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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

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  • 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
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    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    6. 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.
    7. 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.
    8. 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.
    9. 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.
    10. 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.
    11. 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.
    12. 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.
    13. 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.
    14. 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.
    15. 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.
    16. 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.
    17. 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.
    18. 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.
    19. 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.
    20. 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.
    21. 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.
    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.
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