Abstract
Objective This study seeks to understand what factors might influence a patient's perception of PHRs in early adoption. We draw from social contagion theory to examine how beliefs and behaviors are subject to those who are important to them. Methods This is a quantitative study with data collected information from a self-selected patient panel residing in the United States. Cross-sectional data were used to examine a patient beliefs and behaviors as they use personal health records. Results The findings demonstrated patient skills and abilities to conduct PHR tasks play a role in the feelings developed toward the change. Behavioral resistance was shown to negatively impact patient satisfaction. Cognitive resistance was significant but, not in the hypothesized direction. We found a strong relationship between affective and cognitive resistance. This research suggests when affective is high, cognitive scope is out shadow and whereas affective is low, cognitive scope will broaden. Discussion After adoption, a patient might still resistance the PHR system. Hospitals and physicians should emphasize the importance of PHR to every patient, seek to offer training opportunities, offer avenues for discussion, and recognize the existence of resistance factors. Conclusion This study illustrates the need for physicians and hospitals to reshape patient's beliefs about PHRs by helping individuals understand and internalize the change toward PHRs. To ensure the promotion and engagement of the PHR system, all interested parties (hospital administrators, government agencies, policy makers, and physicians) must communicate and publicize a consistent message related to the importance of PHR use.
| Original language | English |
|---|---|
| Pages (from-to) | 401-409 |
| Number of pages | 9 |
| Journal | Health Policy and Technology |
| Volume | 6 |
| Issue number | 4 |
| DOIs | |
| State | Published - Dec 1 2017 |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- Health care
- Patient health records
- Patient satisfaction
- Social contagion theory
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