Comparison Between TAM and HOT-Fit Methods in Evaluating the Implementation of SIMRS at Bhayangkara TK II Mas Kadiran Hospital Medan

Abstract

Background: Hospital Information System (SIMRS) is a system that includes data collection,
data processing, information presentation, data analysis, and information inference needed to
support various operational activities in the hospital.
Methods: The research used involved two approaches: outer model and inner model. The
outer model was used to test validity and reliability with AVE, discriminant validity,
Cronbach alpha, and composite reliabilities. The inner model was tested using R Square and
hypothesis testing.
Results: The results of research based on the HOT-Fit method show that Human factors have
a significant relationship to Benefits, Organization, and Technology. In addition,
organizational factors also have a significant relationship with benefits and technology.
Statistical tests show that Human -> Benefits, Human -> Organization, Human ->
Technology, Organization -> Benefits, and Organization -> Technology (p-value = 0.000).
Meanwhile, based on the TAM method, it shows that the usefulness factor has a significant
relationship to Actual Use, Behavioral Interest, and Attitude. In addition, the Ease factor also
has a significant relationship to Usability and Attitude. The Behavioral Interest factor has a
significant relationship to Actual Use, and the Attitude factor has a significant relationship to
Behavioral Interest. Statistical tests show Usability -> Actual Use, Usability -> Behavioral
Interest, Usability -> Attitude, Convenience -> Usability, Convenience -> Attitude,
Behavioral Interest -> Actual Use, and Attitude -> Behavioral Interest (p-value = 0.000).
Conclusion: The results of this study indicate that human and organizational factors have a
significant effect on technology. In addition, Human factors affect Organization and Benefits,
while Organization affects Benefits. Furthermore, usefulness affects attitude, usefulness,
interest, and actual use, while convenience affects attitude and usefulness. Attitude affects
Interest, and Interest affects Actual Use.