Geisinger Medical Computerization Evaluation (GMCE)

Geisinger Medical Center
07/01/96 - 06/30/98

Larry D. Gamm, Associate Professor of Health Policy and Administration

A formative evaluation process was used to analyze end-user acceptance of information systems in health care organizations. Three questions were addressed in this study: (1) what factors (barrier, constraints, facilitators) affect physician and support staff acceptance of the computer system?; (2) how can these factors be addressed to assure optimal success in future stages of systems implementation?; and (3) what impact does the installation of the information system have upon staff attitudes?

These questions were addressed via a model that combined the well-recognized Technology Acceptance Model with syntheses of computer end-user research. Key dimensions of the proposed End-User Satisfaction and Effectiveness Model include (1) backgrounds and experience of physicians and staff; (2) their attitudes toward computers; (3) their expectations of computer utility; (4) perceived support for implementation of the system; and (5) their satisfaction and effectiveness. A series of pre-tested questionnaires were targeted toward physicians and support personnel at four health organizations. These were followed by indepth interviews of selected individuals.

Together, these sources of information have revealed what is and is not working in the installation process and suggested avenues for addressing any problems.

Related Publications

Dansky, K., L.D. Gamm, J. Vasey and C.K. Barsukiewicz (1999). "Electronic Medical Records: Are Physicians Ready?." Journal of Healthcare Management. 44(6):440-455. |Abstract|

Gamm, L.D., C.K. Barsukiewicz, K. Dansky and J. Vasey (1999). "Investigating Changes in End-User Satisfaction with Installation of an Electronic Medical Record in Ambulatory Care Settings." Healthcare Information Management. 12(4):53-65. |Abstract|

Gamm, L.D., C.K. Barsukiewicz, K. Dansky, J. Vasey, J.E. Bisordi and P.C. Thompson (1999). "Pre- and Post-Control Model Research on End-Users' Satisfaction with an Electronic Medical Record: Preliminary Results." Proceedings. AMIA Annual Symposium. |Abstract|