health information technology: current situation & what to expect in the near future dr. made...
TRANSCRIPT
![Page 1: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/1.jpg)
Health Information Technology: Current Situation & What to Expect
in The Near Future
Dr. Made Indra WijayaAssistant Medical Director
BIMC Hospital
![Page 2: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/2.jpg)
Indra Wijaya 2009
![Page 3: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/3.jpg)
Indra Wijaya 2009
![Page 4: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/4.jpg)
Indra Wijaya 2009
![Page 5: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/5.jpg)
Indra Wijaya 2009
![Page 6: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/6.jpg)
Indra Wijaya 2009
![Page 7: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/7.jpg)
Indra Wijaya 2009
![Page 8: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/8.jpg)
Indra Wijaya 2009
![Page 9: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/9.jpg)
April 2009 ; 21 provinces in Indonesia ; 97 respondents ; questionnaire
Indra Wijaya 2009
![Page 10: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/10.jpg)
Indra Wijaya 2009
![Page 11: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/11.jpg)
Indra Wijaya 2009
![Page 12: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/12.jpg)
Indra Wijaya 2009
![Page 13: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/13.jpg)
BIMC Hospital (January – August 2009)
Indra Wijaya 2009
![Page 14: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/14.jpg)
Patient Year 2009BIMC Hospital
Indra Wijaya 2009
![Page 15: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/15.jpg)
A cross sectional survey design Data were collected between April
2009 and June 2009 The sample was derived from BIMC
Hospital Sampling targeted Indonesian (200
samples)
![Page 16: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/16.jpg)
Statements Strongly agree
Agree Unsure Disagree Strongly disagree
I can talk easily with the doctor 19% (38) 68%
(136) 8% (16) 5% (10) 0%
I feel the doctor is listening to me 19% (38) 56%
(112) 18% (36) 1% (2) 6% (12)
I feel the doctor is distracted 5% (10) 22%
(44) 25% (50) 38% (76) 10% (20)
The doctor looks at the computer screen more than at me
3% (6) 12% (24) 13% (26) 53%
(106) 19% (38)
The doctor often explains the role of the computer to me
2% (4) 26% (52) 21% (42) 38% (76) 13% (26)
Indra Wijaya 2009
![Page 17: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/17.jpg)
Statements Strongly agree
Agree Neutral Disagree Strongly disagree
I am receiving a better standard of treatment 12% (24) 51%
(102) 19% (38) 14% (28) 4% (8)
The doctor can access my medical files more quickly 39% (87) 50%
(100) 9% (18) 1% (2) 1% (2)
The issuing of prescriptions is improved 38% (76) 50%
(100) 10% (20) 1% (2) 1% (2)
The doctor has ready access to useful referencing tools for up-to-date medications
38% (76) 50% (100) 12% (24) 0% 0%
Assess to information regarding patient education is easier
19% (38) 48% (96) 26% (52) 7% (14) 0%
Indra Wijaya 2009
![Page 18: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/18.jpg)
Chi Square Analysis50 respondentsPatient’s perceptions :
1 = score 0-92 = score 10-193 = score 20-294 = score 30-395 = score 40-50
Nationality :1 = Australian2 = Indonesian
Indra Wijaya 2009
![Page 19: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/19.jpg)
Indra Wijaya 2009
Nationality
Total
Australian Indonesian
patient's perceptions
0-9 2 0 2
10-19 2 0 2
20-29 5 5 10
30-39 14 11 25
40-50 3 8 11
Total 26 24 50
![Page 20: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/20.jpg)
Indra Wijaya 2009
Chi-Square Tests
Value dfAsymp. Sig. (2-
sided)
Pearson Chi-Square 6.563a 4 .161
Likelihood Ratio 8.184 4 .085
Linear-by-Linear Association
4.636 1 .031
N of Valid Cases 50
![Page 21: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/21.jpg)
Indra Wijaya 2009
H0 accepted H0 rejected
9.448
6.563
![Page 22: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/22.jpg)
Pearson chi square (X2 measured) = 6.563
Table chi square (X2 table) : significance 0.05 ; Degree of freedom = 4 ; X2 = 9.488 or on MsExcel =chiinv(0.05,4) 9.488
X2 measured < X2 table (6.563 < 9.488) No significance difference between
Australian and Indonesian with regard to patient’s perception
Indra Wijaya 2009
![Page 23: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/23.jpg)
What to expect in the near future
Indra Wijaya 2009
![Page 24: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/24.jpg)
Indra Wijaya 2009
![Page 25: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/25.jpg)
HIM falls into three categories
![Page 26: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/26.jpg)
