单位：[1]Administrative Office, Yue Bei People’s Hospital, Shaoguan, China[2]Web and Internet Science Group, School of Electronics and Computer Science, University of Southampton, Southampton, Britain[3]School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China[4]Library, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China党政职能科室图书馆华中科技大学同济医学院附属同济医院
BackgroundAlthough 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. ObjectiveThe 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. MethodsThis 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. ResultsThe 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. ConclusionIt 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.
基金：
National Natural Science Foundation of China [71974065, 72204153]
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2022]版：
大类|3 区医学
小类|3 区卫生保健与服务3 区医学：信息3 区卫生政策与服务3 区公共卫生、环境卫生与职业卫生
最新[2025]版：
大类|3 区医学
小类|3 区卫生保健与服务3 区卫生政策与服务3 区公共卫生、环境卫生与职业卫生4 区医学：信息
JCR分区：
出版当年[2021]版：
Q1HEALTH CARE SCIENCES & SERVICESQ1HEALTH POLICY & SERVICESQ1PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTHQ2MEDICAL INFORMATICSQ2PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
第一作者单位：[1]Administrative Office, Yue Bei People’s Hospital, Shaoguan, China
共同第一作者：
通讯作者：
通讯机构：[3]School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China[*1]School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, No. 13 Hangkong Road, Wuhan 430030, China.
推荐引用方式(GB/T 7714)：
Liu Jing,Gong Xiaoqian,Weal Mark,et al.Attitudes and associated factors of patients' adoption of patient accessible electronic health records in China - A mixed methods study[J].Digital health.2023,9:doi:10.1177/20552076231174101.
APA：
Liu, Jing,Gong, Xiaoqian,Weal, Mark,Dai, Wei,Hou, Shengchao&Ma, Jingdong.(2023).Attitudes and associated factors of patients' adoption of patient accessible electronic health records in China - A mixed methods study.Digital health,9,
MLA：
Liu, Jing,et al."Attitudes and associated factors of patients' adoption of patient accessible electronic health records in China - A mixed methods study".Digital health 9.(2023)
