Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Jun 17, 2022
Open Peer Review Period: Jun 16, 2022 - Aug 11, 2022
Date Accepted: Nov 15, 2022
Date Submitted to PubMed: Nov 16, 2022
(closed for review but you can still tweet)
Factors associated with the acceptance of the eHealth app for electronic health record sharing system: a population-based study
ABSTRACT
Background:
In the second stage of the electronic health record sharing system (eHRSS), a mobile application “eHealth app” was launched to further enhance collaborative care among the public sector, the private sector, the community, and the caregivers. This study aimed to investigate the factors associated with the downloading and utilization of the app, as well as the awareness, perception, and future improvement of the app.
Objective:
This study aimed to investigate the factors associated with the downloading and utilization of the app, as well as the awareness, perception, and future improvement of the app.
Methods:
A self-administered questionnaire was adopted by using a simple random sampling methodology. We collected 2,110 surveys, respondents were stratified into three groups according to their status of enrollment in the eHRSS, downloaded, and adopted eHealth app. We collected the data on social economics factors, variables of the Technology Acceptance Model (TAM) and Theory of Planned Behavior (TPB).
Results:
Overall, the satisfaction rate among the respondents was high. The satisfaction rate among respondents who have downloaded but not adopted the app was relatively lower, few of them perceived the downloading and adoption process are difficult. A high proportion of current users expressed a positive attitude about continuing to adopt and recommend the applications to friends, colleagues and family members. The behavioural intention was strongly predictive of acceptance of the eHealth app (r = 0.89). Attitude (r = 0.30) and perceived norm (r = 0.37) played important role in determining behavioral intention, which could predict the downloading and adoption of the eHealth app (r = 0.14).
Conclusions:
Despite the high satisfaction rate among the respondents, privacy concerns and perceived difficulties in adopting the app were the major challenges of promoting eHealth. Further promotion could be made through doctors and publicity. For future improvement, comprehensive health records and tailored health information should be included. Clinical Trial: N/A
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