Factors Influencing Attitudes Toward Computerization
Indra Wijaya 2009
![Page 27: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/27.jpg)
Otieno George Ochieng, 2005Otieno George Ochieng, 2005
EMR diffusion is the extent to which the full potential of EMR should be embedded within patient care processes
3 hospitals in JapanAttitudes toward computerization is the
most influencing factor to EMR diffusion
Indra Wijaya 2009
![Page 28: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/28.jpg)
A cross sectional survey design Data were collected between April
2009 and June 2009 The sample was derived from 12
hospitals in Bali Sampling targeted doctors, nurses,
and healthcare administrators
![Page 29: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/29.jpg)
The questionnaire consisted of three sections:1.Two items on IT skills with response options
ranging from none/never to a great deal/always
2.A list of 16 functions in patient care where respondents were asked to check whether each had been computerized (yes, no, not sure)
![Page 30: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/30.jpg)
3. A 10-item attitude scale assessing the healthcare workers’ attitude towards the use of computers in patient care, where response were : strongly disagree, disagree, agree, and strongly agree
![Page 31: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/31.jpg)
Indra Wijaya, 2009
Data were analyzed using SPSS v17IT skills were measured on a four-point scale
ranging from ‘none/never’ (1) to ‘a great deal/always’ (4)
Current status of computerization was on a 3-point scale ranging from ‘no’ (1), ‘not sure’ (2), to ‘yes’ (3)
![Page 32: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/32.jpg)
Indra Wijaya, 2009Indra Wijaya, 2009
Attitudes were measured on a 4-point scale ranging from ‘strongly disagree’ (1) to ‘strongly agree’ (4).
![Page 33: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/33.jpg)
Sample = 12Validity test
Reliability test
Indra Wijaya 2009
![Page 34: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/34.jpg)
Current status : Pearson correlation of item 1 to item 16 were ranging from 0.648 to 0.932 (table r, significance 0.05, 2-tailed, N=12 0.576) all items are valid
IT skills : Pearson correlation of item 1 & item 2 were 0.851 & 0.880 respectively (table r, significance 0.05, 2-tailed, N=12 0.576 all items are valid
Indra Wijaya 2009
![Page 35: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/35.jpg)
Attitudes toward computerization: Pearson correlation were ranging from 0.664 to 0.872 (table r, significance 0.05, 2-tailed, N=12 0.576) all items are valid
Indra Wijaya 2009
![Page 36: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/36.jpg)
Indra Wijaya 2009
CURRENT STATUS
Reliability Statistics
Cronbach's Alpha N of Items
.976 16
![Page 37: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/37.jpg)
Indra Wijaya 2009
Attitudes Toward Computerization
Reliability Statistics
Cronbach's Alpha N of Items
.926 10
![Page 38: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/38.jpg)
Indra Wijaya 2009
Healthcare Workers IT skills
Reliability Statistics
Cronbach's Alpha N of Items
.663 2
![Page 39: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/39.jpg)
Current status: Cronbach’s alpha was 0.976 (table r, significance 0.05, 2-tailed, N=12 0.576) reliable
Attitudes toward computerization: Cronbach’s alpha was 0.926 (table r, significance 0.05, 2-tailed, N=12 0.576) reliable
IT skills: Cronbach’s alpha was 0.663 (table r, significance 0.05, 2-tailed, N=12 0.576) reliable
Indra Wijaya 2009
![Page 40: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/40.jpg)
Measures of normalityTest for linearity
Indra Wijaya 2009
![Page 41: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/41.jpg)
Indra Wijaya 2009
Measures of normality
attitudes current IT skills
skewness -0.706 0.515 -0.517
std. error 0.393 0.393 0.393
ratio -1.796 1.310 -1.316
kurtosis -1.100 -1.370 -1.235
std. error 0.768 0.768 0.768
ratio -1.432 -1.784 -1.608
![Page 42: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/42.jpg)
Indra Wijaya 2009
Differ from Normal
distribution
NormalDistribution
Differ fromNormal
distribution
-2 -2
![Page 43: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/43.jpg)
Current status: skewness/std error ratio was 1.310 & kurtosis/std error ratio was -1.784 between -2 to 2 normal distribution
Attitudes: skewness/std error ratio was -1.796 & kurtosis/std error ratio was 0.768 between -2 to 2 normal distribution
IT skills: skewness/std error ratio was -1.316 & kurtosis/std error ratio was -1.608 between -2 to 2 normal distribution
Indra Wijaya 2009
![Page 44: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/44.jpg)
Indra Wijaya 2009
ANOVA Table
Sum of Squares dfMean
SquareF Sig.
