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Int. J. Environ. Res. Public Health 2013, 10(10), 5191-5208; doi:10.3390/ijerph10105191
Article

Patients’ Acceptance towards a Web-Based Personal Health Record System: An Empirical Study in Taiwan

1
, 2,3,4
 and 5,*
Received: 1 August 2013; in revised form: 10 September 2013 / Accepted: 1 October 2013 / Published: 17 October 2013
(This article belongs to the Special Issue Advances in Telehealthcare)
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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.
Keywords: patients; personal health records; technology acceptance model; physician-patient relationship patients; personal health records; technology acceptance model; physician-patient relationship
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Liu, C.-F.; Tsai, Y.-C.; Jang, F.-L. Patients’ Acceptance towards a Web-Based Personal Health Record System: An Empirical Study in Taiwan. Int. J. Environ. Res. Public Health 2013, 10, 5191-5208.

AMA Style

Liu C-F, Tsai Y-C, Jang F-L. Patients’ Acceptance towards a Web-Based Personal Health Record System: An Empirical Study in Taiwan. International Journal of Environmental Research and Public Health. 2013; 10(10):5191-5208.

Chicago/Turabian Style

Liu, Chung-Feng; Tsai, Yung-Chieh; Jang, Fong-Lin. 2013. "Patients’ Acceptance towards a Web-Based Personal Health Record System: An Empirical Study in Taiwan." Int. J. Environ. Res. Public Health 10, no. 10: 5191-5208.


Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert