Abstract
BackgroundThe future of health care delivery is becoming more patient-focused, and electronic health record (EHR) portals are gaining more attention from worldwide governments that consider this technology as a valuable asset for the future sustainability of the national health care systems. Overall, this makes the adoption of EHR portals an important field to study.ObjectiveThe aim of this study is to understand the factors that drive individuals to adopt EHR portals.MethodsWe applied a new adoption model that combines 3 different theories, namely, extended unified theory of acceptance and use of technology, health belief model, and the diffusion of innovation; all the 3 theories provided relevant contributions for the understanding of EHR portals. To test the research model, we used the partial least squares causal modeling approach. We executed a national survey based on randomly generated mobile phone numbers. We collected 139 questionnaires.ResultsPerformance expectancy (beta=.203; t=2.699), compatibility (beta=.530; t=6.189), and habit (beta=.251; t=2.660) have a statistically significant impact on behavior intention (R2=76.0%). Habit (beta=.378; t=3.821), self-perception (beta=.233; t=2.971), and behavior intention (beta=.263; t=2.379) have a statistically significant impact on use behavior (R2=61.8%). In addition, behavior intention (beta=.747; t=10.737) has a statistically significant impact on intention to recommend (R2=69.0%), results demonstrability (beta=.403; t=2.888) and compatibility (beta=.337; t=2.243) have a statistically significant impact on effort expectancy (R2=48.3%), and compatibility (beta=.594; t=6.141) has a statistically significant impact on performance expectancy (R2=42.7%).ConclusionsOur research model yields very good results, with relevant R2 in the most important dependent variables that help explain the adoption of EHR portals, behavior intention, and use behavior.
Highlights
IntroductionOverview The electronic health record (EHR) portal or an EHR patient portal is a technology that combines an EHR system and a patient portal where patients can communicate with their health care providers (eg, send messages, schedule medical appointments, and request prescription refills online) and access their EHR and medical exams results [1,2,3]
Overview The electronic health record (EHR) portal or an EHR patient portal is a technology that combines an EHR system and a patient portal where patients can communicate with their health care providers and access their EHR and medical exams results [1,2,3]
As EHR portals are a new technology focused on consumer health [2,3], our research model is a combination of UTAUT2 [26], self-perception, a construct from the health belief model (HBM) [2,23,30,34,35], and a framework based on the diffusion of innovation (DOI) model [32,33,36]
Summary
Overview The electronic health record (EHR) portal or an EHR patient portal is a technology that combines an EHR system and a patient portal where patients can communicate with their health care providers (eg, send messages, schedule medical appointments, and request prescription refills online) and access their EHR and medical exams results [1,2,3]. EpSOS focuses on developing a practical information and communication technology infrastructure that will enable secure access to patient information, including EHR among different European countries [3]. The future of health care delivery is becoming more patient-focused, and electronic health record (EHR) portals are gaining more attention from worldwide governments that consider this technology as a valuable asset for the future sustainability of the national health care systems. Overall, this makes the adoption of EHR portals an important field to study
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