Hsu Chien-Lung, Lee Ming-Ren, Su Chien-Hui
Department of Information Management, Chang Gung University, 259, Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan 333, Taiwan, Republic of China,
J Med Syst. 2013 Oct;37(5):9966. doi: 10.1007/s10916-013-9966-z. Epub 2013 Sep 8.
Privacy protection is an important issue and challenge in healthcare information systems (HISs). Recently, some privacy-enhanced HISs are proposed. Users' privacy perception, intention, and attitude might affect the adoption of such systems. This paper aims to propose a privacy-enhanced HIS framework and investigate the role of privacy protection in HISs adoption. In the proposed framework, privacy protection, access control, and secure transmission modules are designed to enhance the privacy protection of a HIS. An experimental privacy-enhanced HIS is also implemented. Furthermore, we proposed a research model extending the unified theory of acceptance and use of technology by considering perceived security and information security literacy and then investigate user adoption of a privacy-enhanced HIS. The experimental results and analyses showed that user adoption of a privacy-enhanced HIS is directly affected by social influence, performance expectancy, facilitating conditions, and perceived security. Perceived security has a mediating effect between information security literacy and user adoption. This study proposes several implications for research and practice to improve designing, development, and promotion of a good healthcare information system with privacy protection.
隐私保护是医疗信息系统（HISs）中的一个重要问题和挑战。最近，一些增强隐私的医疗信息系统被提出来。用户的隐私感知、意图和态度可能会影响此类系统的采用。本文旨在提出一个增强隐私的医疗信息系统框架，并研究隐私保护在医疗信息系统采用中的作用。在所提出的框架中，隐私保护、访问控制和安全传输模块被设计用于增强医疗信息系统的隐私保护。一个实验性的增强隐私医疗信息系统也得以实现。此外，我们提出了一个研究模型，通过考虑感知安全性和信息安全素养来扩展技术接受与使用统一理论，然后研究用户对增强隐私医疗信息系统的采用情况。实验结果和分析表明，用户对增强隐私医疗信息系统的采用直接受到社会影响、绩效期望、便利条件和感知安全性的影响。感知安全性在信息安全素养和用户采用之间具有中介作用。本研究提出了若干对研究和实践的启示，以改进具有隐私保护的良好医疗信息系统的设计、开发和推广。
