Doctor performance drivers: insights from various theoretical perspectives

Introduction: The increasing need to improve patient outcomes alongside rising healthcare costs makes digital transformation in healthcare essential. However, technology implementation effectiveness depends strongly on acceptance by healthcare professionals. This study examines how self-efficacy, perceived job insecurity, and intention to use technology contribute to physician performance and innovation process outcomes. Methods: Drawing from Innovation Diffusion Theory, Technology Acceptance Model (TAM), and self-efficacy theory, a comprehensive multi-theoretical model was developed. Data were collected through a structured survey involving healthcare professionals and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Results: Self-efficacy significantly encourages technology adoption, which in turn enhances both innovation and physician performance. Contrary to assumptions, perceived job insecurity does not significantly influence the intention to adopt technology but has a direct negative impact on physician performance. Discussion: This research contributes to the existing literature by offering an integrated multi-theoretical framework combining TAM, Innovation Diffusion Theory, self-efficacy, and job insecurity. Unlike earlier studies, it examines both direct and indirect effects and finds that job insecurity may not be a critical obstacle to technology use. The study also includes insights from primary care physicians, a group often underrepresented in digital health research.