Health Care Providers' Acceptance of a Personal Health Record: Cross-sectional Study

被引:17
|
作者
Yousef, Consuela Cheriece [1 ,2 ,3 ]
Salgado, Teresa M. [4 ]
Farooq, Ali [5 ]
Burnett, Keisha [6 ]
McClelland, Laura E. [7 ]
Abu Esba, Laila Carolina [2 ,3 ,8 ]
Alhamdan, Hani Solaiman [2 ,9 ]
Khoshhal, Sahal [2 ,3 ,10 ]
Aldossary, Ibrahim Fahad [2 ,3 ,11 ]
Alyas, Omar Anwar [12 ]
DeShazo, Jonathan P. [7 ]
机构
[1] Minist Natl Guard Hlth Affairs, Pharmaceut Care Dept, POB 4616, Dammam 31412, Saudi Arabia
[2] King Abdullah Int Med Res Ctr, Riyadh, Saudi Arabia
[3] King Saud Bin Abdul Aziz Univ Hlth Sci, Riyadh, Saudi Arabia
[4] Virginia Commonwealth Univ, Sch Pharm, Dept Pharmacotherapy & Outcome Sci, Richmond, VA USA
[5] Univ Turku, Dept Comp, Turku, Finland
[6] Univ Tennessee, Hlth Sci Ctr, Cytopathol Practice Program, Dept Clin Lab Sci, Memphis, TN USA
[7] Virginia Commonwealth Univ, Dept Hlth Adm, Richmond, VA USA
[8] Minist Natl Guard Hlth Affairs, Pharmaceut Care Dept, Riyadh, Saudi Arabia
[9] Minist Natl Guard Hlth Affairs, Pharmaceut Care Serv, Jeddah, Saudi Arabia
[10] Minist Natl Guard Hlth Affairs, Pharmaceut Care Dept, Madinah, Saudi Arabia
[11] Minist Natl Guard Hlth Affairs, Pharmaceut Care Dept, Al Hasa, Saudi Arabia
[12] Med Univ Bahrain, Royal Coll Surg Ireland, Busaiteen, Bahrain
关键词
personal health records; patient portals; Ministry of National Guard Health Affairs; UTAUT; eHealth; Middle East; UNIFIED THEORY; INFORMATION-TECHNOLOGY; DEVELOPING-COUNTRIES; USER ACCEPTANCE; ADOPTION; PROFESSIONALS; PATIENT; UTAUT; DETERMINANTS; PERCEPTIONS;
D O I
10.2196/31582
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Personal health records (PHRs) are eHealth tools designed to support patient engagement, patient empowerment, and patient-and person-centered care. Endorsement of a PHR by health care providers (HCPs) facilitates patient acceptance. As health care organizations in the Kingdom of Saudi Arabia begin to adopt PHRs, understanding the perspectives of HCPs is important because it can influence patient adoption. However, no studies evaluated HCPs' acceptance of PHRs in the Kingdom of Saudi Arabia. Objective: The aim of this study was to identify predictors of HCPs' acceptance of PHRs using behavioral intention to recommend as a proxy for adoption. Methods: This cross-sectional study was conducted among HCPs (physicians, pharmacists, nurses, technicians, others) utilizing a survey based on the Unified Theory of Acceptance and Use of Technology. The main theory constructs of performance expectancy, effort expectancy, social influence, facilitating conditions, and positive attitude were considered independent variables. Behavioral intention was the dependent variable. Age, years of experience, and professional role were tested as moderators between the main theory constructs and behavioral intention using partial least squares structural equation modeling. Results: Of the 291 participants, 246 were included in the final analysis. Behavioral intention to support PHR use among patients was significantly influenced by performance expectancy (beta=.17, P=.03) and attitude (beta=.61, P<.01). No moderating effects were present. Conclusions: This study identified performance expectancy and attitude as predictors of HCPs' behavioral intention to recommend PHR to patients. To encourage HCPs to endorse PHRs, health care organizations should involve HCPs in the implementation and provide training on the features available as well as expected benefits. Future studies should be conducted in other contexts and include other potential predictors.
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页数:15
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