The role of readiness for change on behavioral intention viewed from performance and effort expectancy in the implementation of electronic medical records

Rindang Farihah Idana; Ratna Wardani; Prima Dewi Kusumawati

doi:10.33024/minh.v7i7.373

Authors

Rindang Farihah Idana Fakultas Kesehatan Masyarakat Institut Ilmu Kesehatan STRADA Indonesia
Ratna Wardani Fakultas Kesehatan Masyarakat Institut Ilmu Kesehatan STRADA Indonesia
Prima Dewi Kusumawati Fakultas Kesehatan Masyarakat Institut Ilmu Kesehatan STRADA Indonesia

DOI:

https://doi.org/10.33024/minh.v7i7.373

Keywords:

Behavioral Intention, Effort Expectancy, Electronic Medical Records, Performance Expectancy, Readiness for Change

Abstract

Background: Technological developments have triggered a transformation in the implementation of electronic medical records (RME) in Indonesia, in line with regulations that require the implementation of RME in all health service facilities by the end of 2023. Although it has been proven to increase efficiency and reduce medical errors, the implementation of RME faces challenges such as infrastructure readiness and risk factors cultural.

Purpose: To identify factors that influence the success of RME implementation, including performance expectations and the use of RME in health facilities in Indonesia.

Method: The design of this research is quantitative, observational analytical type with a cross-sectional approach. The population of this study were employees of Community Health Centers in Kediri Regency. The probability sampling technique using a random sampling approach obtained a sample of 336 employees in 33 Community Health Centers and SmartPLS 2.9.8 was used to test the hypothesis. The variables used in this research are: performance expectancy (X1), effort expectancy (X2), Readiness for Change (Z), and Usage Intention (Y).

Results: The results of the research show that there is a direct influence of performance expectancy, effort expectancy, and Readiness to Change on Usage Intention with P = 0.000. Individual Change Readiness Mediates performance expectancy and effort expectancy on Usage Intention, which has a significant effect with a P value of 0.001.

Conclusion: This research concludes that new insights into the critical role of change readiness as a mediator between technology acceptance factors and behavioral intentions.

References

Abore, K. W., Debiso, A. T., Birhanu, B. E., Bua, B. Z., & Negeri, K. G. (2022). Health professionals’ readiness to implement electronic medical recording system and associated factors in public general hospitals of Sidama region, Ethiopia. PLOS ONE, 17(10), e0276371. https://doi.org/10.1371/journal.pone.0276371

Ajami, S., Ketabi, S., Isfahani, S. S., & Heidari, A. (2011). Readiness assessment of electronic health records implementation. Acta Informatica Medica, 19(4), 224.

Alfadda, H. A., & Mahdi, H. S. (2021). Measuring Students’ Use of Zoom Application in Language Course Based on the Technology Acceptance Model (TAM). Journal of Psycholinguistic Research, 50(4), 883–900. https://doi.org/10.1007/s10936-020-09752-1

Andriani, R., Kusnanto, H., & Istiono, W. (2017). Analisis kesuksesan implementasi rekam medis elektronik di RS Universitas Gadjah Mada. Jurnal Sistem Informasi, 13(2), 90. https://doi.org/10.21609/jsi.v13i2.544

Armenakis, A. A., Harris, S. G., & Feild, H. S. (2000). Making change permanent a model for institutionalizing change interventions. In Research in organizational change and development (pp. 97-128). Emerald Group Publishing Limited.

Batucan, G. B., Gonzales, G. G., Balbuena, M. G., Pasaol, K. R. B., Seno, D. N., & Gonzales, R. R. (2022). An Extended UTAUT Model to Explain Factors Affecting Online Learning System Amidst COVID-19 Pandemic: The Case of a Developing Economy. Frontiers in Artificial Intelligence, 5, 768831. https://doi.org/10.3389/frai.2022.768831

Clarissa, C., & Keni, K. (2022). Effort Expectancy, Facilitating Condition, dan Trust untuk Memprediksi Behavior Intention Penggunaan e-Wallet. Jurnal Manajemen Bisnis dan Kewirausahaan, 6(5), 525–530. https://doi.org/10.24912/jmbk.v6i5.20316

Chao, C.-M. (2019). Factors Determining the Behavioral Intention to Use Mobile Learning: An Application and Extension of the UTAUT Model. Frontiers in Psychology, 10, 1652. https://doi.org/10.3389/fpsyg.2019.01652

Dimitrovski, T., Bath, P. A., Ketikidis, P., & Lazuras, L. (2021). Factors affecting general practitioners’ readiness to accept and use an electronic health record system in the republic of north macedonia: a national survey of general practitioners. JMIR Medical Informatics, 9(4), e21109.

