title: Key success factors for clinical knowledge management systems: Comparing physician and hospital manager viewpoints.
abstract: The study explores the perceptions of physicians and hospital managers regarding the key success factors (KSFs) of a clinical knowledge management system (CKMS). It aims to eliminate the perception gap and gain more insights for a successful CKMS.A survey was conducted in four medical centers in Taiwan. A total of 340 questionnaires, including 15 for hospital managers and 70 for physicians in each hospital, were administered. The effective response rates are 78.3% and 56.1% respectively. Partial least square (PLS) were used to analyze the data.The results identified six KSFs of CKMS including system software and hardware, knowledge quality, system quality, organizational factors, user satisfaction, and policy factors. User satisfaction and policy factors have direct effects on perceived CKMS performance. Knowledge quality is regarded as an antecedent to user satisfaction, while system quality is the antecedent to both user satisfaction and policy factors. System software and hardware was supported only by managers, and organizational factors were supported only by physicians.Among the factors, this study highlighted the policy factor. Besides, the study provides hospital managers additional insights into physician requirements for organizational support. Third, more physician participation and involvement are recommended when introducing and developing a CKMS.
authors.affiliation: Department of Hospital and Health Care Administration, Chia-Nan University of Pharmacy & Science, Tainan, Taiwan.
authors.forename: Sho-Fang
authors.initials: SF
authors.lastname: Chang
authors.affiliation: Institute of Human Resources and Knowledge Management, National Kaohsiung Normal University, Kaohsiung, Taiwan.
authors.forename: Ping-Jung
authors.initials: PJ
authors.lastname: Hsieh
authors.affiliation: Department of Hospital and Health Care Administration, Chia-Nan University of Pharmacy & Science, Tainan, Taiwan.
authors.forename: Hui-Fang
authors.initials: HF
authors.lastname: Chen
mesh_terms: D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D006740:Hospital Administrators / Q000523:psychology*; D006801:Humans; D007256:Information Systems / Q000458:organization & administration; D010465:Perception; D010820:Physicians / Q000523:psychology*; D057766:Policy; D015203:Reproducibility of Results; D013624:Taiwan; D014584:User-Computer Interface
keywords: Clinical knowledge management system (CKMS); key success factors (KSFs); partial least squares (PLS)