TECHNOLOGY ACCEPTANCE OF PATIENT PORTALS: A CASE STUDY
Abstract
With the passing of the Affordable Care Act in the United States in 2010, electronic health records, including patient portals, were integrated into most medical practices with the hope that these systems would help to better manage and secure healthcare information. The shift over time from paper-based medical processes to electronic health records could help provide patients greater access to their Protected Health Information. A digital divide can occur in medical practices where only some patients have access to their health information. This case study involved physician-managed ambulatory clinics in Utah and examined provider and medical staff beliefs about the efficacy of patient portals. The variables identified in the technology acceptance model and some of its variants were used to formulate interview questions to better understand provider and medical staff acceptance of patient portals. Specifically, perceived usefulness, social norms, and social influence were TAM-related variables that were examined.
Downloads
References
American Medical Association, AMA’s meaningful use blueprint. Chicago, IL: Madara, J. (ed), 2014, http://mb.cision.com/Public/373/9661589/9185dfb838c6fe9c.pdf, retrieved February 15. 2016.
Butler, T., Towards a hermeneutic method for interpretive research in information systems. Journal of Information Technology, 13, 285-300, 1998.
Centers for Medicare and Medicaid Services, Electronic health record incentive program – Stage 3 and modifications to meaningful use in 2015 through 2017. Federal Register, FR 20346 through 20399, 2015, https://www.federalregister.gov/articles/2015/10/16/2015-25595/medicare-and-medicaid-programs-electronic-health-record-incentive-program-stage-3-and-modifications, retrieved November 2, 2015.
Centers for Medicare and Medicaid Services, Electronic health records (EHR) incentive programs, 2016, https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/, retrieved March 15, 2016.
Dixon, R., Enhancing primary care through online communication. Health Affairs, 29, (7), 1364-1369, 2010.
eHealth Initiative, Centering on the patient: How electronic health records enable care coordination., 2011, http://chc1.com/Transformational/Pubs/eHEALTH_CenteringonthePatient-FINAL.pdf, retrieved October 31, 2013.
Emont, S., Measuring the impact of patient portals: What the literature tells us. California HealthCare Foundation, CA: Oakland, 2011.
Eramo, L., Patient portals and meaningful use: Using portals to meet the patient access objectives. Journal of AHIMA, 82, (3), 42-43, 2011.
Holden R., Karsh, B.-T., The technology acceptance model: Its past and its future in health care. Journal of Biomedical Informatics, 43, 159-172, 2010.
Kerns, J., Krist, A., Longo, D., Kuzel, A., Woolf, S., How patients want to engage with their personal health record: a qualitative study. British Medical Journal Open, 3, (7), 2013.
Krist, A., et al., Engaging primary care patients to use a patient-centered personal health record. Annals of Family Medicine. 12, (5), 418–426, 2014.
Moores, T., Towards an integrated model of IT acceptance in healthcare. Decision Support Systems, 53, (3), 507-516, 2012.
Onwuegbuzie, A., Leech, N., Sampling designs in qualitative research: Making the sampling process more public. The Qualitative Report, 12, (2), 238-254, 2007.
Pai, F., Huang, K., Applying the technology acceptance model to the introduction of healthcare information systems. Technological Forecasting & Social Change, 78, (4), 650-660, 2011.
Stake, R., Qualitative research: Studying how things work. New York, NY: The Guilford Press, 2010.
Willis, M., El-Gayar, O., Bennett, D., Examining health care professionals’ acceptance of EMR’s using UTAUT. Issues in Information Systems, IX(2), 396-401, 2008.
Yamin, C., Emani, S., Williams, D., Lipsitz, S., Karson, A., Wald, J., Bates, D., The digital divide in adoption and use of a personal health record. JAMA Internal Medicine, 171, (6), 568-574, 2011.
Yau, G., Williams, A., Brown, J., Family physicians’ perspectives on personal health records. Canadian Family Physician, 57, (5), e178-e184, 2011.
Copyright (c) 2017 Journal of Information Sciences and Computing Technologies
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
TRANSFER OF COPYRIGHT
JISCT is pleased to undertake the publication of your contribution to Journal of Information Sciences and Computing Technologies
The copyright to this article is transferred to JISCT(including without limitation, the right to publish the work in whole or in part in any and all forms of media, now or hereafter known) effective if and when the article is accepted for publication thus granting JISCT all rights for the work so that both parties may be protected from the consequences of unauthorized use.
