Department of Health Informatics, Mettu University, Mettu, Ethiopia
Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
BMJ Health Care Inform. 2023 Mar;30(1). doi: 10.1136/bmjhci-2022-100707.
Personal health record systems allow users to manage their health information in a confidential manner. However, there is little evidence about healthcare providers' intentions to use such technologies in resource-limited settings. Therefore, this study aimed to assess predicting healthcare providers' acceptance of electronic personal health record systems.
An institutional-based cross-sectional study was conducted from 19 July to 23 August 2022 at teaching hospitals in the Amhara regional state of Ethiopia. A total of 638 health professionals participated in the study. Simple random sampling techniques were used to select the study participants. Structural equation modelling analysis was employed using AMOS V.26 software.
Perceived ease of use had a significant effect on the intention to use electronic personal health records (β=0. 377, p<0.01), perceived usefulness (β=0.104, p<0.05) and attitude (β=0.204, p<0.01); perceived ease of use and information technology experience had a significant effect on perceived usefulness (β=0.077, p<0.05); and digital literacy (β=0.087, p<0.05) and attitude had also a strong effect on intention to use electronic personal health records (β=0.361, p<0.01). The relationship between perceived ease of use and the intention to use was mediated by attitude (β=0.076, p<0.01).
Perceived ease of use, attitude and digital literacy had a significant effect on the intention to use electronic personal health records. The perceived ease of use had a greater influence on the intention to use electronic personal health record systems. Thus, capacity building and technical support could enhance health providers' acceptance of using electronic personal health records in Ethiopia.
个人健康记录系统允许用户以保密的方式管理自己的健康信息。然而，在资源有限的环境中，关于医疗保健提供者使用此类技术的意图的证据很少。因此，本研究旨在评估预测医疗保健提供者接受电子个人健康记录系统的意愿。
本研究于 2022 年 7 月 19 日至 8 月 23 日在埃塞俄比亚阿姆哈拉州的教学医院进行了一项基于机构的横断面研究。共有 638 名卫生专业人员参与了这项研究。采用简单随机抽样技术选择研究参与者。使用 AMOS V.26 软件进行结构方程模型分析。
感知易用性对使用电子个人健康记录的意愿（β=0.377，p<0.01）、感知有用性（β=0.104，p<0.05）和态度（β=0.204，p<0.01）有显著影响；感知易用性和信息技术经验对感知有用性有显著影响（β=0.077，p<0.05）；数字素养（β=0.087，p<0.05）和态度也对使用电子个人健康记录的意愿有强烈影响（β=0.361，p<0.01）。感知易用性与使用意愿之间的关系通过态度得到中介（β=0.076，p<0.01）。
感知易用性、态度和数字素养对使用电子个人健康记录的意愿有显著影响。感知易用性对使用电子个人健康记录系统的意愿有更大的影响。因此，能力建设和技术支持可以提高埃塞俄比亚卫生保健提供者对使用电子个人健康记录的接受度。
