Evaluating the Adoption of Health Information Systems in Mengo and Nsambya Hospitals, Kampala, Uganda

摘要

The adoption of Health Information systems plays a key role in improving service delivery, quality of service and improving productivity in the healthcare. Inspite of many years of extra effort by the various facilities and institutions to implement Hospital Information Systems, the adoption of these systems in the healthcare remains low. This is attributed to various adoption models of new Information and Communication Technologies (ICT) has been one of the most challenging issues in developing countries like Uganda. The implementation of new HIS innovations involves fulfilling many requirements ranging from technical to human. This study used the Unified Theory of Acceptance and Use of Technology (UTAUT) model as an evaluation model to understand the behavioural intention on acceptance and use of technology. The study was conducted at Mengo and Nsambya Hospital in Kampala, which are one of the Nonprofit faith based public Hospitals in Uganda. Closed and openended questionnaires were administered to 150 Hospital Workers. The Staff members who were involved in the management of the targeted information systems were also interviewed. A total of 140 questionnaires were returned accounting to 80.1% response rate. The reliability yielded Cronbach’s output of 0.677. The results indicated that effort expectancy, performance expectancy, social influence, facilitating conditions and Information Systems Skill of workforce as factors affecting the behavioral intention to use Hospital Management Information System (HMIS), which ultimately affects their adoption. The model explained 58.4% of the variance of the ` behavioral intention to use HMIS.