Faculty of Linguistics and Information Science, University of Hildesheim, 31141 Hildesheim, Germany.
Digital Health Center, Hasso Plattner Institute for Digital Engineering gGmbH, University of Potsdam, 14482 Potsdam, Germany.
Int J Environ Res Public Health. 2021 Sep 10;18(18):9553. doi: 10.3390/ijerph18189553.
Germany's electronic patient record ("ePA") launched in 2021 with several attempts and years of delay. The development of such a large-scale project is a complex task, and so is its adoption. Individual attitudes towards an electronic health record are crucial, as individuals can reject opting-in to it and making any national efforts unachievable. Although the integration of an electronic health record serves potential benefits, it also constitutes risks for an individual's privacy. With a mixed-methods study design, this work provides evidence that different types of motivations and contextual privacy antecedents affect usage intentions towards the ePA. Most significantly, individual motivations stemming from feelings of volition or external mandates positively affect ePA adoption, although internal incentives are more powerful.
德国的电子患者档案（“ePA”）于 2021 年推出，历经多次尝试和多年的延迟。这样一个大型项目的开发是一项复杂的任务，其采用也是如此。个人对电子健康记录的态度至关重要，因为个人可以拒绝选择加入并使任何国家的努力都无法实现。尽管电子健康记录的整合具有潜在的好处，但它也构成了个人隐私的风险。本研究采用混合方法设计，提供了证据表明，不同类型的动机和情境隐私前因会影响对 ePA 的使用意愿。最重要的是，源于意志感或外部命令的个体动机对 ePA 的采用有积极影响，尽管内部激励更为有力。
