attitude to computers


Summary: The attitude and behavior associated with an individual using the computer.

Top Publications

  1. Mair F, May C, O Donnell C, Finch T, Sullivan F, Murray E. Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review. Bull World Health Organ. 2012;90:357-64 pubmed publisher
    ..The published literature focused on organizational issues, neglecting the wider social framework that must be considered when introducing new technologies. ..
  2. Xie B. Effects of an eHealth literacy intervention for older adults. J Med Internet Res. 2011;13:e90 pubmed publisher
    ..Further research is necessary before a more firm conclusion can be drawn. These findings contribute to the literatures on adult learning, social interdependence theory, and health literacy. ..
  3. Dünnebeil S, Sunyaev A, Blohm I, Leimeister J, Krcmar H. Determinants of physicians' technology acceptance for e-health in ambulatory care. Int J Med Inform. 2012;81:746-60 pubmed publisher
    ..Based on these empirical findings, we derive implications for the design and introduction of e-health services including suggestions for introducing the topic to physicians in ambulatory care and incentive structures for using e-health. ..
  4. Nkenke E, Vairaktaris E, Bauersachs A, Eitner S, Budach A, Knipfer C, et al. Spaced education activates students in a theoretical radiological science course: a pilot study. BMC Med Educ. 2012;12:32 pubmed publisher
    ..022). Adding spaced education to a face-to-face theoretical radiological science course activates students in a way that they spend significantly more time on keeping busy with the learning content. ..
  5. Castillo V, Martínez García A, Pulido J. A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. BMC Med Inform Decis Mak. 2010;10:60 pubmed publisher
    ..The critical adoption factors established here provide a sound theoretical basis for research to understand, support, and facilitate the adoption of electronic health records to physicians in benefit of patients. ..
  6. Archer N, Cocosila M. A comparison of physician pre-adoption and adoption views on electronic health records in Canadian medical practices. J Med Internet Res. 2011;13:e57 pubmed publisher
  7. Gagnon M, Orruño E, Asua J, Abdeljelil A, Emparanza J. Using a modified technology acceptance model to evaluate healthcare professionals' adoption of a new telemonitoring system. Telemed J E Health. 2012;18:54-9 pubmed publisher
    ..However, the perception of facilitators is the most important variable to consider for increasing doctors' and nurses' intention to use the new technology. ..
  8. Nkenke E, Vairaktaris E, Bauersachs A, Eitner S, Budach A, Knipfer C, et al. Acceptance of technology-enhanced learning for a theoretical radiological science course: a randomized controlled trial. BMC Med Educ. 2012;12:18 pubmed publisher
    ..However, technology-enhanced learning cannot completely replace traditional face-to-face lectures, because students indicate that they consider traditional teaching as the basis of their education. ..
  9. Fleurant M, Kell R, Jenter C, Volk L, Zhang F, Bates D, et al. Factors associated with difficult electronic health record implementation in office practice. J Am Med Inform Assoc. 2012;19:541-4 pubmed publisher
    ..2 to 0.8). Physicians who own their practice may need more external support for EHR implementation than those who do not. Innovative clinical support staff may ease the EHR implementation process and contribute to its success. ..

More Information


  1. Heselmans A, Aertgeerts B, Donceel P, Geens S, Van de Velde S, Ramaekers D. Family physicians' perceptions and use of electronic clinical decision support during the first year of implementation. J Med Syst. 2012;36:3677-84 pubmed publisher
    ..There is a need to reach a larger population of physicians (including physicians who never used the system or stopped using the system) to validate the results of this survey. ..
  2. Singh D, Spiers S, Beasley B. Characteristics of CPOE systems and obstacles to implementation that physicians believe will affect adoption. South Med J. 2011;104:418-21 pubmed publisher
    ..1%). The majority of physicians believed CPOE would lead to a reduction of medical errors and more efficient patient care. However, physicians are highly concerned with how CPOE will affect their own work efficiency. ..
