IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i2p1347-d1032593.html
   My bibliography  Save this article

The Use of a Technology Acceptance Model (TAM) to Predict Patients’ Usage of a Personal Health Record System: The Role of Security, Privacy, and Usability

Author

Listed:
  • Adi Alsyouf

    (Department of Managing Health Services & Hospitals, Faculty of Business Rabigh, College of Business (COB), King Abdulaziz University, Jeddah 21991, Saudi Arabia)

  • Abdalwali Lutfi

    (Department of Accounting, College of Business (COB), King Faisal University, Al-Ahsa 31982, Saudi Arabia
    Applied Science Research Center, Applied Science Private University, Amman 11931, Jordan)

  • Nizar Alsubahi

    (Department of Health Services and Hospitals Administration, Faculty of Economics and Administration, King Abdulaziz University, Jeddah 21589, Saudi Arabia
    Department of Health Services Research, Faculty of Health, Medicine, and Life Sciences, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands)

  • Fahad Nasser Alhazmi

    (Department of Health Services and Hospitals Administration, Faculty of Economics and Administration, King Abdulaziz University, Jeddah 21589, Saudi Arabia)

  • Khalid Al-Mugheed

    (Nursing College, Riyadh Elm University, Riyadh 13244, Saudi Arabia)

  • Rami J. Anshasi

    (Prosthodontics Department, Faculty of Dentistry, Jordan University of Science and Technology, Irbid 22110, Jordan)

  • Nora Ibrahim Alharbi

    (Department of Business Administration, College of Business Administration (CBA), University of Business and Technology (UBT), Jeddah 23435, Saudi Arabia)

  • Moteb Albugami

    (Department of Management Information Systems, College of Business (COB) Rabigh, King Abdulaziz University, P.O. Box 344, Jeddah 21991, Saudi Arabia)

Abstract

Personal health records (PHR) systems are designed to ensure that individuals have access and control over their health information and to support them in being active participants rather than passive ones in their healthcare process. Yet, PHR systems have not yet been widely adopted or used by consumers despite their benefits. For these advantages to be realized, adoption of the system is necessary. In this study, we examined how self-determination of health management influences individuals’ intention to implement a PHR system, i.e., their ability to actively manage their health. Using an extended technology acceptance model (TAM), the researchers developed and empirically tested a model explaining public adoption of PHRs. In total, 389 Saudi Arabian respondents were surveyed in a quantitative cross-sectional design. The hypotheses were analysed using structural equation modelling–partial least squares (SEM-PLS4). Results indicate that PHR system usage was influenced by three major factors: perceived ease of use (PEOU), perceived usefulness (PU), and security towards intention to use. PHR PEOU and PHR intention to use were also found to be moderated by privacy, whereas usability positively moderated PHR PEOU and PHR intention to use and negatively moderated PHR PU and PHR intention to use. For the first time, this study examined the use of personal health records in Saudi Arabia, including the extension of the TAM model as well as development of a context-driven model that examines the relationship between privacy, security, usability, and the use of PHRs. Furthermore, this study fills a gap in the literature regarding the moderating effects of privacy influence on PEOU and intention to use. Further, the moderating effects of usability on the relationship between PEOU, PU, and intention to use. Study findings are expected to assist government agencies, health policymakers, and health organizations around the world, including Saudi Arabia, in understanding the adoption of personal health records.

