:Spain; D017216:Telemedicine / Q000706:statistics & numerical data*
keywords: Adoption; Barriers; Health information technologies; Information and communication technologies; Remote monitoring; Telemedicine; eHealth