Yousef Consuela Cheriece, Salgado Teresa M, Farooq Ali, Burnett Keisha, McClelland Laura E, Thomas Abin, Alenazi Ahmed O, Abu Esba Laila Carolina, AlAzmi Aeshah, Alhameed Abrar Fahad, Hattan Ahmed, Elgadi Sumaya, Almekhloof Saleh, AlShammary Mohammed A, Alanezi Nazzal Abdullah, Alhamdan Hani Solaiman, Khoshhal Sahal, DeShazo Jonathan P
Pharmaceutical Care Department, Ministry of National Guard-Health Affairs, Dammam, Saudi Arabia.
King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
JMIR Med Inform. 2021 Aug 17;9(8):e30214. doi: 10.2196/30214.
With the rise in the use of information and communication technologies in health care, patients have been encouraged to use eHealth tools such as personal health records (PHRs) for better health and well-being services. PHRs support patient-centered care and patient engagement. To support the achievement of the Kingdom of Saudi Arabia's Vision 2030 ambitions, the National Transformation program provides a framework to use PHRs in meeting the 3-fold aim for health care-increased access, reduced cost, and improved quality of care-and to provide patient- and person-centered care. However, there has been limited research on PHR uptake within the country.
Using the Unified Theory of Acceptance and Use of Technology (UTAUT) as the theoretical framework, this study aims at identifying predictors of patient intention to utilize the Ministry of National Guard-Health Affairs PHR (MNGHA Care) app.
Using secondary data from a cross-sectional survey, data measuring the intention to use the MNGHA Care app, along with its predictors, were collected from among adults (n=324) visiting Ministry of National Guard-Health Affairs facilities in Riyadh, Jeddah, Dammam, Madinah, Al Ahsa, and Qassim. The relationship of predictors (main theory constructs) and moderators (age, gender, and experience with health apps) with the dependent variable (intention to use MNGHA Care) was tested using hierarchical multiple regression.
Of the eligible population, a total of 261 adult patients were included in the analysis. They had a mean age of 35.07 (SD 9.61) years, 50.6 % were male (n=132), 45.2% had university-level education (n=118), and 53.3% had at least 1 chronic medical condition (n=139). The model explained 48.9% of the variance in behavioral intention to use the PHR (P=.38). Performance expectancy, effort expectancy, and positive attitude were significantly associated with behavioral intention to use the PHR (P<.05). Prior experience with health apps moderated the relationship between social influence and behavioral intention to use the PHR (P=.04).
This study contributes to the existing literature on PHR adoption broadly as well as in the context of the Kingdom of Saudi Arabia. Understanding which factors are associated with patient adoption of PHRs can guide future development and support the country's aim of transforming the health care system. Similar to previous studies on PHR adoption, performance expectancy, effort expectancy, and positive attitude are important factors, and practical consideration should be given to support these areas.
随着信息通信技术在医疗保健领域的应用日益广泛，患者被鼓励使用诸如个人健康记录（PHR）等电子健康工具，以获得更好的健康和幸福服务。个人健康记录支持以患者为中心的护理和患者参与。为支持沙特阿拉伯王国实现2030年愿景目标，国家转型计划提供了一个框架，用于利用个人健康记录实现医疗保健的三重目标——增加可及性、降低成本和提高护理质量，并提供以患者和个人为中心的护理。然而，该国对个人健康记录使用情况的研究有限。
本研究以技术接受与使用统一理论（UTAUT）为理论框架，旨在确定患者使用国民卫队卫生事务部个人健康记录（MNGHA Care）应用程序意愿的预测因素。
利用横断面调查的二手数据，从利雅得、吉达、达曼、麦地那、艾哈萨和卡西姆等地访问国民卫队卫生事务部设施的成年人（n = 324）中收集衡量使用MNGHA Care应用程序意愿及其预测因素的数据。使用分层多元回归检验预测因素（主要理论结构）和调节因素（年龄、性别以及健康应用程序使用经验）与因变量（使用MNGHA Care的意愿）之间的关系。
在符合条件的人群中，共有261名成年患者纳入分析。他们的平均年龄为35.07（标准差9.61）岁，50.6%为男性（n = 132），45.2%拥有大学学历（n = 118），53.3%至少患有一种慢性疾病（n = 139）。该模型解释了使用个人健康记录行为意愿中48.9%的方差（P =.38）。绩效期望、努力期望和积极态度与使用个人健康记录的行为意愿显著相关（P <.05）。健康应用程序的既往使用经验调节了社会影响与使用个人健康记录行为意愿之间的关系（P =.04）。
本研究对关于个人健康记录采用的现有文献做出了贡献，无论是在广义上还是在沙特阿拉伯王国背景下。了解哪些因素与患者采用个人健康记录相关，可以为未来的发展提供指导，并支持该国医疗保健系统转型的目标。与先前关于个人健康记录采用的研究类似，绩效期望、努力期望和积极态度是重要因素，应给予实际考虑以支持这些方面。
