Open AccessHealth Care Providers’ Acceptance of a Personal Health Record: Cross-sectional Study
Author(s) -
Consuela Cheriece Yousef,
Teresa M. Salgado,
Ali Farooq,
Keisha Burnett,
Laura E. McClelland,
Laila Carolina Abu Esba,
Hani Alhamdan,
Sahal Khoshhal,
Ibrahim Aldossary,
Omar Anwar Alyas,
Jonathan P. DeShazo
Publication year - 2021
Publication title -
jmir. journal of medical internet research/journal of medical internet research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.446
H-Index - 142
eISSN - 1439-4456
pISSN - 1438-8871
DOI - 10.2196/31582
Subject(s) - expectancy theory , structural equation modeling , theory of planned behavior , ehealth , health care , unified theory of acceptance and use of technology , patient portal , cross sectional study , computer assisted web interviewing , nursing , medicine , psychology , family medicine , social psychology , control (management) , statistics , business , mathematics , management , pathology , marketing , economics , economic growth
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 (β=.17, P =.03) and attitude (β=.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.