Department of Communication, College of Liberal Arts and Sciences, Villanova University.
Department of Communication Studies, College of Arts, Media and Design, Northeastern University.
Health Commun. 2021 Dec;36(14):1990-2001. doi: 10.1080/10410236.2020.1811024. Epub 2020 Aug 27.
Many healthcare clinics encourage the use of online patient portals so that patients can have easier access to their health information, yet some patients are hesitant to interact with these portals. We used social cognitive theory to develop and test a theoretically grounded model that incorporates several (1) technological factors, (2) individual factors, and (3) social factors that influence individuals' post-adoption, active use of patient portals. Based on cross-sectional survey data from a sample of healthcare clinic patients ( = 431), we found that individuals' severity of illness predicted active use of patient portals and that trust in doctors predicted attitudes toward patient portals. Moreover, attitudes toward patient portals mediated the relationship between technology factors (i.e., perceived usefulness, ease of use, customization, and interactivity), and active use of patient portals. The paper concludes with a discussion of key findings, implications, and directions for future research.
许多医疗诊所鼓励使用在线患者门户，以便患者更轻松地访问他们的健康信息，但有些患者对这些门户犹豫不决。我们使用社会认知理论来开发和测试一个理论基础模型，该模型包含几个 (1) 技术因素、(2) 个人因素和 (3) 社会因素，这些因素会影响个人对患者门户的采用后积极使用。基于来自医疗诊所患者样本的横断面调查数据（= 431），我们发现个体的疾病严重程度预测了对患者门户的积极使用，而对医生的信任预测了对患者门户的态度。此外，对患者门户的态度在技术因素（即感知有用性、易用性、定制和交互性）与患者门户的积极使用之间起中介作用。本文最后讨论了主要发现、意义和未来研究方向。