attitudes * current status
Between Groups
(Combined) 989.000 6 164.833 5.670 .001
Linearity 149.699 1 149.699 5.150 .031
Deviation from Linearity
839.301 5 167.860 5.775 .001
Within Groups 843.000 29 29.069
Total 1832.000 35
![Page 45: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/45.jpg)
Indra Wijaya 2009
ANOVA Table
Sum of Squares dfMean
SquareF Sig.
attitudes * IT skills
Between Groups
(Combined) 1702.100 4 425.525 101.549 .000
Linearity 1496.910 1 1496.910 357.230 .000
Deviation from Linearity
205.190 3 68.397 16.323 .000
Within Groups 129.900 31 4.190
Total 1832.000 35
![Page 46: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/46.jpg)
Attitudes * current status : P value (linearity) < 0.05 Current status
has linear correlation with attitudes toward computerization
Attitudes * IT skills : P value (linearity) < 0.05 IT skills has
linear correlation with attitudes toward computerization
Indra Wijaya 2009
![Page 47: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/47.jpg)
MULTICOLLINEARITY TESTHETEROSKEDASTICITY TESTAUTOCORRELATION TEST
Classical Assumption Deviation Tests
Indra Wijaya 2009
![Page 48: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/48.jpg)
Indra Wijaya 2009
Collinearity Statistics
Tolerance VIF
current status .936 1.068
IT skills .936 1.068
![Page 49: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/49.jpg)
Multicollinearity test
Collinearity statistics from linear regression revealed VIF (variance inflation factor) of both current status and IT skills were 1.068 (less than 5, Santoso, 2001) no multicollinearity problem between independent variables
Indra Wijaya 2009
![Page 50: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/50.jpg)
Indra Wijaya 2009
Unstandardized Coefficients
t Sig.
B Std. Error
(Constant) 13.588 1.477 9.202 .000
lnx1 -.574 .664 -.865 .393
(Constant) 16.052 2.035 7.889 .000
lnx2 -2.572 1.503 -1.710 .097
![Page 51: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/51.jpg)
Indra Wijaya 2009
H0 rejected H0 accepted H0 rejected
-2.035 2.035-0.865
-1.710
![Page 52: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/52.jpg)
Current status (Lnx1): t = -0.865 (-2.035 < t < 2.035) no symptom of heteroskedasticity between attitudes (Lnei2)and current status (Lnx1)
IT skills (Lnx2): t = -1.710 (-2.035 < t < 2.035) no symptom of heteroskedasticity between attitudes (Lnei2)and IT skills (Lnx2)
Indra Wijaya 2009
![Page 53: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/53.jpg)
Indra Wijaya 2009
R R SquareAdjusted R
SquareStd. Error of the Estimate
Durbin-Watson
.906a .821 .810 3.155 2.041
![Page 54: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/54.jpg)
Indra Wijaya 2009
doubtful No autocorrelation doubtful Autocorrelation
exists
dL =1.354
dU =1.587
4-dU =2.412
4-dL =2.646
DW =2.041
Autocorrelation exists
![Page 55: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/55.jpg)
Table d (Durbin Watson), significance 0.05, n = 36, k’ = 2 dL = 1.354 ; dU = 1.587 ; 4-dU = 2.412 ; 4-dL = 2.646
Durbin-Watson (DW) = 2.041 (dU < DW < 4-dL) no autocorrelation between independent variables
Indra Wijaya 2009
![Page 56: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/56.jpg)
Multiple regressionMultiple correlation analysisDetermination analysisF testT test
Indra Wijaya 2009
![Page 57: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/57.jpg)
Indra Wijaya 2009
Unstandardized Coefficients
B Std. Error
(Constant) 5.772 2.167
current status .038 .047
IT skills 4.030 .346
![Page 58: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/58.jpg)
Multiple regressionIf current status and IT skills scores were
both 0, attitudes toward computerization score would be 5.572
If IT skill was controlled, and current status score increased by 1, then attitudes toward computerization score would increase 0.038
