Understanding Healthcare Consumers’ Intention to use the Integrated Electronic Personal Health Record System in Saudi Arabia

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𝗕𝗮𝗰𝗸𝗴𝗿𝗼𝘂𝗻𝗱 𝗮𝗻𝗱 𝗢𝗯𝗷𝗲𝗰𝘁𝗶𝘃𝗲: Integrated electronic personal health record systems (ePHRs) have the potential to improve healthcare consumers’ health outcomes; however, the integrated ePHR system’ adoption and use remain low among healthcare consumers. Identifying and understanding the key predictors of healthcare consumers’ intentions to use an integrated ePHR system is highlighted as a fundamental approach to determine key areas for interventions enhancing future usage. This research, therefore, aims to (i) explain and understand Saudi healthcare consumers’ intentions to use the integrated ePHR system through identifying key predictors of their intentions; and investigate Saudi healthcare consumers’ attitudes and preferences towards sharing their health-related information. 𝗠𝗲𝘁𝗵𝗼𝗱𝘀: The research adopted and augmented the unified theory of acceptance and use of technology (UTAUT) with e-health literacy, trust, and perceived security concerns. A cross-sectional questionnaire survey was distributed, resulting in 794 valid responses. Besides, in September 2018, two focus group discussions were conducted. The SPSS and Amos 26 were used to analyse the collected quantitative data. 𝗥𝗲𝘀𝘂𝗹𝘁𝘀: 46.6% of respondents were not aware of implementing the integrated ePHR system in Saudi Arabia. The adapted research model explained 63% of the variance in behavioural intentions. Path analysis results showed that all our proposed key predictors were significant at the level of 0.001, except social influence which was significant at the level of 0.005. Additionally, the research model moderators' assessment revealed that only gender showed a significant moderating role in the relationships between exogenous and endogenous variables. This research further found that healthcare consumers' attitudes towards sharing their health-related information were significantly influenced by the class of recipients and the anonymization of individuals' health-related information. A total of 139 thoughts or ideas were extracted from 127 respondents’ comments. Usability theme-related factors were the highest mentioned factors in the respondents’ comments (63% of the comments). The focus group discussions' findings were consistent with the quantitative findings. 𝗖𝗼𝗻𝗰𝗹𝘂𝘀𝗶𝗼𝗻: The original contribution of this research is the empirically delivered validity evidence of a new extension that augments the UTAUT with three context-specific factors, along with their adapted measurement scales. This work also provides empirical evidence of Saudi healthcare consumers’ attitudes in the context of the integrated ePHR system. By explaining healthcare consumers’ usage intentions towards using the integrated ePHR system, the research offers practical implications and suggestions to healthcare providers, policymakers, and developers of health information technologies and systems to achieve high acceptance and use by healthcare consumers.
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