ABSTRACT

Electronic health records (EHRs) are electronic versions of longitudinal individual health records that are easily accessible and can be shared among relevant stakeholders. Their use can contribute to improved health outcomes. This research aimed to identify the key factors influencing healthcare consumer adoption of EHRs by testing an EHR consumer adoption model that extends the Decomposed Theory of Planned Behavior to include security and privacy concerns and perceived health literacy. The model explained 65% of the variation in intention tgo use EHRs, with attitude and subjective norm as the key factors directly influencing it. Security and privacy concerns were found to be an important predictor of attitude toward EHRs, but contrary to expectations perceived health literacy did not play a role. These results can inform healthcare educators and professionals, as well as government policymakers as they try to better understand EHR acceptance from a consumer perspective.

摘要

电子健康记录 (EHR) 是纵向个人健康记录的电子版本，易于访问并可在相关利益相关者之间共享。它们的使用有助于改善健康结果。本研究旨在通过测试 EHR 消费者采用模型来确定影响医疗保健消费者采用 EHR 的关键因素，该模型将计划行为分解理论扩展到包括安全和隐私问题以及感知的健康素养。该模型解释了使用 EHR 的 65% 的意图变化，态度和主观规范是直接影响它的关键因素。发现安全和隐私问题是对 EHR 态度的重要预测因素，但与预期相反，认为健康素养没有发挥作用。