If current status was controlled, and IT skill score increased by 1, then attitudes toward computerization score would increase 4.030
Indra Wijaya 2009
![Page 59: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/59.jpg)
Indra Wijaya 2009
R R SquareAdjusted R
SquareStd. Error of the Estimate
.906a .821 .810 3.155
![Page 60: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/60.jpg)
Sugiyono, 2007, if correlation coefficient (R) :0.00 – 0.199 : very small0.20 – 0.399 : small0.40 – 0.599 : medium0.60 – 0.799 : large0.80 – 1.00 : very large
R = 0.906 Current status & IT skills combine have very large correlation with attitudes toward computerization
Indra Wijaya 2009
![Page 61: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/61.jpg)
Determination analysis
R2 (R square) = 0.821 current status & IT skills combine account for 82.1% of the variability in attitudes toward computerization
Standard error of the estimate was 3.155 predicted Attitudes toward computerization scores derived from this regression equation will differ from actual attitudes toward computerization scores by 3.155
Indra Wijaya 2009
![Page 62: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/62.jpg)
Indra Wijaya 2009
Sum of Squares df Mean Square F Sig.
Regression 1503.495 2 751.748 75.517 .000a
Residual 328.505 33 9.955
Total 1832.000 35
![Page 63: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/63.jpg)
H0 accepted H0 rejected
3.285 75.517
Indra Wijaya 2009
![Page 64: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/64.jpg)
Table F significance 0.05, Df1 = 2, Df2 = 33 3.285 or from MsExcel =FINV(0.05,2,33) 3.285
F measured = 75.517F measured > F table (P value < 0.05)
current status and IT skills combine have significant influence to attitudes toward computerization
Indra Wijaya 2009
![Page 65: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/65.jpg)
Indra Wijaya 2009
Unstandardized CoefficientsStandardized Coefficients
t Sig.
B Std. Error Beta
(Constant) 5.772 2.167 2.663 .012
current status .038 .047 .062 .813 .422
IT skills 4.030 .346 .888 11.662 .000
![Page 66: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/66.jpg)
H0 rejected H0 rejectedH0 accepted
-2.035 2.035
0.813
Indra Wijaya 2009
CURRENT STATUS OF HEALTHCARE COMPUTERIZATION
![Page 67: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/67.jpg)
H0 rejected H0 rejectedH0 accepted
-2.035 2.035
11.662
Indra Wijaya 2009
HEALTHCARE WORKERS’ IT SKILLS
![Page 68: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/68.jpg)
Table t, significance 0.05, 2-tailed, Df = 33 2.035 or from MsExcel =TINV(0.05,33) 2.035
Current status: t measured = 0.813 (-2.035 < t < 2.035; P > 0.05) partially, current status does not have significance influence to attitudes toward computerization.
Indra Wijaya 2009
![Page 69: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/69.jpg)
t test for IT skills
Table t, significance 0.05, 2-tailed, Df = 33 2.035 or from MsExcel =TINV(0.05,33) 2.035
IT skills: t measured = 11.662 (t > 2.035; P < 0.05) partially, IT skills has significance influence to attitudes toward computerization.
Indra Wijaya 2009
![Page 70: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/70.jpg)
Attitudes toward computerization is heavily influenced by healthcare workers’ IT skills
Targeted training of healthcare workers is needed to foster positive attitudes about EMR
Indra Wijaya 2009
![Page 71: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/71.jpg)
A little knowledge that acts is worth infinitely more than much knowledge that is idle
Indra Wijaya 2009
![Page 72: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/72.jpg)
Indra Wijaya 2009
![Page 73: Health Information Technology: Current Situation & What to Expect in The Near Future Dr. Made Indra Wijaya Assistant Medical Director BIMC Hospital](https://reader036.vdocuments.mx/reader036/viewer/2022062417/551c231d550346a84f8b5c78/html5/thumbnails/73.jpg)
Indra Wijaya 2009