Suggested Citation

  • Adi Alsyouf & Abdalwali Lutfi & Nizar Alsubahi & Fahad Nasser Alhazmi & Khalid Al-Mugheed & Rami J. Anshasi & Nora Ibrahim Alharbi & Moteb Albugami, 2023. "The Use of a Technology Acceptance Model (TAM) to Predict Patients’ Usage of a Personal Health Record System: The Role of Security, Privacy, and Usability," IJERPH, MDPI, vol. 20(2), pages 1-24, January.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1347-:d:1032593
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/2/1347/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/20/2/1347/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Rytis Maskeliūnas & Robertas Damaševičius & Sagiv Segal, 2019. "A Review of Internet of Things Technologies for Ambient Assisted Living Environments," Future Internet, MDPI, vol. 11(12), pages 1-23, December.
    2. Sven Kernebeck & Theresa Sophie Busse & Chantal Jux & Larissa Alice Dreier & Dorothee Meyer & Daniel Zenz & Boris Zernikow & Jan Peter Ehlers, 2022. "Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach," IJERPH, MDPI, vol. 19(6), pages 1-18, March.
    3. Fred D. Davis & Richard P. Bagozzi & Paul R. Warshaw, 1989. "User Acceptance of Computer Technology: A Comparison of Two Theoretical Models," Management Science, INFORMS, vol. 35(8), pages 982-1003, August.
    4. Ashraf Elsafty & Islam M. Elbouseery & Ashraf Shaarawy, 2020. "Factors Affecting the Behavioral Intention to Use Standalone Electronic Personal Health Record Applications by Adults in Egypt," Business and Management Studies, Redfame publishing, vol. 6(4), pages 14-35, December.
    5. Chung-Feng Liu & Yung-Chieh Tsai & Fong-Lin Jang, 2013. "Patients’ Acceptance towards a Web-Based Personal Health Record System: An Empirical Study in Taiwan," IJERPH, MDPI, vol. 10(10), pages 1-18, October.
    6. Sara Chimento-Díaz & Pablo Sánchez-García & Cristina Franco-Antonio & Esperanza Santano-Mogena & Isabel Espino-Tato & Sergio Cordovilla-Guardia, 2022. "Factors Associated with the Acceptance of New Technologies for Ageing in Place by People over 64 Years of Age," IJERPH, MDPI, vol. 19(5), pages 1-18, March.
    7. Christy M. Cheung & Matthew K. Lee, 2001. "Trust in Internet Shopping: Instrument Development and Validation through Classical and Modern Approaches," Journal of Global Information Management (JGIM), IGI Global, vol. 9(3), pages 23-35, July.
    8. Hui-Lung Hsieh & Yu-Ming Kuo & Shiang-Ru Wang & Bi-Kun Chuang & Chung-Hung Tsai, 2016. "A Study of Personal Health Record User’s Behavioral Model Based on the PMT and UTAUT Integrative Perspective," IJERPH, MDPI, vol. 14(1), pages 1-14, December.
    9. Abdalwali Lutfi & Akif Lutfi Al-Khasawneh & Mohammed Amin Almaiah & Ahmad Farhan Alshira’h & Malek Hamed Alshirah & Adi Alsyouf & Mahmaod Alrawad & Ahmad Al-Khasawneh & Mohamed Saad & Rommel Al Ali, 2022. "Antecedents of Big Data Analytic Adoption and Impacts on Performance: Contingent Effect," Sustainability, MDPI, vol. 14(23), pages 1-23, November.
    10. Francesco Infarinato & Stephanie Jansen-Kosterink & Paola Romano & Lex van Velsen & Harm op den Akker & Federica Rizza & Marco Ottaviani & Sofoklis Kyriazakos & Beatrix Wais-Zechmann & Markus Garschal, 2020. "Acceptance and Potential Impact of the eWALL Platform for Health Monitoring and Promotion in Persons with a Chronic Disease or Age-Related Impairment," IJERPH, MDPI, vol. 17(21), pages 1-17, October.
    11. Abdalwali Lutfi & Ahmad Farhan Alshira’h & Malek Hamed Alshirah & Manaf Al-Okaily & Hamza Alqudah & Mohamed Saad & Nahla Ibrahim & Osama Abdelmaksoud, 2022. "Antecedents and Impacts of Enterprise Resource Planning System Adoption among Jordanian SMEs," Sustainability, MDPI, vol. 14(6), pages 1-18, March.