  3. Lanham H, Leykum L, McDaniel R. Same organization, same electronic health records (EHRs) system, different use: exploring the linkage between practice member communication patterns and EHR use patterns in an ambulatory care setting. J Am Med Inform Assoc. 2012;19:382-91 pubmed publisher
    ..Understanding the linkage between communication patterns and EHR use can inform understanding of the human element in EHR use and may provide key lessons for the implementation of EHRs and other health information technologies. ..
  4. Orruño E, Gagnon M, Asua J, Ben Abdeljelil A. Evaluation of teledermatology adoption by health-care professionals using a modified Technology Acceptance Model. J Telemed Telecare. 2011;17:303-7 pubmed publisher
    ..9. Thus the TAM was good at predicting physicians' intention to use teledermatology. However, the most important variable was the perception of Facilitators to using the technology (e.g. infrastructure, training and support). ..
  5. Wolpin S, Stewart M. A deliberate and rigorous approach to development of patient-centered technologies. Semin Oncol Nurs. 2011;27:183-91 pubmed publisher
    ..Consequently, adoption by user groups may be limited. We encourage nurses in practice to look for and examine usability testing results before considering implementation of any patient-centered technology. ..
  6. McGinn C, Grenier S, Duplantie J, Shaw N, Sicotte C, Mathieu L, et al. Comparison of user groups' perspectives of barriers and facilitators to implementing electronic health records: a systematic review. BMC Med. 2011;9:46 pubmed publisher
    ..While important similarities between user groups are highlighted, differences between them demonstrate that each user group also has a unique perspective of the implementation process that should be taken into account. ..
  7. Buntin M, Burke M, Hoaglin M, Blumenthal D. The benefits of health information technology: a review of the recent literature shows predominantly positive results. Health Aff (Millwood). 2011;30:464-71 pubmed publisher
    ..These realities highlight the need for studies that document the challenging aspects of implementing health information technology more specifically and how these challenges might be addressed. ..
  8. Rathod S, Minnis A, Subbiah K, Krishnan S. ACASI and face-to-face interviews yield inconsistent estimates of domestic violence among women in India: The Samata Health Study 2005-2009. J Interpers Violence. 2011;26:2437-56 pubmed publisher
    ..These results cast doubt on the appropriateness of using ACASI for measurement of sensitive behaviors in India. ..
  9. Jackson L, Zhao Y, Kolenic A, Fitzgerald H, Harold R, von Eye A. Race, gender, and information technology use: the new digital divide. Cyberpsychol Behav. 2008;11:437-42 pubmed publisher
    ..Implications of the findings for bringing IT to African American males and bringing African American males to IT are discussed. ..
  10. Bloom M, Huntington M. Faculty, resident, and clinic staff's evaluation of the effects of EHR implementation. Fam Med. 2010;42:562-6 pubmed
    ..A perception of the promised improvement in patient care, provider communications, and billing efficiency due to EHR implementation was not realized in this population. ..
  11. Callen J, Braithwaite J, Westbrook J. Contextual implementation model: a framework for assisting clinical information system implementations. J Am Med Inform Assoc. 2008;15:255-62 pubmed
    ..Developing a clinical information system implementation model serves as a framework to guide future implementations to ensure their safe and efficient use and also improve the likelihood of uptake by physicians. ..
  12. Menachemi N, Langley A, Brooks R. The use of information technologies among rural and urban physicians in Florida. J Med Syst. 2007;31:483-8 pubmed
    ..While much of this variability can be explained by rural practice characteristics, these findings illustrate the need for further efforts to identify and alleviate barriers and encourage health IT adoption in rural areas. ..
  13. Zaidi S, Marriott J, Nation R. The role of perceptions of clinicians in their adoption of a web-based antibiotic approval system: do perceptions translate into actions?. Int J Med Inform. 2008;77:33-40 pubmed
    ..A number of clinicians' perceptions about the system were found to be correlated with the actual usage of the system by the clinicians. ..
  14. Sassen E. Love, hate, or indifference: how nurses really feel about the electronic health record system. Comput Inform Nurs. 2009;27:281-7 pubmed publisher
    ..This article examines how nurses feel about the electronic medical record, their reasons for adopting or rejecting it, and what thoughtful change management strategies can be used to stimulate acceptance. ..
