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Open Access Open Badges Research article

Motivating medical information system performance by system quality, service quality, and job satisfaction for evidence-based practice

Ching-Sheng Chang1*, Su-Yueh Chen2* and Yi-Ting Lan3

Author Affiliations

1 R.O.C Naval academy, Kaohsiung City, Taiwan

2 Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan

3 Postgraduate Programs in Management, I-Shou University, Kaohsiung City, Taiwan

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BMC Medical Informatics and Decision Making 2012, 12:135  doi:10.1186/1472-6947-12-135

Published: 21 November 2012



No previous studies have addressed the integrated relationships among system quality, service quality, job satisfaction, and system performance; this study attempts to bridge such a gap with evidence-based practice study.


The convenience sampling method was applied to the information system users of three hospitals in southern Taiwan. A total of 500 copies of questionnaires were distributed, and 283 returned copies were valid, suggesting a valid response rate of 56.6%. SPSS 17.0 and AMOS 17.0 (structural equation modeling) statistical software packages were used for data analysis and processing.


The findings are as follows: System quality has a positive influence on service quality (γ11= 0.55), job satisfaction (γ21= 0.32), and system performance (γ31= 0.47). Service quality (β31= 0.38) and job satisfaction (β32= 0.46) will positively influence system performance.


It is thus recommended that the information office of hospitals and developers take enhancement of service quality and user satisfaction into consideration in addition to placing b on system quality and information quality when designing, developing, or purchasing an information system, in order to improve benefits and gain more achievements generated by hospital information systems.

System quality; Service quality; Job satisfaction; System performance; AMOS 17.0 (structural equation modeling)