Mohd Yaacob, Noorayisahbe (2020) Acceptance Model For Electronic Personalized Health Records In Peninsular Malaysia Based On Users Perspective. Doctoral thesis, Universiti Teknikal Malaysia Melaka.
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Abstract
The healthcare sector is growing rapidly in developing electronic personalize health records (e-PHR) as an internet-based eHealth implementation in many countries. The ePHR has recognized as one of the important roles in managing personalize health and health informatics. However, the acceptance of e-PHRs in Peninsular Malaysia is still under study. The lack of user acceptance is a critical impediment to the success of an information system (IS) model. Thus, understanding an individual’s acceptance or rejection of information technology (IT) is considered as one of the most challenging issues. Most of the primary care sector, both public and private hospitals including clinics in Malaysia are still ambiguous with e-PHR. Therefore, the need to conduct a research on the factors that influence and how e-PHR can be accepted especially for Malaysian patients, physicians and organizations are very essential. The aim of this study is to investigate the factors that are important in order to propose an e-PHR acceptance model from patients, physicians and organizations perspectives within the context of Malaysian public and private hospitals including clinics. Accordingly, this study integrated the Unified Theory of Acceptance and Use of Technology (UTAUT2), Diffusion of Innovations (DOI), Technology Organization Environment (TOE) and Cultural (Hofstede) to propose the factors influencing acceptance of the e-PHR in Peninsular Malaysia. This research utilized the mix method approach which are triangulation technique and interviews including a survey through a web-based questionnaire that involved seventy-one dimensions for patients, eighty-four dimensions for physicians and about ninety-four dimensions for the organization. Twenty-four hypotheses have been determined to test the proposed model. The analysis has been done through SPSS and SmartPLS software to evaluate internal consistency, indicator reliability, convergent and discriminant validity of the survey instrument. The results from the initial hypotheses testing indicated that personal innovativeness, knowledge, privacy and security, and trust are the most significant factors for the acceptance of e-PHR based on Peninsular Malaysia patients, physicians and organizations with Average Variance Extracted (AVE) > 0.05. The results from moderation hypothesis testing shown that there is no significant effect with AVE <0.05 on the relationships in the model. The proposed model has been validated by ten selected experts from different organizations. This study concluded that there is an existence of significant factors on e-PHR acceptance among patients, physicians and organizations. The research findings conclude that the significant factors have the same effect on e-PHR acceptance within Peninsular Malaysia patients, physicians and organizations. This research has contributed to the body of knowledge in the field of health informatics which focusing on e-PHR acceptance in Peninsular Malaysia.
| Item Type: | Thesis (Doctoral) |
|---|---|
| Uncontrolled Keywords: | Health informatics, Medical informatics, Management information systems , Information technology, Psychological aspects, Technological innovations, Management, Electronic Health Record, Peninsular Malaysia |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Library > Tesis > FTMK |
| Depositing User: | F Haslinda Harun |
| Date Deposited: | 17 Nov 2021 08:39 |
| Last Modified: | 17 Nov 2021 08:39 |
| URI: | http://eprints.utem.edu.my/id/eprint/25391 |
| Statistic Details: | View Download Statistic |
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