  15. Stroud S, Smith C, Erkel E. Personal digital assistant use by nurse practitioners: a descriptive study. J Am Acad Nurse Pract. 2009;21:31-8 pubmed publisher
    ..There is a critical need to evaluate the effectiveness of PDA use in clinical settings and develop an evidence base to guide use of the PDA in solving clinical problems. ..
  16. Tjora A, Scambler G. Square pegs in round holes: information systems, hospitals and the significance of contextual awareness. Soc Sci Med. 2009;68:519-25 pubmed publisher
  17. Menachemi N. Barriers to ambulatory EHR: who are 'imminent adopters' and how do they differ from other physicians?. Inform Prim Care. 2006;14:101-8 pubmed
    ..Given that imminent adopters differ considerably from their peers, current EHR incentive programmes that focus on financial barriers only might prove sub-optimal in achieving immediate widespread EHR adoption. ..
  18. Alquraini H, Alhashem A, Shah M, Chowdhury R. Factors influencing nurses' attitudes towards the use of computerized health information systems in Kuwaiti hospitals. J Adv Nurs. 2007;57:375-81 pubmed
    ..05). With adequate computerized health information system training, the implementation of computerized health information systems could be effective for nurses in providing quality health care, as found in other studies. ..
  19. van der Sijs H, Aarts J, van Gelder T, Berg M, Vulto A. Turning off frequently overridden drug alerts: limited opportunities for doing it safely. J Am Med Inform Assoc. 2008;15:439-48 pubmed publisher
  20. Lium J, Tjora A, Faxvaag A. No paper, but the same routines: a qualitative exploration of experiences in two Norwegian hospitals deprived of the paper based medical record. BMC Med Inform Decis Mak. 2008;8:2 pubmed publisher
    ..Thus, there is a need to not only remove paper in the physical sense, but also to established routines to fully achieve the benefits of an EMR system. ..
  21. James N, Daniels H, Rahman R, McConkey C, Derry J, Young A. A study of information seeking by cancer patients and their carers. Clin Oncol (R Coll Radiol). 2007;19:356-62 pubmed
    ..The Internet is an effective means of information provision in those who use it. Facilitated Internet access and directed use by health professionals would be effective ways of broadening access to this medium. ..
  22. Broens T, Huis In t Veld R, Vollenbroek Hutten M, Hermens H, van Halteren A, Nieuwenhuis L. Determinants of successful telemedicine implementations: a literature study. J Telemed Telecare. 2007;13:303-9 pubmed
    ..For success, a visionary approach is required from the multidisciplinary stakeholders, which goes beyond tackling specific issues in a particular development phase. Thus the right philosophy is: 'start small, think big'. ..
  23. Granlien M, Hertzum M, Gudmundsen J. The gap between actual and mandated use of an electronic medication record three years after deployment. Stud Health Technol Inform. 2008;136:419-24 pubmed
    ..Three years after deployment it is apparent that time alone does not lead to consistent adoption. Rather, interventions are necessary to overcome the barriers. ..
  24. Ho K, Lauscher H, Broudo M, Jarvis Selinger S, Fraser J, Hewes D, et al. The impact of a personal digital assistant (PDA) case log in a medical student clerkship. Teach Learn Med. 2009;21:318-26 pubmed publisher
    ..The difference in number of logs between control and intervention groups demonstrates the utility of the PDA for "point-of-care" patient logging. ..
  25. Wang C, Patel M, Schueth A, Bradley M, Wu S, Crosson J, et al. Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. J Am Med Inform Assoc. 2009;16:493-502 pubmed publisher
    ..Additional work is needed for these standards to have the desired effects. ..
  26. Russell C, Campbell A, Hughes I. Ageing, social capital and the Internet: findings from an exploratory study of Australian 'silver surfers'. Australas J Ageing. 2008;27:78-82 pubmed publisher
    ..Policy development should be informed by better understanding of the potential and limitations of the Internet as a tool for generating and sustaining social capital in old age. ..
