The Australian general public's perceptions of having a personally controlled electronic health record (PCEHR) |
| |
| Affiliation: | 1. School of Advertising, Marketing and Public Relations, Faculty of Business, Queensland University of Technology, P.O. Box 2434, Brisbane, Queensland, Australia;2. School of Electrical Engineering and Computer Science, Faculty of Science and Engineering, Queensland University of Technology, P.O. Box 2434, Brisbane, Queensland, Australia;1. Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands;2. Dutch Lung Foundation, Amersfoort, The Netherlands;1. Rabin Medical Center, Clalit Health Services, Israel;2. Steyer School of Health Professions, Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel;1. Coordination Centre for Clinical Trials, Heinrich-Heine-University, Düsseldorf, Germany;2. NIVEL, Utrecht, The Netherlands;3. MedLawConsult, Den Haag, The Netherlands;4. University of Warwick, Coventry, UK;5. NIHR Biomedical Research Centre at Guy''s and St. Thomas’ NHS Foundation Trust and King''s College London, London, UK;1. Research Center of the CHU de Québec. 10 rue de l’Espinay, Quebec City, Quebec G1L 3L5, Canada;2. Faculty of Nursing Sciences, Université Laval, 1050 avenue de la Médecine, Quebec City, Quebec G1V 0A6, Canada;3. Department of Political Science, Université Laval, 1030, avenue des Sciences-Humaines, Quebec City, Quebec G1V 0A6, Canada;4. Department of Psychoeducation, Université du Québec à Trois-Rivières, 3351, boulevard des Forges, C.P. 500, Trois-Rivières, Quebec G9A 5H7, Canada;1. Department of Information Systems, University of Maryland Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA;2. GRECC, James J Peters VA Medical Center, 130 W Kingsbridge Road, Bronx, NY, USA;3. Armstrong Institute for Patient Safety and Quality, Department of Anesthesiology and Critical Care Medicine, School of Medicine, The Johns Hopkins University, 750 E. Pratt Street, 15th Floor, Baltimore, MD 21202, USA |
| |
| Abstract: | ObjectiveThe move internationally by Governments and other health providers to encourage patients to have their own electronic personal health record (e-PHRs) is growing exponentially. In Australia the initiative for a personally controlled electronic health record (known as PCEHR) is directed towards the public at large. The first objective of this study then, is to examine how individuals in the general population perceive the promoted idea of having a PCEHR. The second objective is to extend research on applying a theoretically derived consumer technology acceptance model to guide the research.MethodAn online survey was conducted to capture the perceptions and beliefs about having a PCEHR identified from technology acceptance models and extant literature. The survey was completed by 750 Queensland respondents, 97% of whom did not have a PCEHR at that time. The model was examined using exploratory factor analysis, regressions and mediation tests.ResultsFindings support eight of the 11 hypothesised relationships in the model. Perceived value and perceived risk were the two most important variables explaining attitude, with perceived usefulness and compatibility being weak but significant. The perception of risk was reduced through partial mediation from trust and privacy concerns. Additionally, web-self efficacy and ease of use partially mediate the relationship between attitude and intentions.ConclusionsThe findings represent a snapshot of the early stages of implementing this Australian initiative and capture the perceptions of Queenslanders who at present do not have a PCEHR. Findings show that while individuals appreciate the value of having this record, they do not appear to regard it as particularly useful at present, nor is it particularly compatible with their current engagement with e-services. Moreover, they will need to have any concerns about the risks alleviated, particularly through an increased sense of trust and reduction of privacy concerns. It is noted that although the respondents are non-adopters, they do not feel that they lack the necessary web skills to set up and use a PCEHR. To the best of our knowledge this is one of a very limited number of studies that examines a national level implementation of an e-PHR system, where take-up of the PCEHR is optional rather than a centralised, mandated requirement. |
| |
| Keywords: | Electronic health records E-service Technology acceptance Personal Attitude Australia |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
