Assessing the performance of long-term care information systems and the continued use intention of users

• The needs of long-term care have increased substantially worldwide.
• We evaluate the system usage performance and continued use intentions of LTCIS.
• The result demonstrates that our proposed model explains 62.7% of the variance.

The needs of long-term care (LTC) have increased substantially worldwide. In particular, Taiwanese society has experienced an increasing aging population because of the sharp decline in the birth rate and advanced medical technology. Some LTC facilities have introduced information technologies to satisfy the substantial demand. Compared with the high level of informatization observed at Taiwanese hospitals, LTC facilities still exhibit low informatization levels despite belonging to the same industry. Therefore, this study evaluated the system use performance and continued use intentions of the long-term care information system (LTCIS) by applying the well-known theories of the task-technology fit, system satisfaction, and postacceptance continuance models used in information systems area. The results showed that users’ assessment of whether the LTCIS fulfilled their work and task needs primarily depended on the system quality, locatability of data, timeliness, ease of use, and system-user relationship. These factors also exerted a crucial influence on system use performance and user satisfaction. Moreover, the system use performance and user satisfaction further affected intentions of continued use.