    12. Abdalwali Lutfi & Adi Alsyouf & Mohammed Amin Almaiah & Mahmaod Alrawad & Ahmed Abdullah Khalil Abdo & Akif Lutfi Al-Khasawneh & Nahla Ibrahim & Mohamed Saad, 2022. "Factors Influencing the Adoption of Big Data Analytics in the Digital Transformation Era: Case Study of Jordanian SMEs," Sustainability, MDPI, vol. 14(3), pages 1-17, February.
    13. Carey Mather & Helen Almond, 2022. "Using COMPASS ( Context Optimisation Model for Person-Centred Analysis and Systematic Solutions ) Theory to Augment Implementation of Digital Health Solutions," IJERPH, MDPI, vol. 19(12), pages 1-14, June.
    14. Abdalwali Lutfi & Mohamed Saad & Mohammed Amin Almaiah & Abdallah Alsaad & Ahmad Al-Khasawneh & Mahmaod Alrawad & Adi Alsyouf & Akif Lutfi Al-Khasawneh, 2022. "Actual Use of Mobile Learning Technologies during Social Distancing Circumstances: Case Study of King Faisal University Students," Sustainability, MDPI, vol. 14(12), pages 1-18, June.
    15. Adi Alsyouf & Ra’ed Masa’deh & Moteb Albugami & Mohammad Al-Bsheish & Abdalwali Lutfi & Nizar Alsubahi, 2021. "Risk of Fear and Anxiety in Utilising Health App Surveillance Due to COVID-19: Gender Differences Analysis," Risks, MDPI, vol. 9(10), pages 1-19, October.
    16. Mengting Cheng & Xianmiao Li & Jicheng Xu, 2022. "Promoting Healthcare Workers’ Adoption Intention of Artificial-Intelligence-Assisted Diagnosis and Treatment: The Chain Mediation of Social Influence and Human–Computer Trust," IJERPH, MDPI, vol. 19(20), pages 1-19, October.
    17. Xian-Xian Liu & Jie Yang & Simon Fong & Nilanjan Dey & Richard C. Millham & Jinan Fiaidhi, 2022. "All-People-Test-Based Methods for COVID-19 Infectious Disease Dynamics Simulation Model: Towards Citywide COVID Testing," IJERPH, MDPI, vol. 19(17), pages 1-23, September.
    18. Viswanath Venkatesh & Fred D. Davis, 2000. "A Theoretical Extension of the Technology Acceptance Model: Four Longitudinal Field Studies," Management Science, INFORMS, vol. 46(2), pages 186-204, February.
    19. Adi Alsyouf & Abdalwali Lutfi & Mohammad Al-Bsheish & Mu’taman Jarrar & Khalid Al-Mugheed & Mohammed Amin Almaiah & Fahad Nasser Alhazmi & Ra’ed Masa’deh & Rami J. Anshasi & Abdallah Ashour, 2022. "Exposure Detection Applications Acceptance: The Case of COVID-19," IJERPH, MDPI, vol. 19(12), pages 1-26, June.
    20. Abdalwali Lutfi & Saleh Nafeth Alkelani & Malak Akif Al-Khasawneh & Ahmad Farhan Alshira’h & Malek Hamed Alshirah & Mohammed Amin Almaiah & Mahmaod Alrawad & Adi Alsyouf & Mohamed Saad & Nahla Ibrahim, 2022. "Influence of Digital Accounting System Usage on SMEs Performance: The Moderating Effect of COVID-19," Sustainability, MDPI, vol. 14(22), pages 1-23, November.
    21. Ahmad Farhan Alshira’h & Moh’d Alsqour & Abdalwali Lutfi & Adi Alsyouf & Malek Alshirah, 2020. "A Socio-Economic Model of Sales Tax Compliance," Economies, MDPI, vol. 8(4), pages 1-15, October.
    22. Adi Alsyouf & Awanis Ku Ishak & Abdalwali Lutfi & Fahad Nasser Alhazmi & Manaf Al-Okaily, 2022. "The Role of Personality and Top Management Support in Continuance Intention to Use Electronic Health Record Systems among Nurses," IJERPH, MDPI, vol. 19(17), pages 1-30, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Luiz Philipi Calegari & Guilherme Luz Tortorella & Diego Castro Fettermann, 2023. "Getting Connected to M-Health Technologies through a Meta-Analysis," IJERPH, MDPI, vol. 20(5), pages 1-33, February.
    2. Jun Hwan Kim & Woon-Kyung Song & Hyun Cheol Lee, 2023. "Exploring the Determinants of Travelers’ Intention to Use the Airport Biometric System: A Korean Case Study," Sustainability, MDPI, vol. 15(19), pages 1-21, September.
