Next Article in Journal
Empirical Analysis and Modeling of Stop-Line Crossing Time and Speed at Signalized Intersections
Previous Article in Journal
Residential Proximity to Major Roadways and Risk of Type 2 Diabetes Mellitus: A Meta-Analysis
Article Menu
Issue 1 (January) cover image

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2017, 14(1), 8; doi:10.3390/ijerph14010008

A Study of Personal Health Record User’s Behavioral Model Based on the PMT and UTAUT Integrative Perspective

Chu Shang Show Chwan Hospital, Nantou 557, Taiwan
Department of Marketing and Distribution, Tzu Chi University of Science and Technology, Hualien 970, Taiwan
Department of Business Administraiton, National Dong Hwa University, Hualien 974, Taiwan
Department of Health Administration, Tzu Chi University of Science and Technology, Hualien 974, Taiwan
Author to whom correspondence should be addressed.
Academic Editor: George Crooks
Received: 24 October 2016 / Revised: 19 December 2016 / Accepted: 19 December 2016 / Published: 23 December 2016
(This article belongs to the Section Global Health)
View Full-Text   |   Download PDF [808 KB, uploaded 23 December 2016]   |  


The personal health record (PHR) is a system that enables borderless medical care services by combining technological innovation and human consideration. This study explored factors affecting the adoption of PHR from technical, medical, and social perspectives according to the Protection Motivation Theory (PMT) and Unified Theory of Acceptance and Use of Technology (UTAUT) model. A survey using a structured questionnaire was subsequently conducted, which produced the following results: (1) The PMT and UTAUT were effective at predicting PHR usage behaviors; (2) Perceived ease-of-use was the most decisive factor influencing the use of PHR, followed by self-efficacy and perceived usefulness; and (3) Behavioral intention for PHR was significantly and positively correlated with usage behavior. From the obtained results, this study recommends that health authorities and medical institutions promote self-efficacy in the use of PHR to improve the levels of behavioral intention and usage behavior among the people. Additionally, medical care institutions are recommended to promote health management and preventive healthcare concepts to help improve public acceptance of the PHR system as a means to self-manage their health. Finally, community centers, medical institutions, and health authorities are urged to work together to enhance public medical knowledge and pool resources for the PHR system, both of which are essential for improving the popularity of the PHR, public quality of life, and the effectiveness of health management. View Full-Text
Keywords: personal health record; protection motivation theory; UTAUT model personal health record; protection motivation theory; UTAUT model

Figure 1

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. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Hsieh, H.-L.; Kuo, Y.-M.; Wang, S.-R.; Chuang, B.-K.; Tsai, C.-H. A Study of Personal Health Record User’s Behavioral Model Based on the PMT and UTAUT Integrative Perspective. Int. J. Environ. Res. Public Health 2017, 14, 8.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics



[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top