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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Investigating allied health professionals’ attitudes, perceptions and acceptance of an electronic medical record using the Unified Theory of Acceptance and Use of Technology

Alison Qvist A , Leanne Mullan https://orcid.org/0000-0003-0182-2148 B C * , Lemai Nguyen https://orcid.org/0000-0003-3695-7245 D , Karen Wynter B I , Bodil Rasmussen B E F G , Min Goh A and Kath Feely A H
+ Author Affiliations
- Author Affiliations

A Western Health, Digital Health, Footscray, Vic. 3011, Australia.

B School of Nursing and Midwifery, Deakin University, Geelong, Vic., Australia.

C School of Nursing, Midwifery and Paramedicine, Australian Catholic University, 1100 Nudgee Road, Banyo, Qld 4014, Australia.

D Department of Information Systems and Business Analytics, Deakin Business School, Deakin University, Burwood, Vic., Australia.

E The Centre for Quality and Patient Safety Research in the Institute of Health Transformation, Deakin University - Western Health Partnership, St Albans, Vic., Australia.

F Faculty of Health Sciences, University of Southern Denmark and Steno Diabetes Center, Copenhagen, Denmark.

G Faculty of Health and Medical Sciences, University of Copenhagen, Odense, Denmark.

H Royal Melbourne Hospital, EMR team, Parkville, Vic. 3052, Australia.

I Department of Psychiatry, Monash University, Clayton, Vic. 3168, Australia.

* Correspondence to: leanne.mullan@acu.edu.au

Australian Health Review 48(1) 16-27 https://doi.org/10.1071/AH23092
Submitted: 30 January 2023  Accepted: 4 January 2024  Published: 29 January 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

Objective

This study aimed to investigate allied health professionals’ (AHPs’) perspectives pre- and post-implementation of an electronic medical record (EMR) in a tertiary health service in Australia and examine factors influencing user acceptance.

Methods

Data were collected pre- and post-EMR implementation via cross-sectional online surveys based on the Unified Theory of Acceptance and Usage of Technology (UTAUT). All AHPs at a large tertiary hospital were invited to complete the surveys. Data analysis included descriptive analysis, Mann–Whitney U tests for pre-post item- and construct-level comparison and content analysis of free-text responses. The theoretical model was empirically tested using partial least squares structural equation modelling.

Results

AHPs had positive attitudes toward EMR use both pre- and post-implementation. Compared to pre-implementation, AHPs felt more positive post-implementation about system ease of use and demonstrated decreased anxiety and apprehension regarding EMR use. AHPs felt they had adequate resources and knowledge to use EMR and reported real-time data accessibility as a main advantage. Disadvantages of EMR included an unfriendly user interface, system outages and decreased efficiency.

Conclusions

As AHPs increase EMR system familiarity, their positivity towards its use increases. An understanding of what influences AHPs when implementing new compulsory technology can inform change management strategies to improve adoption.

Keywords: allied health, allied health clinical informatics, allied health professional, electronic health record, electronic medical record, EMR, hospital, physiotherapist, technology, Unified Theory of Technology.

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