  27. Rouf E, Whittle J, Lu N, Schwartz M. Computers in the exam room: differences in physician-patient interaction may be due to physician experience. J Gen Intern Med. 2007;22:43-8 pubmed
    ..More research is needed to elucidate key tasks and behaviors that facilitate doctor-patient communication in such a setting. ..
  28. Esser P, Goossens R. A framework for the design of user-centred teleconsulting systems. J Telemed Telecare. 2009;15:32-9 pubmed publisher
  29. Simon S, Kaushal R, Cleary P, Jenter C, Volk L, Orav E, et al. Physicians and electronic health records: a statewide survey. Arch Intern Med. 2007;167:507-12 pubmed
    ..There is considerable variability in the functions available in EHRs and in the extent to which physicians use them. Future work should emphasize factors that affect the use of available functions. ..
  30. Rahimi B, Timpka T, Vimarlund V, Uppugunduri S, Svensson M. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. BMC Med Inform Decis Mak. 2009;9:52 pubmed publisher
  31. Cresswell K, Sheikh A. The NHS Care Record Service (NHS CRS): recommendations from the literature on successful implementation and adoption. Inform Prim Care. 2009;17:153-60 pubmed
    ..Building on a recent systematic review of the eHealth literature, we critically reflect on factors that can facilitate the implementation of the NHS CRS and suggest recommendations for a way forward to facilitate implementation efforts. ..
  32. Fleisher L, Buzaglo J, Collins M, Millard J, Miller S, Egleston B, et al. Using health communication best practices to develop a web-based provider-patient communication aid: the CONNECT study. Patient Educ Couns. 2008;71:378-87 pubmed publisher
    ..This developmental process can be translated to a broad array of community-based patient and provider educational interventions. ..
  33. Terry A, Thorpe C, Giles G, Brown J, Harris S, Reid G, et al. Implementing electronic health records: Key factors in primary care. Can Fam Physician. 2008;54:730-6 pubmed
  34. Rahimi B, Vimarlund V. Methods to evaluate health information systems in healthcare settings: a literature review. J Med Syst. 2007;31:397-432 pubmed
  35. Rouf E, Chumley H, Dobbie A. Electronic health records in outpatient clinics: perspectives of third year medical students. BMC Med Educ. 2008;8:13 pubmed publisher
    ..They reported receiving more feedback on their electronic charts than on paper charts. However, students reported significant concerns about the potential impact of the EHR on their ability to conduct the doctor-patient encounter. ..
  36. O Donnell H, Kaushal R, Barron Y, Callahan M, Adelman R, Siegler E. Physicians' attitudes towards copy and pasting in electronic note writing. J Gen Intern Med. 2009;24:63-8 pubmed publisher
    ..Further studies of the effects of electronic note writing on the quality and safety of patient care are required. ..
  37. Huryk L. Factors influencing nurses' attitudes towards healthcare information technology. J Nurs Manag. 2010;18:606-12 pubmed publisher
    ..Involving nurses in system design is likely to improve post-implementation satisfaction. Creating a positive, supportive atmosphere appears to be instrumental to sustainability. ..
  38. Gagnon M, Desmartis M, Labrecque M, Legare F, Lamothe L, Fortin J, et al. Implementation of an electronic medical record in family practice: a case study. Inform Prim Care. 2010;18:31-40 pubmed
    ..It proposes a set of roles and characteristics that could be found in a champion as well as other elements for a successful EMR implementation strategy. ..
  39. Jha A, Bates D, Jenter C, Orav E, Zheng J, Cleary P, et al. Electronic health records: use, barriers and satisfaction among physicians who care for black and Hispanic patients. J Eval Clin Pract. 2009;15:158-63 pubmed publisher
    ..Given the importance of ensuring that minority-serving providers have equal access to EHR systems, we failed to find evidence of a new digital divide. ..
  40. Trivedi M, Daly E, Kern J, Grannemann B, Sunderajan P, Claassen C. Barriers to implementation of a computerized decision support system for depression: an observational report on lessons learned in "real world" clinical settings. BMC Med Inform Decis Mak. 2009;9:6 pubmed publisher
  41. Atack L, Luke R, Chien E. Evaluation of patient satisfaction with tailored online patient education information. Comput Inform Nurs. 2008;26:258-64 pubmed publisher
    ..Patients made several recommendations regarding system appearance, function, and content that will have application for other groups developing online patient education systems. ..
