Liu Jing, Gong Xiaoqian, Weal Mark, Dai Wei, Hou Shengchao, Ma Jingdong
Administrative Office, Yue Bei People's Hospital, Shaoguan, China.
Web and Internet Science Group, School of Electronics and Computer Science, University of Southampton, Southampton, Britain.
Digit Health. 2023 May 9;9:20552076231174101. doi: 10.1177/20552076231174101. eCollection 2023 Jan-Dec.
Although patient accessible electronic health records (PAEHRs) offer great potential in enhancing the provision of patient-centered care and improving satisfaction, the adoption rate is still low. Currently, few studies are there for researchers and health organization leaders to understand patients' thoughts and related factors of PAEHRs adoption in developing countries. China adopted more limited practices of PAEHRs, among which we selected Yuebei People's Hospital as an example.
The study aimed to research patient attitudes toward PAEHRs use and the associated factors of patients' adoption of PAEHRs in China, which is achieved by both qualitative and quantitative studies.
This study employed sequential mixed-methods. The DeLone & McLean information systems (D&M IS) success model, Unified Theory of Acceptance and Use of Technology (UTAUT) and task-technology fit (TTF) model were used to guide the research. Finally, we collected 28 valid in-depth interview responses, 51 valid semi-structured interview responses and 235 valid questionnaire responses. The research model was tested and validated using data collected.
The findings of the qualitative study reveal that patients' rate perceived task productivity and customer satisfaction as benefits, and poor-quality information as flaws. Results of the quantitative study show that the drivers of behavioral intention are performance expectance, effort expectancy and social influence; the predictors of use behavior are TTF and behavioral intention.
It is necessary to consider PAEHRs' task-tool role in patients' adoption behavior. Hospitalized patients value PAEHRs' practical attributes and attach much importance to the information content and application design.
尽管患者可访问的电子健康记录（PAEHRs）在加强以患者为中心的护理提供和提高满意度方面具有巨大潜力，但采用率仍然很低。目前，在发展中国家，可供研究人员和卫生组织领导人了解患者对PAEHRs采用的想法及相关因素的研究很少。中国采用PAEHRs的实践较为有限，我们从中选取了粤北人民医院作为例子。
本研究旨在通过定性和定量研究，探究中国患者对使用PAEHRs的态度以及患者采用PAEHRs的相关因素。
本研究采用序列混合方法。使用DeLone & McLean信息系统（D&M IS）成功模型、技术接受与使用统一理论（UTAUT）和任务-技术匹配（TTF）模型来指导研究。最后，我们收集了28份有效的深度访谈回复、51份有效的半结构化访谈回复和235份有效的问卷回复。使用收集到的数据对研究模型进行测试和验证。
定性研究结果表明，患者将感知到的任务生产力和客户满意度视为益处，将质量差的信息视为缺陷。定量研究结果表明，行为意图的驱动因素是绩效期望、努力期望和社会影响；使用行为的预测因素是任务-技术匹配和行为意图。
有必要考虑PAEHRs在患者采用行为中的任务工具作用。住院患者重视PAEHRs的实用属性，并非常重视信息内容和应用设计。
