User acceptance of electronic health records: a post-implementation study

Health organisations have faced a challenge in the transition from paper-based archiving systems to electronic health record systems. The potential of new technologies exists if medical personnel accept the information system as part of their work routine. This paper analyses electronic health record system acceptance with a post-implementation study in a regional hospital in south-eastern Finland. Quantitative data was collected with a mail survey and it was analysed with partial least squares structural equation modelling. The results suggest that a system's complexity and problems with reliability negatively influence its usefulness and decrease the willingness of personnel to use the system. Indicated with perceived behavioural control, the personnel have the necessary abilities for system usage, and the control has no influence on usage intention or actual usage of the system.