Health care providers are increasingly providing technologies for patient care; however, patients are still loath to use such technologies consistently. This research examines the impediments to patients' use of e-health portals. Our analysis of 836 data records showed that while privacy and security concerns have a negative impact on attitudes toward e-health portals, increasing the awareness of privacy and security controls alleviates such concerns. Our findings also suggest that individuals worry more about who possesses the right to access their health data (i.e., who, what, when, and why) than the mechanisms used to safeguard data from unauthorized access. We found that perceived benefits and support (i.e., emotional and technical support) positively influenced the determinants of use intentions. The implications of these findings for health care providers and policy makers are discussed.

中文翻译：

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在医疗保健背景下消除隐私和安全之间的歧义：对医疗技术使用决定因素的新见解

医疗保健提供者越来越多地为患者提供护理技术；然而，患者仍然不愿意始终如一地使用这些技术。本研究调查了患者使用电子健康门户的障碍。我们对 836 条数据记录的分析表明，虽然隐私和安全问题会对人们对电子健康门户的态度产生负面影响，但提高对隐私和安全控制的认识可以缓解这种担忧。我们的研究结果还表明，与用于保护数据免遭未经授权访问的机制相比，个人更担心谁拥有访问其健康数据的权利（即，谁、什么、何时以及为什么）。我们发现感知的好处和支持（即情感和技术支持）对使用意图的决定因素产生积极影响。