Technology Acceptance Model: A Case of Electronic Health Record in Estonia

Veronika Losova

Student thesis: Master thesis


The goal of this master’s thesis is to understand key motivators and activities supporting high levels of national Electronic Health Record (EHR) usage by healthcare professionals in Estonia and relate them to findings from Technology Acceptance Model (TAM) research. This thesis aims at contributing both, to better understanding of Estonian EHR implementation case, and TAM application in national public healthcare settings. In this thesis, I found out that the key motivator for the high levels of usage of the system was legal act making it mandatory for healthcare professionals to send data to the national EHR. Despite that, I discovered that TAM variables perceived usefulness, perceived ease of use and psychological ownership played a role in Estonian EHR implementation case in positively influencing attitude towards the system. In this thesis, I argue that attitude towards the system is an important predictor of success for public systems, even if their usage is mandated by the law. I also argue that importance of psychological ownership may be especially important in the mandatory use cases. Furthermore, I discovered that in this particular case, information quality and job relevance influenced perceived usefulness, and that compatibility, self-efficacy and support influenced perceived ease of use. In Estonia, compatibility however had controversial effect on perceived ease of use and I argue that in this case, it may have influenced it negatively rather than positively.

EducationsMSocSc in Organisational Innovation and Entrepreneurship , (Graduate Programme) Final Thesis
Publication date2014
Number of pages79