Assessing the Key Factors Impacting the Adoption and Use of Tethered Electronic Personal Health Records for Health Management

  • Saeed Alzahrani
  • Tuğrul DaimEmail author
Part of the Innovation, Technology, and Knowledge Management book series (ITKM)


Information technology (IT) becomes crucial part of the healthcare system and it is getting more attention worldwide. Health IT includes well-known systems that have transformed the health sector, such as electronic health records (EHRs), electronic medical records (EMRs), and electronic personal health records (ePHRs). ePHR aims at enabling patients to take more active role in their care by providing them with a tool to access their health records in a secure and safe environment. The ePHR allows greater patient-provider engagement. The provider’s adoption rate of the ePHR as a tool to connect with patients and to enable them to have access to their records is increasing at an accelerated rate. However, the patient’s ePHR adoption rate remains low. In the United States, the number of office-based physicians adopting EHR increased from 17% in 2008 to 58% as of 2015. Similarly, the non-federal acute care hospitals with certified EHR rate increased from 9% in 2008 to 84% as of 2015 [1]. Despite the efforts to encourage the health care provider’s adoption of certified EHR and ePHR, the adoption rate by patients remains below expectations [2]. The goal of this report is to investigate the key factors influencing the adoption and use of the ePHR in order to understand the patients’ intentions of the adoption and use of such a technology. More attention is needed to improve the patient’s adoption of ePHR. The factors influencing the adoption and use of the ePHR for health management are grouped into six themes. These themes include performance factors, effort factors, social factors, facilitating conditions, perceived credibility, health factors, and computer factors. The themes involve essential factors that influence the adoption and use, such as perceived usefulness, perceived ease of use, portal features, subjective norms, computer and internet availability, computer literacy, computer anxiety, privacy and security, health literacy, satisfaction with medical care, and provider’s support.


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Authors and Affiliations

  1. 1.PortlandUSA

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