El Alfy, S., Gómez, J. M., & Ivanov, D. (2017). Exploring instructors’ technology readiness, attitudes and behavioral intentions towards e-learning technologies in Egypt and United Arab Emirates. Education and Information Technologies, 22(5), 2605–2627. https://doi.org/10.1007/s10639-016-9562-1

Errida, A., Lotfi, B., & Chatibi, Z. (2023). Development of an Assessment Model of Organizational Change Readiness by using Fuzzy Logic. Procedia Computer Science, 219, 1909–1919. https://doi.org/10.1016/j.procs.2023.01.490

Faida, E. W., & Ali, A. (2021). Analisis Kesiapan Implementasi Rekam Medis Elektronik dengan Pendekatan DOQ-IT (Doctor’s Office Quality-Information Technology). Jurnal Manajemen Informasi Kesehatan Indonesia, 9(1), 67. https://doi.org/10.33560/jmiki.v9i1.315

George, M., Sulphey, M. M., & Rajasekar, S. (2014). Organizational performance and readiness for change in public sector undertakings. African Journal of Business Management, 8(19), 852–863. https://doi.org/10.5897/AJBM2014.7520

Ghazisaeidi, M., Ahmadi, M., Sadoughi, F., & Safdari, R. (2014). An Assessment of Readiness for Pre-Implementation of Electronic Health Record in Iran: A Practical Approach to Implementation in general and Teaching Hospitals. 53(7).

Hapsari, M. A., & Mubarokah, K. (2023). Analisis Kesiapan Pelaksanaan Rekam Medis Elektronik (RME) Dengan Metode Doctor’s Office Quality-Information Technology (DOQ-IT) di Klinik Pratama Polkesmar. J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan, 4(2), 75–82. https://doi.org/10.25047/j-remi.v4i2.3826

Holt, D. T., Armenakis, A. A., Feild, H. S., & Harris, S. G. (2007). Readiness for organizational change: The systematic development of a scale. The Journal of applied behavioral science, 43(2), 232-255.

Jogiyanto, H. M. (2008). Sistem informasi keperilakuan. Yogyakarta: Andi Offset, 235.

Masturoh, I., & Anggita, T. (2018). Metodologi Penelitian Kesehatan, Pusat Pendidikan Sumber Daya Manusia Kesehatan, Jakarta Selatan.

Sair, S. A., & Danish, R. Q. (2018). Effect of performance expectancy and effort expectancy on the mobile commerce adoption intention through personal innovativeness among Pakistani consumers. Pakistan Journal of Commerce and Social Sciences, 12(2), 501–520.

Sudirahayu, I., & Harjoko, A. (2016). Analisa kesiapan penerapan rekam medis elektronik menggunakan DOQ_IT di RSUD Dr. H. Abdul Moeloek Lampung. Journal of Information Systems for Public Health, 1(2).

Sulistya, C. A. J. & Rohmadi, R. (2021). Literature review: tinjauan kesiapan penerapan rekam medis elektronik dalam sistem informasi manajemen di rumah sakit. Indonesian Journal of Health Information Management, 1(2). https://doi.org/10.54877/ijhim.v1i2.12

Thakur, R., & Srivastava, M. (2014). Adoption readiness, personal innovativeness, perceived risk and usage intention across customer groups for mobile payment services in India. Internet Research, 24(3), 369–392. https://doi.org/10.1108/IntR-12-2012-0244

Trisnawati, A. D., Damayanti, N. A, & Novita, R. D. (2020). How Change Valence Impacts Readiness to Change In Teaching Hospital. Clinical Medicine, 07(05).

Wibowo, A. H., Mursityo, Y. T., & Herlambang, A. D. (2019). Pengaruh Performance Expectancy, Effort Expectancy dan Social Influence terhadap Behavioral Intention dalam Implementasi Aplikasi SIMPG PT Perkebunan Nusantara XI Surabaya. Jurnal Pengembangan Teknologi Informasi dan Ilmu Komputer, 3(9), 9047–9053.

Wirajaya, M. K. M., & Dewi, N. M. U. K. (2020). Analisis Kesiapan Rumah Sakit Dharma Kerti Tabanan Menerapkan Rekam Medis Elektronik. Jurnal Kesehatan Vokasional, 5(1), 1-9. https://doi.org/10.22146/jkesvo.53017