%0期刊文章%@ 1438- 8871% I JMIR出版物%V 20卡塔尔世界杯8强波胆分析% N 4% P e107% T医疗保健信息技术的有效性:信任、安全信念和隐私作为医疗保健结果决定因素的评估，A Kisekka,Victoria, A Giboney,Justin Scott +信息安全和数字取证，奥尔巴尼大学商学院，纽约州立大学，华盛顿大道1400号，马萨诸塞州商业中心(BB) 371，奥尔巴尼，纽约州，12222，美国，1 518 956 8361，vkisekka@albany.edu %K医疗信息%K隐私%K医疗质量%K信任%D 2018 %7 11.04.2018 %9原始论文%J J医学互联网Res %G英文%X背景:卫生保健部门内的卫生信息技术(HITs)的扩散持续增长。然而，没有理论解释HITs的成功如何影响患者的护理结果。随着数据泄露的增加，HITs的成功现在取决于数据保护解决方案的有效性。尽管如此，实证研究只涉及隐私问题，很少考虑信息保障的其他因素。目的:本研究的目的是利用DeLone和McLean信息系统成功模型(DMISSM)研究HITs的有效性。我们研究了信息保证结构(即信息安全信念、隐私问题和对健康信息的信任的作用)作为HIT有效性的度量。我们还调查了信息保障与系统成功的三个方面之间的关系:对健康信息交换(HIE)的态度，患者对健康记录的访问，以及对患者护理质量的感知。方法:使用结构方程建模，我们分析了来自公共数据集的3677名癌症患者样本的数据。 We used R software (R Project for Statistical Computing) and the Lavaan package to test the hypothesized relationships. Results: Our extension of the DMISSM to health care was supported. We found that increased privacy concerns reduce the frequency of patient access to health records use, positive attitudes toward HIE, and perceptions of patient care quality. Also, belief in the effectiveness of information security increases the frequency of patient access to health records and positive attitude toward HIE. Trust in health information had a positive association with attitudes toward HIE and perceived patient care quality. Trust in health information had no direct effect on patient access to health records; however, it had an indirect relationship through privacy concerns. Conclusions: Trust in health information and belief in the effectiveness of information security safeguards increases perceptions of patient care quality. Privacy concerns reduce patients’ frequency of accessing health records, patients’ positive attitudes toward HIE exchange, and overall perceived patient care quality. Health care organizations are encouraged to implement security safeguards to increase trust, the frequency of health record use, and reduce privacy concerns, consequently increasing patient care quality. %M 29643052 %R 10.2196/jmir.9014 %U //www.mybigtv.com/2018/4/e107/ %U https://doi.org/10.2196/jmir.9014 %U http://www.ncbi.nlm.nih.gov/pubmed/29643052