TY - JOUR AU - Vargas-Herrera, Javier AU - Meneses, Giovanni AU - Cortez-Escalante, Juan PY - 2022 DA - 2022/8/15 TI -秘鲁医生对未来使用国家死亡信息系统的预测:横断面研究JO - J医学互联网Res SP - e34858 VL - 24 IS - 8kw -死亡证书KW -健康信息系统KW -死亡率KW -人口统计KW -技术验收模型KW -模型KW -验收模型KW -证书KW -信息系统KW -医生KW -预测器KW -横断面研究KW -分析KW -死亡AB -背景:秘鲁实施了一种名为“国家死亡信息系统”的计算机应用程序，使医生可以准备电子格式的死亡证明，并在网上提供相关信息。2018年，秘鲁估计死亡人数中只有一半是通过SINADEF认证的。当以书面形式证明死亡时，输入死亡率数据库的概率就会降低。从用户的角度，了解能够影响SINADEF成功实施的因素是很重要的。SINADEF只有在知道医生是否认为它有用且易于操作时才能成功实施。目的:本研究的目的是确定医生的看法和其他因素作为他们使用SINADEF证明死亡的行为意图的预测因素。方法:本研究采用观察性横断面设计。向在秘鲁工作的医生提供了一项调查，他们从2019年11月开始使用SINADEF证明死亡，为期12个月。 A questionnaire was adapted based on the Technology Acceptance Model. The questions measured the dimensions of subjective norm, image, job relevance, output quality, demonstrability of results, perceived usefulness, perceived ease of use, and behavioral intention to use. Chi-square and logistic regression tests were used in the analysis, and a confidence level of 95% was chosen to support a significant association. Results: In this study, 272 physicians responded to the survey; 184 (67.6%) were men and the average age was 45.3 (SD 10.1) years. The age range was 24 to 73 years. In the bivariate analysis, the intention to use SINADEF was found to be associated with (1) perceived usefulness, expressed as “using SINADEF avoids falsifying a death certificate” (P<.001), “using SINADEF reduces the risk of errors” (P<.001), and “using SINADEF allows for filling out a certificate in less time” (P<.001); and (2) perceived ease of use, expressed as “I think SINADEF is easy to use” (P<.001). In the logistic regression, perceived usefulness (odds ratio [OR] 8.5, 95% CI 2.2-32.3; P=.002), perceived ease of use (OR 10.1, 95% CI 2.4-41.8; P=.001), and training in filling out death certificates (OR 8.3, 95% CI 1.6-42.8; P=.01) were found to be predictors of the behavioral intention to use SINADEF. Conclusions: The behavioral intention to use SINADEF was related to the perception that it is an easy-to-use system, the belief that it improves the performance of physicians in carrying out the task at hand, and with training in filling out death certificates. SN - 1438-8871 UR - //www.mybigtv.com/2022/8/e34858 UR - https://doi.org/10.2196/34858 UR - http://www.ncbi.nlm.nih.gov/pubmed/35969435 DO - 10.2196/34858 ID - info:doi/10.2196/34858 ER -