factors affecting inadoption and use of electronic medical record based on unified theory of acceptance and use of technology in iran

Background: one of the effective factors in successful implementation of health information technology, especially electronic medical record, is investigation of adoption and its use by users. therefore, the aim of this study was to investigate factors affecting adoption and use of electronic medical record in shiraz teaching hospitals from the perceptive of top and middle managers. methods: this was a cross-sectional analytical study performed in 2015. the study population consisted of all top and middle man- agers (n = 235) of shiraz teaching hospitals that were examined through census. data were collected through the unified theory of acceptance and use of technology standard questionnaire. the data were analyzed using spss16 and lisrel8.82. results: the results showed that there is a direct, positive relationship between effort expectancy and behavioral intention (p = 0.01) as well as between facilitating condition and behavioral intention (p = 0.04) and between facilitating condition and use (p = 0.01). in addition, there was a direct, positive relationship between behavioral intention and use. conclusions: to increase the use of electronic medical record in shiraz teaching hospitals, it is suggested that managers and policymakers consider effort expectancy and facilitating condition of this system.