title: A Study of Personal Health Record User's Behavioral Model Based on the PMT and UTAUT Integrative Perspective.
abstract: The personal health record (PHR) is a system that enables borderless medical care services by combining technological innovation and human consideration. This study explored factors affecting the adoption of PHR from technical, medical, and social perspectives according to the Protection Motivation Theory (PMT) and Unified Theory of Acceptance and Use of Technology (UTAUT) model. A survey using a structured questionnaire was subsequently conducted, which produced the following results: (1) The PMT and UTAUT were effective at predicting PHR usage behaviors; (2) Perceived ease-of-use was the most decisive factor influencing the use of PHR, followed by self-efficacy and perceived usefulness; and (3) Behavioral intention for PHR was significantly and positively correlated with usage behavior. From the obtained results, this study recommends that health authorities and medical institutions promote self-efficacy in the use of PHR to improve the levels of behavioral intention and usage behavior among the people. Additionally, medical care institutions are recommended to promote health management and preventive healthcare concepts to help improve public acceptance of the PHR system as a means to self-manage their health. Finally, community centers, medical institutions, and health authorities are urged to work together to enhance public medical knowledge and pool resources for the PHR system, both of which are essential for improving the popularity of the PHR, public quality of life, and the effectiveness of health management.
authors.affiliation: Chu Shang Show Chwan Hospital, Nantou 557, Taiwan. cs6020@csshow.org.tw.
authors.forename: Hui-Lung
authors.initials: HL
authors.lastname: Hsieh
authors.affiliation: Department of Marketing and Distribution, Tzu Chi University of Science and Technology, Hualien 970, Taiwan. ss248@ems.tcust.edu.tw.
authors.forename: Yu-Ming
authors.initials: YM
authors.lastname: Kuo
authors.affiliation: Department of Business Administraiton, National Dong Hwa University, Hualien 974, Taiwan. shiang2216@gmail.com.
authors.forename: Shiang-Ru
authors.initials: SR
authors.lastname: Wang
authors.affiliation: Chu Shang Show Chwan Hospital, Nantou 557, Taiwan. cs7500@csshow.org.tw.
authors.forename: Bi-Kun
authors.initials: BK
authors.lastname: Chuang
authors.affiliation: Department of Health Administration, Tzu Chi University of Science and Technology, Hualien 974, Taiwan. tsairob@tcust.edu.tw.
authors.forename: Chung-Hung
authors.initials: CH
authors.lastname: Tsai
mesh_terms: D000368:Aged; D005260:Female; D055991:Health Records, Personal; D006801:Humans; D033182:Intention; D062069:Inventions; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D011788:Quality of Life; D012648:Self Care; D011795:Surveys and Questionnaires
keywords: UTAUT model; personal health record; protection motivation theory