Affiliations: [a] Department of Hospital and Health Care Administration, Chia-Nan University of Pharmacy & Science, Tainan, Taiwan | [b] Institute of Human Resources and Knowledge Management, National Kaohsiung Normal University, Kaohsiung, Taiwan
Correspondence:
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Corresponding author: Sho-Fang Chang, Department of Hospital and Health Care Administration, Chia-Nan University of Pharmacy & Science, Tainan 717, Taiwan. E-mail:ctpaul@ms10.hinet.net
Abstract: The study explores the perceptions of physicians and
hospital managers regarding the key success factors (KSFs) of a clinical
knowledge management system (CKMS). It aims to eliminate the perception gap
and gain more insights for a successful CKMS. A survey was conducted in four medical centers in Taiwan. A total of 340
questionnaires, including 15 for hospital managers and 70 for physicians in
each hospital, were administered. The effective response rates are 78.3%
and 56.1% respectively. Partial least square (PLS) were used to analyze
the data. The results identified six KSFs of CKMS including system software and
hardware, knowledge quality, system quality, organizational factors, user
satisfaction, and policy factors. User satisfaction and policy factors have
direct effects on perceived CKMS performance. Knowledge quality is regarded
as an antecedent to user satisfaction, while system quality is the
antecedent to both user satisfaction and policy factors. System software and
hardware was supported only by managers, and organizational factors were
supported only by physicians. Among the factors, this study highlighted the policy factor. Besides, the
study provides hospital managers additional insights into physician
requirements for organizational support. Third, more physician participation
and involvement are recommended when introducing and developing a CKMS.
Keywords: Clinical knowledge management system (CKMS), key success factors (KSFs), partial least squares (PLS)
