TY - JOUR AU - Agarwal, Ritu AU - Anderson, Catherine AU - Zarate, Jesus AU - Ward, Claudine PY - 2013 DA - 2013/02/26 TI -如果我们提供，他们会接受吗?影响患者使用个人健康记录和安全信息意愿的因素JO - J Med Internet Res SP - e43 VL - 15 IS - 2 KW -个人健康记录KW -技术接受KW -安全信息KW -以患者为中心的护理KW -雇主赞助的PHR AB -背景:个人健康记录(PHR)是赋予患者权力和刺激健康行动的重要工具。到目前为止，消费者自愿采用公开可用的PHRs的比例一直很低。部分原因可能是患者担心数据安全性、PHR中存储的临床信息的准确性以及保持信息更新的挑战等问题。减轻对安全性、准确性和信息更新的担忧的一个潜在解决方案是由雇主提供PHR，其中PHR预先填充了患者的健康数据。越来越多的雇主和付款人向员工提供这种技术，作为一种机制，让患者更多地参与健康和福祉。目的:在雇主赞助的PHR系统中，对PHR接受的前因知之甚少。以社会认知理论为视角，我们对个体因素(患者激活和提供者满意度)和两个环境因素(技术和组织)如何影响患者在技术早期采用者中使用PHR的意愿进行了理论分析和实证测试。在技术因素方面，我们研究了工具授权潜力和工具功能的价值。在组织因素方面，我们关注组织在PHR推出期间部署的沟通策略。 Methods: We conducted cross-sectional analysis of field data collected during the first 3 months post go-live of the deployment of a PHR with secure messaging implemented by the Air Force Medical Service at Elmendorf Air Force Base in Alaska in December 2010. A questionnaire with validated measures was designed and completed by 283 participants. The research model was estimated using moderated multiple regression. Results: Provider satisfaction, interactions between environmental factors (communication tactics and value of the tool functionality), and interactions between patient activation and tool empowerment potential were significantly (P<.05) associated with behavioral intentions to use the PHR tool. The independent variables collectively explained 42% of the variance in behavioral intentions. Conclusions: The study demonstrated that individual and environmental factors influence intentions to use the PHR. Patients who were more satisfied with their provider had higher use intentions. For patients who perceived the health care process management support features of the tool to be of significant value, communication tactics served to increase their use intentions. Finally, patients who believed the tool to be empowering demonstrated higher intentions to use, which were further enhanced for highly activated patients. The findings highlight the importance of communication tactics and technology characteristics and have implications for the management of PHR implementations. SN - 1438-8871 UR - //www.mybigtv.com/2013/2/e43/ UR - https://doi.org/10.2196/jmir.2243 UR - http://www.ncbi.nlm.nih.gov/pubmed/23470453 DO - 10.2196/jmir.2243 ID - info:doi/10.2196/jmir.2243 ER -