强制情景下最终用户的采纳意愿研究
发布时间：2018-09-03 09:17
【摘要】：中国人口老龄化已经进入快速发展期,为提高养老院的医疗服务质量,养老机构在医疗信息系统上投入了大量的财力和人力,但使用的效率并不高。象征接受被认为是导致医疗信息系统无法实现其预期效用的根源,因此识别老人们象征接受的影响因素进而制定相应的管理策略已然变得十分迫切。选取一家公办养老院和一家民办养老院作为研究对象,调查对象为养老院内的老人。采用现场发放问卷和现场回收的方式获取数据,以提高问卷的回收率。为避免共同方法偏差对研究结果的影响,采用分时间段的问卷调查法,对336位老人展开为期6个月的问卷调查。使用SPSS 20.0和AMOS 21.0对数据进行探索性因子分析、验证性因子分析、描述性统计分析和内部一致性分析等,采用多层线性分析和总效应调节分析法验证认知失调在象征接受与采纳意愿之间的中介效应和任务价值在象征接受与认知失调之间的调节作用,以探讨强制用户使用医疗信息系统后,用户认知转变的过程机制以及采纳意愿形成的边界条件。研究结果表明,在医疗信息系统实施过程中,对于服从个性较强的人,管理者的职位权力能直接导致用户象征性采纳行为,继而在用户内部出现认知失调的情绪,经过一个试用期,认知失调才能完全消失,最终产生实质性的采纳意愿;用户的任务价值对认知失调情绪起关键性的消除作用。对于服从性较弱的人,他们并没有经历认知失调,其象征性采纳可以直接转化为实质性采纳。研究结果有助于厘清强迫服从情景下用户认知转变的内在机制,通过个体差异与组织情景交互视角,探讨医疗信息系统采纳意愿形成的边界条件,对养老院的管理者有效消除医疗信息系统实施过程中的抗拒心理、提升系统的使用效率具有实践意义。
[Abstract]:China's aging population has entered a period of rapid development. In order to improve the quality of medical services in nursing homes, pension institutions have invested a lot of financial and human resources in medical information systems, but the efficiency of using them is not high. Symbolic acceptance is considered to be the root cause of the failure of medical information system to achieve its expected utility, so it has become very urgent to identify the influencing factors of symbolic acceptance of the elderly and to formulate corresponding management strategies. A public nursing home and a private nursing home were selected as the research subjects. In order to improve the recovery rate of the questionnaire, the data were obtained by the way of field questionnaire and field recovery. In order to avoid the influence of common method deviation on the results of the study, 336 elderly people were investigated by a time-divided questionnaire for 6 months. Using SPSS 20.0 and AMOS 21.0 to analyze the data, such as exploratory factor analysis, confirmatory factor analysis, descriptive statistical analysis and internal consistency analysis, etc. Multilevel linear analysis and total effect regulation analysis were used to verify the mediating effect of cognitive disorder between symbolic acceptance and acceptance intention and the role of task value in the adjustment between symbolic acceptance and cognitive disorder. In order to explore the process mechanism and boundary conditions of user cognitive transformation after forced users to use medical information system. The results show that, in the process of implementing medical information system, the position power of managers can directly lead to the symbolic adoption behavior of users, and then the emotion of cognitive disorder appears within the users. After a trial period, the cognitive disorder can disappear completely, and finally produce a substantial willingness to adopt. The user's task value plays a key role in the elimination of cognitive disorder emotion. For the weaker subservient people, they do not experience cognitive disorder, and their symbolic adoption can be directly transformed into substantive adoption. The results are helpful to clarify the internal mechanism of the cognitive transformation of compulsive services from users in situations, and to explore the boundary conditions for the formation of medical information systems' willingness to adopt through the perspective of interaction between individual differences and organizational situations. It is of practical significance for the managers of nursing home to eliminate the resistance in the implementation of medical information system and to improve the efficiency of the system.
【作者单位】： 武汉大学信息资源研究中心;
【基金】：国家自然科学基金(71661167007)~~
【分类号】：D669.6
本文编号：2219547
[Abstract]:China's aging population has entered a period of rapid development. In order to improve the quality of medical services in nursing homes, pension institutions have invested a lot of financial and human resources in medical information systems, but the efficiency of using them is not high. Symbolic acceptance is considered to be the root cause of the failure of medical information system to achieve its expected utility, so it has become very urgent to identify the influencing factors of symbolic acceptance of the elderly and to formulate corresponding management strategies. A public nursing home and a private nursing home were selected as the research subjects. In order to improve the recovery rate of the questionnaire, the data were obtained by the way of field questionnaire and field recovery. In order to avoid the influence of common method deviation on the results of the study, 336 elderly people were investigated by a time-divided questionnaire for 6 months. Using SPSS 20.0 and AMOS 21.0 to analyze the data, such as exploratory factor analysis, confirmatory factor analysis, descriptive statistical analysis and internal consistency analysis, etc. Multilevel linear analysis and total effect regulation analysis were used to verify the mediating effect of cognitive disorder between symbolic acceptance and acceptance intention and the role of task value in the adjustment between symbolic acceptance and cognitive disorder. In order to explore the process mechanism and boundary conditions of user cognitive transformation after forced users to use medical information system. The results show that, in the process of implementing medical information system, the position power of managers can directly lead to the symbolic adoption behavior of users, and then the emotion of cognitive disorder appears within the users. After a trial period, the cognitive disorder can disappear completely, and finally produce a substantial willingness to adopt. The user's task value plays a key role in the elimination of cognitive disorder emotion. For the weaker subservient people, they do not experience cognitive disorder, and their symbolic adoption can be directly transformed into substantive adoption. The results are helpful to clarify the internal mechanism of the cognitive transformation of compulsive services from users in situations, and to explore the boundary conditions for the formation of medical information systems' willingness to adopt through the perspective of interaction between individual differences and organizational situations. It is of practical significance for the managers of nursing home to eliminate the resistance in the implementation of medical information system and to improve the efficiency of the system.
【作者单位】： 武汉大学信息资源研究中心;
【基金】：国家自然科学基金(71661167007)~~
【分类号】：D669.6
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