    3. Yuen, Kum Fai & Chua, Jie Ying & Li, Xue & Wang, Xueqin, 2023. "The determinants of users’ intention to adopt telehealth: Health belief, perceived value and self-determination perspectives," Journal of Retailing and Consumer Services, Elsevier, vol. 73(C).
    4. Hamza Alqudah & Mohammad Al-Qudah & Yazan Abu Huson & Abdalwali Lutfi & Mahmaod Alrawad & Mohammed Amin Almaiah, 2024. "A Decade of Green Economic Literature: An Analysis-Based Bibliometric," International Journal of Energy Economics and Policy, Econjournals, vol. 14(3), pages 497-511, May.
    5. Abdalwali Lutfi & Hamza Alqudah, 2023. "The Influence of Technological Factors on the Computer-Assisted Audit Tools and Techniques Usage during COVID-19," Sustainability, MDPI, vol. 15(9), pages 1-22, May.
    6. Abdalwali Lutfi & Hamza Alqudah & Khaleel Ibrahim Al-Daoud & Nidal Zaqeeba & Mahmaod Alrawad & Mohammed Amin Almaiah, 2024. "Technology factors and ERP system efficiency in the Jordanian industrial firms: does company size matter?," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-13, December.
    7. Ji Luo & Sayed Fayaz Ahmad & Asma Alyaemeni & Yuhan Ou & Muhammad Irshad & Randah Alyafi-Alzahri & Ghadeer Alsanie & Syeda Taj Unnisa, 2024. "Role of perceived ease of use, usefulness, and financial strength on the adoption of health information systems: the moderating role of hospital size," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-12, December.
    8. Mohamed Elhassan Seliaman & Mohammed Suliman Albahly, 2023. "The Reasons for Physicians and Pharmacists’ Acceptance of Clinical Support Systems in Saudi Arabia," IJERPH, MDPI, vol. 20(4), pages 1-19, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Adi Alsyouf & Awanis Ku Ishak & Abdalwali Lutfi & Fahad Nasser Alhazmi & Manaf Al-Okaily, 2022. "The Role of Personality and Top Management Support in Continuance Intention to Use Electronic Health Record Systems among Nurses," IJERPH, MDPI, vol. 19(17), pages 1-30, September.
    2. Lutfi, Abdalwali & Alrawad, Mahmaod & Alsyouf, Adi & Almaiah, Mohammed Amin & Al-Khasawneh, Ahmad & Al-Khasawneh, Akif Lutfi & Alshira'h, Ahmad Farhan & Alshirah, Malek Hamed & Saad, Mohamed & Ibrahim, 2023. "Drivers and impact of big data analytic adoption in the retail industry: A quantitative investigation applying structural equation modeling," Journal of Retailing and Consumer Services, Elsevier, vol. 70(C).
    3. Alrawad, Mahmaod & Lutfi, Abdalwali & Alyatama, Sundus & Al Khattab, Adel & Alsoboa, Sliman S. & Almaiah, Mohammed Amin & Ramadan, Mujtaba Hashim & Arafa, Hussin Mostafa & Ahmed, Nazar Ali & Alsyouf, , 2023. "Assessing customers perception of online shopping risks: A structural equation modeling–based multigroup analysis," Journal of Retailing and Consumer Services, Elsevier, vol. 71(C).
    4. Adi Alsyouf & Abdalwali Lutfi & Mohammad Al-Bsheish & Mu’taman Jarrar & Khalid Al-Mugheed & Mohammed Amin Almaiah & Fahad Nasser Alhazmi & Ra’ed Masa’deh & Rami J. Anshasi & Abdallah Ashour, 2022. "Exposure Detection Applications Acceptance: The Case of COVID-19," IJERPH, MDPI, vol. 19(12), pages 1-26, June.
    5. Mahmaod Alrawad & Abdalwali Lutfi & Mohammed Amin Almaiah & Adi Alsyouf & Hussin Mostafa Arafa & Yasser Soliman & Ibrahim A. Elshaer, 2023. "A Novel Framework of Public Risk Assessment Using an Integrated Approach Based on AHP and Psychometric Paradigm," Sustainability, MDPI, vol. 15(13), pages 1-17, June.
    6. Abdalwali Lutfi & Saleh Nafeth Alkelani & Malak Akif Al-Khasawneh & Ahmad Farhan Alshira’h & Malek Hamed Alshirah & Mohammed Amin Almaiah & Mahmaod Alrawad & Adi Alsyouf & Mohamed Saad & Nahla Ibrahim, 2022. "Influence of Digital Accounting System Usage on SMEs Performance: The Moderating Effect of COVID-19," Sustainability, MDPI, vol. 14(22), pages 1-23, November.
