A study of the adoption behaviour of an Electronic Health Information Exchange System for a Green economy

Abstract

ABSTRACT Sustainable Development Goals (SDGs), 17 of which all nations of the world are targeting to achieve by 2030, are essential for a sustainable future. Two key aspects pertaining to good health and well-being, responsible production and consumption are integral to SDGs. Adoption of technologies like artificial intelligence and big data, presented by the fourth industrial revolution, can facilitate achieving these goals and also help establish a circular economy. In this paper, we study the concerns related to the security, privacy and confidentiality of personal information of patients in an Electronic Health Information Exchange (EHIE) System. This system helps achieve the two SDGs mentioned above and is linked to the adoption of green recovery efforts. The Antecedent, Privacy-Concern and Outcomes Micro Model (APCO) and the Theory of Planned Behaviour (TPB) are used in this study to develop testable hypotheses which have been corroborated through a survey. Aadhar Card based Medical Records EHIE, which the Government of India is planning to implement by 2030, has been taken as the case study. Adoption behaviour of the EHIE System is validated through this study. Three hundred fifty-seven responses across a wide range of demographic participants were received. The structural equation modelling technique (PL-SEM) was used to validate the hypotheses. This study has found that the EHIE System has a positive impact on the intention of citizens to use EHIE for exchange of health information.