TY -的盟Kisekka维多利亚盟——Giboney贾斯汀斯科特PY - 2018 DA - 2018/04/11 TI -医疗卫生信息技术的有效性:评估的信任,安全的信念,乔和隐私作为医疗结果的决定因素- J地中海互联网Res SP - e107六世- 20 - 4 KW -医学信息学KW -隐私KW -医疗保健质量KW -信任AB -背景:卫生信息技术的扩散(点击)在卫生保健部门的持续增长。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。我们使用R软件(R Project for Statistical Computing)和Lavaan包来测试假设的关系。结果:我们将DMISSM扩展到医疗保健得到了支持。 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. SN - 1438-8871 UR - //www.mybigtv.com/2018/4/e107/ UR - https://doi.org/10.2196/jmir.9014 UR - http://www.ncbi.nlm.nih.gov/pubmed/29643052 DO - 10.2196/jmir.9014 ID - info:doi/10.2196/jmir.9014 ER -