The effect of confidentiality and privacy concerns on adoption of personal health record from patient’s perspective

Health and Technology - Tập 9 - Trang 463-469 - 2019
Mohammadhiwa Abdekhoda1,2, Afsaneh Dehnad3, Hero Khezri4
1Department of Medical Library and Information Science, School of Health Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
2Health Management and Economics Research Center, School of Health Management and Information, Iran University of Medical Sciences, Iranian Center of Excellence in Health Management (IceHM), School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
3School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
4School of Health Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran

Tóm tắt

With the adoption of Personal Health Record (PHR), patients take an active role in monitoring their health and can store and access a wide array of credible health information. However, patients are often concerned about the confidentiality and privacy of their health information in PHR. This study was carried out to determine the effect of confidentiality and privacy concerns on PHR adoption. This was a cross – sectional study in which 175 patients referred to teaching hospitals of Tabriz University of Medical Sciences were randomly selected. Patients’ perception regarding the effect of confidentiality and privacy concern on PHR adoption was examined by an extended model of Technology Acceptance Model (TAM). Collected data were analyzed by correlation and regression tests. The final model was tested by Structural Equation Modeling (SEM) and presented by AMOS. The results show that the extended model of TAM, proposed in this study, can explain about 63% of the variance of the PHR adoption. Also, the results confirmed the significant effect of confidentiality and privacy concerns about PHR adoption. PHR adoption has several significant advantages both to patients and health care providers. This study clearly acknowledged that confidentiality and privacy concerns were two main obstacles that should be considered when comprehensive implementation of PHR is in progress.

Tài liệu tham khảo

Tang PC, Ash JS, Bates DW, Overhage JM, Sands DZ. Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption. J Am Med Inform Assoc. 2006;13(2):121–6. Laxman K. Barriers to adoption of consumer health informatics applications for health self management. Health Sci J. 2015. Archer N, Fevrier-Thomas U, Lokker C, McKibbon KA, Straus SE. Personal health records: a scoping review. J Am Med Inform Assoc. 2011;18(4):515–22. Wang C-K. Security and privacy of personal health record, electronic medical record and health information. 2015. Sattari A, Abdekhoda M, Gavgani VZ. Determinant factors affecting the web-based training acceptance by health students, applying UTAUT model. Int J Emerg Technol Learn. 2017;12(10):112–26. Abdekhoda M, Dehnad A, Mirsaeed SJG, Gavgani VZ. Factors influencing the adoption of E-learning in Tabriz University of Medical Sciences. Med J Islam Repub Iran. 2016;30:457. Lafky DB, Horan TA. Personal health records: consumer attitudes toward privacy and security of their personal health information. Health Informatics J. 2011;17(1):63–71. Li H, Gupta A, Zhang J, Sarathy R. Examining the decision to use standalone personal health record systems as a trust-enabled fair social contract. Decis Support Syst. 2014;57:376–86. https://doi.org/10.1016/j.dss.2012.10.043. Bourgeois FC, Nigrin DJ, Harper MB. Preserving patient privacy and confidentiality in the era of personal health records. Pediatrics. 2015;135(5):e1125–7. Señor IC, Fernández-Alemán JL, Toval A. Are personal health records safe? A review of free web-accessible personal health record privacy policies. J Med Internet Res. 2012;14(4). Flaumenhaft Y, Ben-Assuli O. Personal health records, global policy and regulation review. Health Policy. 2018. Ford EW, Hesse BW, Huerta TR. Personal health record use in the United States: forecasting future adoption levels. J Med Internet Res. 2016;18(3). Evans BA, Beverly CJ, Tsai P-F, Rettiganti M, Lefler LL, Parks RF. Older adults’ live demonstration of electronic personal health record use: factors mediating initial proficiency. Comput Inform Nurs. 2018. Hemsley B, Rollo M, Georgiou A, Balandin S, Hill S. The health literacy demands of electronic personal health records (e-PHRs): an integrative review to inform future inclusive research. Patient Educ Couns. 2017. Zhao JY, Song B, Anand E, Schwartz D, Panesar M, Jackson GP, Elkin PL. Barriers, facilitators, and solutions to optimal patient portal and personal health record use: a systematic review of the literature. In: AMIA Annual Symposium Proceedings, 2017. American Medical Informatics Association, p 1913. Padol PR, More HK, Mandre NV, Shimpi PN. Personal health records in cloud computing. 2018. Abdekhoda M, Ahmadi M, Dehnad A, Hosseini A. Information technology acceptance in health information management. Methods Inf Med. 2014;53(1):14–20. Abdekhoda M, Ahmadi M, Dehnad A, Noruzi A, Gohari M. Applying electronic medical records in health care: physicians’ perspective. Appl Clin Inf. 2016;7(2):341. Sohrabi M, Yee JYM, Nathan RJ. Critical success factors for the adoption of e-banking in Malaysia. Int Arab J Technol. 2013;3(2):76–81. Moriya S, Notani K, Murata A, Inoue N, Miura H. Analysis of moment structures for assessing relationships among perceived chewing ability, dentition status, muscle strength, and balance in community-dwelling older adults. Gerodontology. 2014;31(4):281–7. Kaelber DC, Jha AK, Johnston D, Middleton B, Bates DW. A research agenda for personal health records (PHRs). J Am Med Inform Assoc. 2008;15(6):729–36. Liu C-F, Tsai Y-C, Jang F-L. Patients’ acceptance towards a web-based personal health record system: an empirical study in Taiwan. Int J Environ Res Public Health. 2013;10(10):5191–208. Abdekhoda M, Salih KM. Determinant factors in applying picture archiving and communication systems (PACS) in healthcare. Perspect Health Inf Manag. 2017;14(Summer). Abdekhoda M, Ahmadi M, Hossini AF, Prikhani E, Farhadi A. Factors affecting information technology acceptance by health information management (HIM) staff of Tehran university of medical sciences’ hospitals based on the technology acceptance model (TAM) in 2011. J Payavard Salamat. 2013;7(4):287–98. Alrawashdeh TA, Muhairat MI, Alqatawnah SM. Factors affecting acceptance of web-based training system: using extended UTAUT and structural equation modeling. arXiv preprint arXiv:12051904. 2012. Tan GW-H, Ooi K-B, Sim J-J, Phusavat K. Determinants of mobile learning adoption: an empirical analysis. J Comput Inf Syst. 2012;52(3):82–91. Britto MT, Wimberg J. Pediatric personal health records: current trends and key challenges. Pediatrics. 2009;123(Supplement 2):S97–9. Detmer D, Bloomrosen M, Raymond B, Tang P. Integrated personal health records: transformative tools for consumer-centric care. BMC Med Inform Decis Mak. 2008;8(1):45. Yau GL, Williams AS, Brown JB. Family physicians’ perspectives on personal health records. Can Fam Physician. 2011;57(5):e178–84. Cushman R, Froomkin AM, Cava A, Abril P, Goodman KW. Ethical, legal and social issues for personal health records and applications. J Biomed Inform. 2010;43(5):S51–5.