Benefits

Again, the results of Kaiser-Meyer-Olkin MSA (.937) and Bartlett’s Test of Sphericity (x2 = 2384,, p =.000) indicated that the data set satis-

Подпись: Table 3. A 3 Factor Model of ICT Benefits Total Variance Explained Rotation Sum of Squared Loadings Component Eigenvalue % Variance Cumulative % Improved Communications 9.335 54.912 54.912 Improved Medical & Business Efficiency 1.286 7.565 62.477 Improved Medical & Business Effectiveness 1.146 6.744 69.220
Подпись: Table 4. Rotated Component Matrix Benefit Improved Communications Improved Medical & Business Efficiency Improved Medical & Business Effectiveness Expanding the patient/ customer base by broadening the area of coverage .674 Improvement to business efficiency (time saving/ patient care) .529 Reduction of the overall workload and increased leisure time .722 Enabling more time to be spend on patient care .783 Reduction of business operating costs .693 Improvement to the way the business is operated .689 Allowing the business to expand .530 Information storage and retrieval .826 Communication with fellow GPs .705 Communication with other medical organisations .706 Disease Management .582 Streamlining of billing and accounting functions .804 Adding to the Skills of the practice .595 Communication with hospitals .742 Ordering drugs .646 Other communication with general practice business suppliers .761 Reducing the importance of distance (remoteness) in the provision of high quality medical care .678

fied the assumptions for factorability. Principle Components Analysis was chosen as the method of extraction in order to account for maximum variance in the data using a minimum number of factors. A three-factor solution was extracted with eigenvalues 9.335, 1.286 and 1.146 and was sup­ported by an inspection of the Scree plot. These

3 factors accounted for 69.220% of the variance as shown in Table 3.

The 3 components were rotated using the Varimax procedure and a simple structure was achieved as shown in the Rotated Component Matrix in Table 4.

Figure 3.

 

Benefits

 

Drivers

 

Improved Efficiency & Effectiveness

 

Improved

Effectiveness

 

‘ Improved Communications

 

Pressure

 

Benefits

Benefits

Подпись: Improved Efficiency f Improved У Communications

The results of the factor analysis on the driv­ers produced 3 underlying factors — improvement to medical and business efficiency and effective­ness, pressure and improvement to communica­tions (see Table 2). Similarly the results of the factor analysis on the benefits produced 3 under­lying factors — improved medical and business efficiency, improved communications and im­proved medical and business effectiveness (see Table 4). A simple model was developed using the combined male and female data (see Figure 3). Figure 3 provided all possible associations between driving force factors and benefit factors for ICT adoption. It was now appropriate to de­termine whether those associations differed be­tween male and female GPs. The data was sub­divided into male and female GP responses and the two sets of data formed the basis for testing the model. The model was tested using partial least squares (PLS) with PLSGraph. PLS is a combination of principal components analysis, path analysis and regression. PLS offers a number of advantages. It is suitable for exploratory stud­ies (Chin 1998, Gefen et al 2000), it has minimal requirements on sample size and residual distribu­tion (Gefen et al 2000) and it is an appropriate procedure for small response levels, other meth­
ods requiring greater than 200 responses (Lai 2004). The results can be seen in Figures 4 and 5 and Tables 5 & 6.

An examination of Figure 4 and Table 5 shows that those respondents that placed a higher prior­ity on improvement to medical and business ef­ficiency and effectiveness noted a higher level of benefit in terms of improvement to efficiency, improvement to effectiveness and improvement to communications. The data in Figure 4 shows that placing a higher priority on improvement to communications or pressure to adopt ICTs did not significantly alter the perception of any of the three groups of benefits.

In the PLS analysis, the square roots of the Average Variance Analysis (AVE) values for all constructs are higher than the correlations between constructs and the composite reliability values are above 0.70 (Gefen et al 2000). These results indicate good convergent and discriminant validity and reliability.

An examination of Figure 5 and Table 6 shows that those female respondents that placed a higher priority on improvement to medical and business efficiency and effectiveness or improvement to communications saw no significant differences in the perception of any of the three groups of

BenefitsFigure 4. Partial Least Squares Model of Drivers and Benefits (Males)

1.296* (2.31)

0.973* (1.79)

.218* (2.50)

Drivers

 

lunelits

 

Improved

Communications

 

Improved

Effectiveness

 

-0.726

 

0.148

 

Improved

Communications

 

Pressure

 

0.427

 

-0.697

 

Improved

Efficiency

 

l><.05

 

Benefits

benefits. However, those respondents that had adopted ICT primarily through pressure did show a significantly positive difference in the perception of all three benefit groups.

Again, in the PLS analysis, the square roots of the Average Variance Analysis (AVE) values for all constructs are higher than the correlations between constructs and the composite reliability values are above 0.70 (Gefen et al 2000). These results indicate good convergent and discriminant validity and reliability.

Updated: 06.11.2015 — 23:50