  42. Gagnon M, Desmartis M, Labrecque M, Car J, Pagliari C, Pluye P, et al. Systematic review of factors influencing the adoption of information and communication technologies by healthcare professionals. J Med Syst. 2012;36:241-77 pubmed publisher
    ..Our results suggest strategies that could effectively promote the successful adoption of ICT in healthcare professional practices. ..
  43. Shachak A, Hadas Dayagi M, Ziv A, Reis S. Primary care physicians' use of an electronic medical record system: a cognitive task analysis. J Gen Intern Med. 2009;24:341-8 pubmed publisher
    ..EMR use had a negative influence on communication, a problem that can be partially addressed by improving the spatial organization of physicians' offices and by enhancing physicians' computer and communication skills. ..
  44. Chu A, Huber J, Mastel Smith B, Cesario S. "Partnering with Seniors for Better Health": computer use and Internet health information retrieval among older adults in a low socioeconomic community. J Med Libr Assoc. 2009;97:12-20 pubmed publisher
    ..001). The study suggests an array of possibilities to engage older adults in the use of Internet health information resources to better contribute to their health, independence, safety, and wellness. ..
  45. Ford E, Menachemi N, Peterson L, Huerta T. Resistance is futile: but it is slowing the pace of EHR adoption nonetheless. J Am Med Inform Assoc. 2009;16:274-81 pubmed publisher
    ..3%). The external forces driving EHR diffusion have grown in importance since 2004 relative to physicians' internal motivation to adopt such systems. Several national forces are likely contributing to the slowing pace of EHR diffusion. ..
  46. Simon S, McCarthy M, Kaushal R, Jenter C, Volk L, Poon E, et al. Electronic health records: which practices have them, and how are clinicians using them?. J Eval Clin Pract. 2008;14:43-7 pubmed publisher
    ..Furthermore, among practices that do not have EHRs, more than half have no plan for adoption. Inadequate funding remains an important barrier to EHR adoption in ambulatory care practices in the United States. ..
  47. van de Poll Franse L, van Eenbergen M. Internet use by cancer survivors: current use and future wishes. Support Care Cancer. 2008;16:1189-95 pubmed publisher
  48. Ward R, Stevens C, Brentnall P, Briddon J. The attitudes of health care staff to information technology: a comprehensive review of the research literature. Health Info Libr J. 2008;25:81-97 pubmed publisher
    ..Further qualitative and quantitative research is needed into the approaches that have most effect on the attitudes of health care staff towards IT. ..
  49. Boulus N, Bjorn P. Constructing technology-in-use practices: EPR-adaptation in Canada and Norway. Stud Health Technol Inform. 2007;130:143-55 pubmed
    ..Reflection-on-action activities are internally initiated, and comprise critical reflections by the participants, who continuously evaluate and question work practices in relation to technology. ..
  50. Yarbrough A, Smith T. Technology acceptance among physicians: a new take on TAM. Med Care Res Rev. 2007;64:650-72 pubmed
  51. Holden R, Karsh B. The technology acceptance model: its past and its future in health care. J Biomed Inform. 2010;43:159-72 pubmed publisher
  52. Kummervold P, Chronaki C, Lausen B, Prokosch H, Rasmussen J, Santana S, et al. eHealth trends in Europe 2005-2007: a population-based survey. J Med Internet Res. 2008;10:e42 pubmed publisher
    ..We see that experienced Internet health users are also using the Internet as an active communication channel, both for reaching health professionals and for communicating with peers. ..
  53. Lindenauer P, Ling D, Pekow P, Crawford A, Naglieri Prescod D, Hoople N, et al. Physician characteristics, attitudes, and use of computerized order entry. J Hosp Med. 2006;1:221-30 pubmed
    ..In addition to purchasing systems that support physician work flow, hospitals intent on successfully implementing CPOE should emphasize the benefits in safety and quality of this new technology. ..