Abstract
The health care sector has become increasingly interested in developing personal health record (PHR) systems as an Internet-based telehealthcare implementation to improve the quality and decrease the cost of care. However, the factors that influence patients’ intention to use PHR systems remain unclear. Based on physicians’ therapeutic expertise, we implemented a web-based infertile PHR system and proposed an extended Technology Acceptance Model (TAM) that integrates the physician-patient relationship (PPR) construct into TAM’s original perceived ease of use (PEOU) and perceived usefulness (PU) constructs to explore which factors will influence the behavioral intentions (BI) of infertile patients to use the PHR. From ninety participants from a medical center, 50 valid responses to a self-rating questionnaire were collected, yielding a response rate of 55.56%. The partial least squares (PLS) technique was used to assess the causal relationships that were hypothesized in the extended model. The results indicate that infertile patients expressed a moderately high intention to use the PHR system. The PPR and PU of patients had significant effects on their BI to use PHR, whereas the PEOU indirectly affected the patients’ BI through the PU. This investigation confirms that PPR can have a critical role in shaping patients’ perceptions of the use of healthcare information technologies. Hence, we suggest that hospitals should promote the potential usefulness of PHR and improve the quality of the physician-patient relationship to increase patients’ intention of using PHR.
Highlights
A total of three patients withdrew from the study, 35 patients lost their access permissions before the end of study because they did not use the system for seven consecutive days, and 52 people completed the study
Based on the findings we suggest that healthcare institutions should select patients and physicians that have superior physician-patient relationship (PPR) to promote the use of the personal health record (PHR) systems and to encourage medical teams to enhance PPRs whenever possible to promote the use of the
The results of this study provide initial insights into the functions that should be provided by a PHR system for infertility and, on the determinants of PHR acceptance by patients
Summary
The World Health Organization (WHO) has advised health care institutions to replace passive therapies with active prevention measures in patient care. Such progress involves the active participation of patients in treatment programs and their contribution to electronic medical records (EMRs). C. Peter Waegemann, CEO of the Medical Records Institute (MRI), differentiated the five stages of electronic health care records (from the lowest to the highest level of sophistication) as automated medical records, computerized medical records, EMRs, electronic patient records, and electronic health records (EHRs) [1].
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