A Study of Personal Health Record User’s Behavioral Model Based on the PMT and UTAUT Integrative Perspective

Hui-Lung Hsieh, Yu-Ming Kuo, Shiang-Ru Wang, Bi-Kun Chuang and Chung-Hung Tsai
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Hui-Lung Hsieh: Chu Shang Show Chwan Hospital, Nantou 557, Taiwan
Yu-Ming Kuo: Department of Marketing and Distribution, Tzu Chi University of Science and Technology, Hualien 970, Taiwan
Shiang-Ru Wang: Department of Business Administraiton, National Dong Hwa University, Hualien 974, Taiwan
Bi-Kun Chuang: Chu Shang Show Chwan Hospital, Nantou 557, Taiwan
Chung-Hung Tsai: Department of Health Administration, Tzu Chi University of Science and Technology, Hualien 974, Taiwan

IJERPH, 2016, vol. 14, issue 1, 1-14

Abstract: The personal health record (PHR) is a system that enables borderless medical care services by combining technological innovation and human consideration. This study explored factors affecting the adoption of PHR from technical, medical, and social perspectives according to the Protection Motivation Theory (PMT) and Unified Theory of Acceptance and Use of Technology (UTAUT) model. A survey using a structured questionnaire was subsequently conducted, which produced the following results: (1) The PMT and UTAUT were effective at predicting PHR usage behaviors; (2) Perceived ease-of-use was the most decisive factor influencing the use of PHR, followed by self-efficacy and perceived usefulness; and (3) Behavioral intention for PHR was significantly and positively correlated with usage behavior. From the obtained results, this study recommends that health authorities and medical institutions promote self-efficacy in the use of PHR to improve the levels of behavioral intention and usage behavior among the people. Additionally, medical care institutions are recommended to promote health management and preventive healthcare concepts to help improve public acceptance of the PHR system as a means to self-manage their health. Finally, community centers, medical institutions, and health authorities are urged to work together to enhance public medical knowledge and pool resources for the PHR system, both of which are essential for improving the popularity of the PHR, public quality of life, and the effectiveness of health management.

Keywords: personal health record; protection motivation theory; UTAUT model (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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