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.
Highlights
Taiwan has become an aging society since 1994, and in 2014, senior citizens made up 12% of its entire population
Community centers, medical institutions, and health authorities are urged to work together to enhance public medical knowledge and pool resources for the personal health record (PHR) system, both of which are essential for improving the popularity of the PHR, public quality of life, and the effectiveness of health management
The present study evaluated the questionnaire’s internal consistency using Cronbach’s α, composite reliability (CR), and the average variance extracted (AVE)
Summary
Taiwan has become an aging society since 1994, and in 2014, senior citizens made up 12% of its entire population. The aging index in Taiwan is still lower than those in Canada, Japan, and European countries, it is already higher than those in the United States, Australia, New Zealand, and most other Asian countries. People are paying more attention to their own health conditions with the advance in technologies and standard of living, for which numerous mobile applications (a cloud personal health monitoring systems) have been released. Among these mobile applications is the personal health record (PHR) system, whose design is based on the concept of preventive healthcare and is the most noteworthy of all [1]. Public Health 2017, 14, 8; doi:10.3390/ijerph14010008 www.mdpi.com/journal/ijerph
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