    7. Yuan Tang & Yu-Tao Yang & Yun-Fei Shao, 2019. "Acceptance of Online Medical Websites: An Empirical Study in China," IJERPH, MDPI, vol. 16(6), pages 1-22, March.
    8. Abdalwali Lutfi & Hamza Alqudah & Mahmaod Alrawad & Ahmad Farhan Alshira’h & Malek Hamed Alshirah & Mohammed Amin Almaiah & Adi Alsyouf & Mohammed Faisal Hassan, 2023. "Green Environmental Management System to Support Environmental Performance: What Factors Influence SMEs to Adopt Green Innovations?," Sustainability, MDPI, vol. 15(13), pages 1-20, July.
    9. Mohammed Amin Almaiah & Shaha Al-Otaibi & Rima Shishakly & Lamia Hassan & Abdalwali Lutfi & Mahmoad Alrawad & Mohammad Qatawneh & Orieb Abu Alghanam, 2023. "Investigating the Role of Perceived Risk, Perceived Security and Perceived Trust on Smart m-Banking Application Using SEM," Sustainability, MDPI, vol. 15(13), pages 1-17, June.
    10. Abdalwali Lutfi & Manaf Al-Okaily & Adi Alsyouf & Mahmaod Alrawad, 2022. "Evaluating the D&M IS Success Model in the Context of Accounting Information System and Sustainable Decision Making," Sustainability, MDPI, vol. 14(13), pages 1-17, July.
    11. Abdalwali Lutfi & Ahmad Farhan Alshira’h & Malek Hamed Alshirah & Manaf Al-Okaily & Hamza Alqudah & Mohamed Saad & Nahla Ibrahim & Osama Abdelmaksoud, 2022. "Antecedents and Impacts of Enterprise Resource Planning System Adoption among Jordanian SMEs," Sustainability, MDPI, vol. 14(6), pages 1-18, March.
    12. Chung-Hung Tsai, 2014. "Integrating Social Capital Theory, Social Cognitive Theory, and the Technology Acceptance Model to Explore a Behavioral Model of Telehealth Systems," IJERPH, MDPI, vol. 11(5), pages 1-21, May.
    13. Philippe Cohard, 2020. "Information Systems Values: A Study of the Intranet in Three French Higher Education Institutions," Post-Print hal-02987225, HAL.
    14. Melih Engin & Fatih Gürses, 2019. "Adoption of Hospital Information Systems in Public Hospitals in Turkey: An Analysis with the Unified Theory of Acceptance and Use of Technology Model," International Journal of Innovation and Technology Management (IJITM), World Scientific Publishing Co. Pte. Ltd., vol. 16(06), pages 1-19, October.
    15. Morosan, Cristian, 2016. "An empirical examination of U.S. travelers’ intentions to use biometric e-gates in airports," Journal of Air Transport Management, Elsevier, vol. 55(C), pages 120-128.
    16. Tsung Teng Chen, 2012. "The development and empirical study of a literature review aiding system," Scientometrics, Springer;Akadémiai Kiadó, vol. 92(1), pages 105-116, July.
    17. Abdesamad Zouine & Pierre Fenies, 2014. "The Critical Success Factors Of The ERP System Project: A Meta-Analysis Methodology," Post-Print hal-01419785, HAL.
    18. Debora Bettiga & Lucio Lamberti & Emanuele Lettieri, 2020. "Individuals’ adoption of smart technologies for preventive health care: a structural equation modeling approach," Health Care Management Science, Springer, vol. 23(2), pages 203-214, June.
    19. Chen-Yuan Chen & Bih-Yaw Shih & Shih-Hsien Yu, 2012. "Disaster prevention and reduction for exploring teachers’ technology acceptance using a virtual reality system and partial least squares techniques," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 62(3), pages 1217-1231, July.
    20. Paul Juinn Bing Tan, 2013. "Applying the UTAUT to Understand Factors Affecting the Use of English E-Learning Websites in Taiwan," SAGE Open, , vol. 3(4), pages 21582440135, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1347-:d:1032593. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.