Summary
Background and Objective: The USE IT-model integrates theories about adoption and diffusion of innovations
and is suitable to predict and evaluate the success of an information system from
a user’s perspective. The USE IT-model consists of four determinants: relevance, requirements,
resources and resistance, which are measured at the macro-level (organizational),
and at the micro-level (individual). After applying the USE IT approach in several
researches we evaluated and updated the USE IT-model.
Methods: We used the USE IT-model in ten case studies in healthcare and compared the results
of the studies with the determinants and dimensions of the USE IT-model.
Results: The quality of the implementation process is part of the innovation process- dimension
and therefore relocated as a dimension of macro-resistance. The improvements and value
in the relevance determinant are made more concrete by quality, efficiency, effectiveness,
and task support. The dimensions of micro-resistance are reduced, and the dimension
negative consequences is added. Also the dimensions of macro- and micro-requirements
are made more specific to express the importance of information quality, availability
and accessibility.
Discussion and Conclusion: The research resulted in the updated USE IT-adoption-model to predict and evaluate
the adoption of information systems in healthcare. The structure and determinants
of the original USE IT-model with a distinction between the macro- and micro-level
remained unchanged.
Keywords
Adoption model - information and communication technology - healthcare - electronic
patient record - evaluation
