DOI QR코드

DOI QR Code

An Empirical Study of User Perceptions on EMR Standardization Leading Medical & IT Convergence

의료·IT융합을 이끄는 EMR 표준화에 대한 이용자 인식 연구

  • Lee, Ji-Eun (School of Business Administration, Hanyang Cyber University) ;
  • Nah, Suk-Gyu (IT MBA, Hanyang Cyber University)
  • Received : 2015.02.20
  • Accepted : 2015.05.20
  • Published : 2015.05.28

Abstract

Electronic Medical Record(EMR) is medical record that has been saved electronically onto a computer. The standardization activities for EMR is actively underway as it may not only improve the overall quality of the medical services but as the value of medical big data (medical & IT convergence area) is being considered very important. One of the most important issues is ensuring the necessary and effectiveness of EMR standardization to the stakeholder. Researchers did an empirical study to find out how the doctors perceived the EMR standardization from both technical and economical perspective. The results of the empirical analyses showed that system quality and an economical value had a positive effect on perceived usefulness and intention to adopt EMR standardization, yet interoperability have only affected the perceived usefulness. Additionally, the economical value seemed to be the most important variable in forming a consensus in the need of EMR standardization.

컴퓨터에 전자적 형태로 저장된 의무기록인 EMR의 표준화에 대한 논의가 활발하다. 이는 EMR 표준화를 통해 의료 서비스의 향상을 기대할 수 있을 뿐만 아니라, 의료와 IT의 융합영역인 의료 빅데이터의 가치가 점차 높아지고 있기 때문이다. EMR 표준화와 관련한 주요 이슈 중 하나는 EMR 표준화의 필요성과 효과성을 이해관계자들에게 설득시키는 일이다. 연구자는 EMR 표준화에 대한 의사들의 인식을 기술 관점과 경제적 관점에서 살펴보고자 설문조사를 실시한 후 이에 대해 통계분석을 실시하였다. 실증분석 결과, EMR 시스템의 기능 품질과 경제적 가치는 EMR 표준화에 대한 유용성 인식과 수용 의도에 정(+)의 영향을 미치는 반면, 상호운용성은 유용성 인식에만 영향을 미치는 것으로 나타났다. 또한, 경제적 가치가 EMR 표준화 필요성에 대한 공감대 형성에 가장 중요한 변수로 확인되었다.

Keywords

References

  1. E.M. Lee, A study on assessment of record keeping metadata and records management processes of electronic medical records applying records management, Ph.D. dissertation, Ewha Womans University, 2013.
  2. J.Y. Lee, Y. Kim, G. Kim, A study on the analysis and methods to improve the medical records management in a large university hospital, Journal of the Korean Society of Archives and Records Management, Vol.13, No.1, pp.107-134, 2013. https://doi.org/10.14404/JKSARM.2013.13.1.107
  3. I.S. Cho, H.S. Kwon, Efficient sharing system of medical information for interoperability between PACS system, The Journal of the Korea Institute of Maritime Information & Communication Sciences, Vol.13, No.3, pp.498-504, 2009.
  4. K.A. Hong, J.Y. Oh, K.H. Um, S.M. Kim, A study on the factors affecting EMR system users' satisfaction, Health Service Management Review, Vol.3, No.2, pp.76-86, 2009.
  5. H.E. Jin, E.M. Choi, A study on factors affecting the reception attitude toward electronic medical record, Journal of Digital Convergence, Vol.10, No.4, pp.279-286, 2012. https://doi.org/10.14400/JDPM.2012.10.4.279
  6. J. Oh, J. Han, Y. Moon, Study on the awareness, satisfaction and job stress of nurses using EMR system, Journal of Digital Convergence, Vol.10, No.8, pp.257-264. 2012. https://doi.org/10.14400/JDPM.2012.10.8.257
  7. U.J. Park, Study for improvement of the doctor's satisfaction and completeness of the medical record in the EMR system, Korean Journal of Hospital Management, Vol.16, No.2, pp.19-30, 2011.
  8. S.H. Kim, J.K. Choi, Development of comprehensive performance evaluation model for informatization program in public sector, Korean Corporation Management Review, Vol.13, No.1, pp.195-219, 2006.
  9. W.H. DeLone, E.R. McLean, Information systems success: The quest for the dependent variable, Information Systems Research, Vol.3, No.1, pp.60-95, 1992. https://doi.org/10.1287/isre.3.1.60
  10. E. Brynjolfsson, The productivity paradox of information technology, Communications of the ACM, Vol.36, No.12, pp.66-77, 1993. https://doi.org/10.1145/163298.163309
  11. F. Davis, Perceived usefulness, perceived ease of use, and user acceptance of information technology, MIS Quarterly, Vol.13, No.3, pp.319-340, 1989. https://doi.org/10.2307/249008
  12. H.S. Yang, U.B. Pyeon, J.L. Lee, G.H. Yu, Study on development of medical software evaluation criteria, The KIPS Transactionsty, Vol.10, No.5, pp.781-793, 2003.
  13. S. Bae, I.K. Kim, S.B. Park, J.H. Song, B.K. Yi, J.H. Cha, C.H. Hur, K.J. Park, J.W. Lee, H.J. Oh, Performance evaluation criteria of telemedicine system, Regulatory Research on Food, Durg and Cosmetic, Vol.7, No.2, pp.53-57, 2012.
  14. S. Kang, J. Shin, M. Kim, Interoperability test suite derivation for communication protocols, Computer Networks, Vol.32, No.3, pp.347-364, 2000. https://doi.org/10.1016/S1389-1286(00)00005-0
  15. H. Heo, J.H. Kim, An interpretation of interoperability definitions using association rules discovery, The Journal of Society for e-Business Studies, Vol.16, No.2, pp.39-71, 2011. https://doi.org/10.7838/jsebs.2011.16.2.039
  16. Y.M. Chae, H.J. Lee, C.R. Park, Economic analysis of order communication system for hospitals, Journal of Preventive Medicine and Public Health, Vol.24, No.4, pp.473-484, 1991.