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Sociotechnical drivers and barriers in the consumer adoption of personal health records: Empirical investigation

journal contribution
posted on 18.10.2021, 04:00 authored by Umar Ruhi, Armin Majedi, Ritesh ChughRitesh Chugh
Background: Increasingly popular in the health care domain, electronic personal health records (PHRs) have the potential to foster engagement toward improving health outcomes, achieving efficiencies in care, and reducing costs. Despite the touted benefits of PHRs, their uptake is lackluster, with low adoption rates. Objective: This paper reports findings from an empirical investigation of the sociotechnical factors affecting the adoption of PHRs. Methods: A research model comprising personal and technological determinants of PHR adoption was developed and validated in this study. Demographic, technographic, and psychographic data pertaining to the use of PHRs were collected through a web-based questionnaire for past, current, and potential users. Partial least squares-based structural equation modeling was used to estimate a structural model of cognitive and affective factors impacting intentions to use PHRs. Results: The analysis revealed that in addition to the expected positive impact of a PHR system’s usefulness and usability, system integration also positively affects consumers’ intention to adopt. The results also suggest that higher levels of perceived usability and integration do not translate into higher levels of perceived usefulness. The study also highlights the importance of subjective norms, technology awareness, and technology anxiety as direct antecedents of the intention to adopt PHRs. The differential effects of the adoption factors are also discussed. Conclusions: We hope that our study will contribute to the understanding of consumer adoption of PHRs and help improve the design and delivery of consumer-centric health care technologies. After discussing the implications for research, we provide suggestions and guidelines for PHR technology developers and constituents in the health care delivery chain.

History

Volume

9

Issue

9

Start Page

1

End Page

22

Number of Pages

22

eISSN

2291-9694

Location

Canada

Publisher

JMIR Publications

Additional Rights

CC-BY 4.0

Language

eng

Peer Reviewed

Yes

Open Access

Yes

Acceptance Date

01/08/2021

External Author Affiliations

University of Ottawa, Canada

Era Eligible

Yes

Journal

JMIR Medical Informatics

Article Number

e30322