Healthcare consumers' opt-in intentions to Health Information Exchanges (HIEs): An empirical study
Healthcare consumers' opt-in intentions to Health Information Exchanges (HIEs): An empirical study
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DOI：
10.1016/j.chb.2018.02.029
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发表时间：
2018-07-01
影响因子：
9.9
通讯作者：
Esmaeilzadeh, Pouyan
中科院分区：
文献类型：
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作者：
Esmaeilzadeh, Pouyan
人们普遍认为，健康信息交换（HIE）通过减少医疗差错和管理成本来改善医疗保健服务。医疗保健消费者对医疗保健实体的选择意向的关键因素是医疗保健实体的潜在利益以及可能的风险（如健康信息隐私和安全问题）。为了最大限度地发挥高收入企业的全部价值，重要的是要准确调查医疗保健消费者对高收入企业广泛实施的信念和看法。为此，我们在美国进行了一项在线调查，使用了683个数据点的样本。借鉴效用理论，我们发现，感知利益和感知风险与高收入企业显着影响感知价值，这反过来又增加了消费者的选择在决定。结果表明，感知利益似乎有更大的影响感知价值比感知风险。感知价值在感知收益和感知风险与消费者选择进入高新技术企业意愿之间起完全中介作用。研究结果还强调，消费者对HIE模型的态度，感知的医疗实体的可信度，感知的健康信息的敏感性，感知的健康状况显着影响感知的风险HIE努力。本研究有助于研究和实践，并为未来的研究提供了方向。(C)2018爱思唯尔有限公司版权所有。
It is generally believed that Health Information Exchanges (HIEs) improve healthcare delivery by reducing medical errors and administrative costs. The potential benefits of HIEs together with the possible risks (such as health information privacy and security concerns) are crucial factors to healthcare consumers' opt-in intentions toward HIEs. To maximize the full value of HIEs, it is important to accurately investigate healthcare consumers' beliefs and perceptions about the widespread implementation of HIEs. To do so, we conducted an online survey in the United States using a sample with 683 data points. Drawing on the utility theory, we have found that the perceived benefits and perceived risks associated with HIEs significantly influence perceived value, which in turn increases consumers' opt-in decisions. The results indicate that perceived benefits seem to have a greater impact on perceived value than perceived risk. Moreover, perceived value fully mediates the relationships of perceived benefits and perceived risk with consumer opt-in intentions to HIEs. The findings also highlight that consumers' attitudes toward HIE models, the perceived trustworthiness of healthcare entities, the perceived health information sensitivity, and the perceived health status significantly influence the perceived risk of HIE efforts. This study contributes to both research and practice and provides directions for future studies. (C) 2018 Elsevier Ltd. All rights reserved.