Using UTAUT to Explore Employees’ Acceptance toward the Implementation of Knowledge Management System in a Hospital

• Main Authors: Huang, Wenliang, 黃文良
• Other Authors: 陳金淵
• Format: Others
• Language: zh-TW
• Published: 2013
• Online Access: http://ndltd.ncl.edu.tw/handle/95365976508326409898

碩士 === 長榮大學 === 醫務管理學系碩士班 === 101 === Abstract Objective In face of rapid changes in the external environment, social patterns and values, medical institutions need more innovation and change. They can integrate their professional knowledge and modern information technology to improve their efficiency and efficacy so as to withstand pressure from market competition. Based on Unified Theory of Acceptance and Use of Technology (UTAUT), this study explored factors affecting acceptance and use of knowledge management systems among hospital employees. Results of this study could be a reference for medical institutions in introduction of a knowledge management system, implementation of education training, and improvement of the system. Method Data were collected using a structured questionnaire administered to four groups of personnel (physician, nursing, medical technologist and administrative staff) of a regional hospital in southern Taiwan. A total of 500 questionnaires were distributed among the four groups according to the proportion of each group, and 325 valid responses were obtained (65%). These responses were analyzed on SPSS using methods including differences analysis, correlation analysis and multiple regression modeling to identify factors affecting employees’ acceptance of knowledge management systems. Result Employees’ intention to use knowledge management systems was affected by “organizational influence” (β=0.245, p<0.001) and “performance expectancy” (β=0.380, p<0.001) but not by “effort expectancy”; their “usage behavior” was affected by “facilitating conditions” (β=0.201, p<0.001) and “usage intention” (β=0.518, p<0.001). Besides, the relationship between “performance expectancy” and “usage intention” was moderated by gender and age; that between “organizational influence” and “usage intention” was moderated by gender, age and experience. The effect of “facilitating conditions” on “usage behavior” varied by age and experience. In other words, the extent to which performance expectancy, organizational influence and facilitating conditions affected usage intention and usage behavior depended on gender, age and experience. Conclusion To increase employees’ usage of a knowledge management system, hospital managers can focus their efforts on training of department supervisors and design of the system’s user interface. On one hand, they should induce supervisors’ ambition for reform, offer education training, set up goals and put them into performance evaluation, establish reward mechanisms and cultivate seed instructors; on the other, they should optimize the system’s user interface with intuitive designs to motivate employees’ usage of the system and gradual change of their work habits. These efforts can ultimately lead to improved effectiveness of the knowledge management system.