Research Information System
JOURNAL OF EVALUATION IN CLINICAL PRACTICE, vol.1, no.1, pp.1-9, 2025 (SCI-Expanded)
Aims and objectives: Understanding
the perspectives of health professionals about Electronic Health Records (EHRs)
is pivotal for better management of health information systems (HIS). The purpose of this study is to examine explanatory factors of usage of EHRs according to the physician and hospital
manager’s evaluations. Methods: A survey was administered in three hospitals, in the İzmir
metropolitan area, and 202 physicians and hospital administrators participated
in this study. The internal consistency of
the questionnaire was assessed using Cronbach’s Alpha (0.74) and the
suitability of the factor analytical model was assessed using KMO (0.79) and
Bartlett's test (X2=1720.97, p<0.001). Exploratory factor
analysis was performed with Varimax rotation to determine the factors
underlying the model. Then, confirmatory factor analysis (CFA) was performed to
reveal the latent structure of the model.
Results: The performance of CFA model is statistically significant
(p<0,0001), acceptable at moderate level (X2/df=3,81) the
goodness-of-fit indices are good (CFI=0,87; GFI=0,76; NFI=0,83; AGFI=0,70). Three factors
explain the latent structure of this model and evaluations of physician
and hospital managers towards the usage of EHRs named as: benefits of usage of EHRs; concerns
about the usage of EHRs and the effect of EHRs on the quality of work,
efficiency, access to the information and safety. Conclusion: Study
results highlight the necessity of comprehending the EHR from the perspectives
of health professionals and managers by focusing on the advantages of EHRs, concerns
towards the deployment of EHR systems, and the improvement effects of EHR in work
quality, efficiency, and HIS.