The Use of a Technology Acceptance Model (TAM) to Predict Patients' Usage of a Personal Health Record System: The Role of Security, Privacy, and Usability.
The Use of a Technology Acceptance Model (TAM) to Predict Patients' Usage of a Personal Health Record System: The Role of Security, Privacy, and Usability.
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DOI：
10.3390/ijerph20021347
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发表时间：
2023-01-11
影响因子：
--
通讯作者：
Albugami, Moteb
中科院分区：
文献类型：
--
作者：
Alsyouf, Adi;Lutfi, Abdalwali;Alsubahi, Nizar;Alhazmi, Fahad Nasser;Al-Mugheed, Khalid;Anshasi, Rami J.;Alharbi, Nora Ibrahim;Albugami, Moteb
关键词：
个人健康记录(PHR)系统旨在确保个人能够访问和控制其健康信息，并支持他们在其医疗保健过程中积极参与而不是被动参与。然而，PHR系统尚未被消费者广泛采用或使用，尽管它们有好处。要实现这些优势，采用该系统是必要的。在这项研究中，我们考察了健康管理的自我决定如何影响个人实施PHR系统的意愿，即他们积极管理自己健康的能力。使用扩展的技术接受模型()，研究人员开发了一个解释公众采用PHR的模型并进行了实证测试。总共有389名沙特阿拉伯受访者接受了定量横断面设计的调查。假设分析采用结构方程模型偏最小二乘法(SEM-PLS4)。结果表明，PHR系统的使用受到三个主要因素的影响：感知的易用性(PEOU)、感知的有用性(PU)和对使用意图的安全性。PHR Peou和PHR的使用意向也受到隐私的影响，而可用性正向调节PHR Peou和PHR的使用意向，负向调节PHR PU和PHR的使用意向。这项研究首次考察了沙特阿拉伯个人健康记录的使用情况，包括模型的扩展以及情境驱动模型的发展，该模型考察了隐私、安全性、可用性和个人健康记录使用之间的关系。此外，这项研究填补了文献中关于隐私影响对Peou和使用意图的调节作用的空白。此外，可用性对PEOU、PU和使用意向之间的关系的调节作用。预计研究结果将有助于包括沙特阿拉伯在内的世界各地的政府机构、卫生政策制定者和卫生组织了解个人健康记录的采用情况。
Personal health records (PHR) systems are designed to ensure that individuals have access and control over their health information and to support them in being active participants rather than passive ones in their healthcare process. Yet, PHR systems have not yet been widely adopted or used by consumers despite their benefits. For these advantages to be realized, adoption of the system is necessary. In this study, we examined how self-determination of health management influences individuals’ intention to implement a PHR system, i.e., their ability to actively manage their health. Using an extended technology acceptance model (TAM), the researchers developed and empirically tested a model explaining public adoption of PHRs. In total, 389 Saudi Arabian respondents were surveyed in a quantitative cross-sectional design. The hypotheses were analysed using structural equation modelling–partial least squares (SEM-PLS4). Results indicate that PHR system usage was influenced by three major factors: perceived ease of use (PEOU), perceived usefulness (PU), and security towards intention to use. PHR PEOU and PHR intention to use were also found to be moderated by privacy, whereas usability positively moderated PHR PEOU and PHR intention to use and negatively moderated PHR PU and PHR intention to use. For the first time, this study examined the use of personal health records in Saudi Arabia, including the extension of the TAM model as well as development of a context-driven model that examines the relationship between privacy, security, usability, and the use of PHRs. Furthermore, this study fills a gap in the literature regarding the moderating effects of privacy influence on PEOU and intention to use. Further, the moderating effects of usability on the relationship between PEOU, PU, and intention to use. Study findings are expected to assist government agencies, health policymakers, and health organizations around the world, including Saudi Arabia, in understanding the adoption of personal health records.
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影响因子：
3.5
作者：
Alhodaib H;Alanzi TM
通讯作者：
Alanzi TM
影响因子：
5.2
作者：
Alkhalifah, Ali;Bukar, Umar Ali
通讯作者：
Bukar, Umar Ali
DOI：
10.3390/ijerph19127111
发表时间：
2022-06-10
影响因子：
--
作者：
Mather C;Almond H
通讯作者：
Almond H
DOI：
10.1016/j.jretconser.2022.103188
发表时间：
2022-11-29
影响因子：
10.4
作者：
Alrawad, Mahmaod;Lutfi, Abdalwali;Al-Khasawneh, Akif Lutfi
通讯作者：
Al-Khasawneh, Akif Lutfi
影响因子：
7.4
作者：
Weitzman ER;Kaci L;Mandl KD
通讯作者：
Mandl KD