Health information management : journal of the Health Information Management Association of Australia最新文献

{"title":"Attitudes and perceptions of traditional health practitioners towards documentation of patient health information in their practice in eThekwini Municipality, KwaZulu-Natal, Natal Province, South Africa.","authors":"Tracy Zhandire,&nbsp;Nceba Gqaleni,&nbsp;Mlungisi Ngcobo,&nbsp;Exnevia Gomo","doi":"10.1177/1833358320984004","DOIUrl":"https://doi.org/10.1177/1833358320984004","url":null,"abstract":"<p><strong>Background: </strong>Documentation of patient health information in the form of patient medical records (PMRs) is an essential, ethical and regulatory requirement in any healthcare system. African traditional medicine (ATM) exists parallel to biomedicine and continues to play a significant role in primary healthcare of the majority of South Africans. The World Health Organization (WHO) has promoted the integration of ATM into the national health system of South Africa. Patient health information documentation can facilitate this integration, and PMRs promote communication between the two health systems through referrals. Documentation in biomedicine is a clear, compulsory, routine activity, but does not occur regularly or routinely in ATM.</p><p><strong>Objective: </strong>To examine the attitudes and perceptions of traditional health practitioners (THPs) towards documentation of patient health information in their practice.</p><p><strong>Methods: </strong>This quantitative cross-sectional survey involved snowball sampling to recruit THPs in Umlazi Township and rural parts surrounding the township, in Durban, South Africa. A semi-structured questionnaire was used. Quantitative data were analysed using SPSS 25 and the Relative Importance Index (RII) and qualitative data were analysed using Excel for themes.</p><p><strong>Results: </strong>Sampling resulted in 248 THPs of whom 178 (72%) were females. The RII ranked the factors that negatively influenced the participants' attitudes towards documentation of patient health information. Of the 178 females who participated in the study, 129 (72.5%) showed their willingness to introduce documentation in their practice. Of the 127 participants with less than 10 years of practice experience, 126 (99.2%) agreed to the importance of introducing PMRs in their practice. The majority of participants perceived documentation of patient health information as vital to improve their practice. A prominent theme was that the THPs regarded documenting patient health information as important and effective in their practice.</p><p><strong>Conclusion: </strong>More than half of participants showed positive attitudes and perceptions towards documenting of patient health information in ATM. The majority of the participants in this study acknowledged the importance of introducing documentation of patient health information in their practice even though they lacked experience and more knowledge. This reflects a need for essential intervention in developing specialised tools to begin promoting documentation of patient health information in ATM.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"52 1","pages":"41-49"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358320984004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10536623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An equitable approach to enhancing the privacy of consumer information on <i>My Health Record</i> in Australia.","authors":"Zachary Hollo,&nbsp;Dominique E Martin","doi":"10.1177/18333583211019764","DOIUrl":"https://doi.org/10.1177/18333583211019764","url":null,"abstract":"<p><p>Australia's national electronic health record (EHR), <i>My Health Record (MHR</i>), raises concerns about information privacy and the presumption of consent to participation. In contrast to the \"opt-out\" framework for participation, consumers must \"opt-in\" to obtain additional privacy features to protect their health information on <i>MHR</i>. We review ethical considerations relating to opt-in and opt-out frameworks in the context of EHRs, discussing potential reasons why consent for additional safeguards is not currently presumed. Exploring the implications of recent amendments to strengthen consumer privacy, we present recommendations to promote equity in health information security for all Australians using <i>MHR</i>.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"52 1","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/18333583211019764","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10537326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness of, attitudes towards, and practices of health information management professionals in South Korea relating to privacy of personal health information.","authors":"Yeaeun Kim","doi":"10.1177/18333583211039384","DOIUrl":"https://doi.org/10.1177/18333583211039384","url":null,"abstract":"<p><p><b>Background:</b> While information and communication technology has continued to advance, privacy of personal health information (PHI) has remained a challenge for health information management (HIM) professionals. <b>Objective:</b> This study aims to examine the awareness, attitude and practice relating to PHI privacy among HIM professionals in South Korea. <b>Method:</b> A survey questionnaire was developed for the study based on critical appraisal of relevant literature and expert consensus. It was completed by a sample of 312 respondents who were members of the Korean Health Information Management Association, over the age of 21, and worked in a healthcare organisation. Demographic data and questionnaire items (assessed on a 5-point Likert-type scale) were analysed using descriptive statistics, t-tests and ANOVA. <b>Results:</b> Mean scores and SDs for awareness, attitude and practice related to PHI privacy were calculated: 4.21 (0.60) for awareness, 4.17 (0.60) for attitude and 4.31 (0.63) for practice. Significant positive correlations were found between awareness and attitude scores (r = 0.765, <i>p</i> < 0.01); awareness and practice scores (r = 0.585; <i>p</i> < 0.01); and attitude and action scores (r = 0.672; <i>p</i> < 0.01). HIM professionals' awareness, attitude, and practice towards PHI privacy differed significantly according to age, level of education, years of HIM experience, type of employment, main task, number of completed privacy education activities within the previous 3 years and whether or not they had signed a pledge of confidentiality on PHI. More highly-educated, full-time employed respondents, those who had completed a greater number of privacy education activities and had more experience as HIM professionals, achieved higher scores on awareness, attitude and practice than did other respondents. These differences were all statistically significant (<i>p</i> < 0.01). <b>Conclusion:</b> Although causality cannot be inferred from results of this study, findings suggest that there is a relationship between PHI being a core responsibility of HIM professionals and their subsequent awareness, attitude and practice to ensure its privacy and confidentiality. To improve privacy practice, educational efforts should be prioritised and supported at all levels, including national, organisational, individual, and by professional HIM associations.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"52 1","pages":"50-56"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10591088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a strategy to improve data sharing in health research: A mixed-methods study to identify barriers and facilitators.","authors":"Michelle A Krahe,&nbsp;Malcolm Wolski,&nbsp;Sharon Mickan,&nbsp;Julie Toohey,&nbsp;Paul Scuffham,&nbsp;Sheena Reilly","doi":"10.1177/1833358320917207","DOIUrl":"https://doi.org/10.1177/1833358320917207","url":null,"abstract":"<p><strong>Background: </strong>Data sharing presents new opportunities across the spectrum of research and is vital for science that is open, where data are easily discoverable, accessible, intelligible, reproducible, replicable and verifiable. Despite this, it is yet to become common practice. Global efforts to develop practical guidance for data sharing and open access initiatives are underway, however evidence-based studies to inform the development and implementation of effective strategies are lacking.</p><p><strong>Objective: </strong>This study sought to determine the barriers and facilitators to data sharing among health researchers and to identify the target behaviours for designing a behaviour change intervention strategy.</p><p><strong>Method: </strong>Data were drawn from a cross-sectional survey of data management practices among health researchers from one Australian research institute. