This study examined the antecedents and consequences of the discretionary use of the family practice information systems (FPIS) by family physicians in Turkey. A structured survey was conducted among family physicians located in Kahramanmaras, a southern province in Turkey. The partial least squares (PLS) method was used to analyse the survey data. Findings showed that (1) physicians' discretionary use of FPIS is positively related to their perceived value of patient care; (2) physicians' computer self-efficacy is positively related to their discretionary use of FPIS; (3) physicians' innovativeness in information technology (IT) is positively related to their computer self-efficacy; and (4) physicians' innovativeness in IT does not significantly impact on their discretionary use of FPIS. The present study's findings revealed that physicians should be adequately informed about the discretionary use of FPIS, and policies should be established to improve family physicians' understanding and competence of information systems, including computer self-efficacy.
AbdolrasulniaM.MenachemiN.ShewchukR.M.GinterP.M.DuncanW.J.BrooksR.G. (2008). Market effects on electronic health record adoption by physicians. Health Care Management Review33(3): 243–252.
2.
AgarwalR.MishraA.AngstC.AndersonC. (2007). Digitizing healthcare: The ability and motivation of physician practices and their adoption of electronic health record systems. Paper presented at the International Conference on Information Systems, Montreal.
3.
AgarwalR.PrasadJ. (1998). A conceptual and operational definition of personal innovativeness in the domain of information technology. Information Systems Research9(2): 204–215.
4.
AgarwalR.SambamurthyVStairR.M. (2000). Research report: The evolving relationship between general and specific computer self-efficacy - an empirical assessment. Information Systems Research11(4): 418–430.
5.
BanduraA. (1986). Social foundations of thought and action. Englewood Cliffs NJ, Prentice Hall.
6.
BaronR.M.KennyA.D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology51(6): 1173–1182.
7.
BrambleJ.D.GaltK.A.SiracuseM.V.AbbottA.A.DrincicA.PaschalK.A. (2010). The relationship between physician practice characteristics and physician adoption of electronic health records. Health Care Management Review35(1): 55–64.
8.
Cegarra-NavarroJ.G.WensleyA.K.P.Sanchez-PoloM.T. (2011). Improving quality of service of home healthcare units with health information technologies. Health Information Management Journal40(2): 30–38.
9.
CompeauD.R.HigginsC. A. (1995). Computer self-efficacy: Development of a measure and initial test. MIS Quarterly19(2): 189–211.
10.
FornellC.LarckerD.F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research48: 39–50.
11.
GefenD.StraubD. (2005). A practical guide to factorial validity using PLS-Graph: Tutorial and annotated example. Communications of the AIS16: 91–109.
12.
IsikO.AkbolatM. (2010). The use of information technology and hospital information systems: A study on health employees. Information World11(2): 365–389.
13.
JonesG.R. (1986). Socialization tactics, self-efficacy, and newcomers' adjustments to organizations. The Academy of Management Journal29(2): 262–279.
14.
KralewskiJ.E.DowdB.E.Cole-AdeniyiT.GansD.MalakarL.ElsonB. (2008). Factors influencing physician use of clinical electronic information technologies after adoption by their medical group practices. Health Care Management Review33(4): 361–367.
15.
LuH.YuH.LuS. (2001). The effects of cognitive style and model type on DSS acceptance: An empirical study. European Journal of Operational Research131(3): 649–663.
16.
LudwickD.MancaD.DoucetteJ. (2010). Primary care physicians' experiences with electronic medical records Implementation experience in community, urban, hospital, and academic family medicine. Canadian Family Physician56: 40–47.
17.
MenachemiN.PerkinsR.M.DurmeD.J.V.BrooksR.G. (2006). Examining the adoption of electronic health records and personal digital assistants by family physicians in Florida. Informatics in Primary Care14: 1–9.
OzataM. (2009). The impact of e-health projects conducted by the Ministry of Health and Social Security Institution on the provision of health service. Journal of Azerbaijani Studies12(1–2): 444–464.
23.
RaghavanVZhangX.JeyarajA. (2010). Implementation success of clinical information systems in healthcare contexts. Paper presented at the Americas Conference on Information Systems, Lima, Peru.
SafranC. (2003). The collaborative edge: Patient empowerment for vulnerable populations. International Journal of Medical Informatics69: 185–190.
26.
SitkinS.B.WeingartL.R. (1995). Determinants of risky of decision-making behavior: A test of the mediating role of risk perception and propensity. Academy of Management Journal38(6): 1573–1592.
VartakS.CrandallD.K.BrokelJ.M.WakefieldD.S.WardM.M. (2009). Transformation of emergency department processes of care with EHR, CPOE, and ER event tracking systems. Health Information Management Journal38(2): 27–32.
29.
YasarG.Y. (2011). ‘Health transformation programme’ in Turkey: An assessment. International Journal of Health Planning and Management26: 110–133.
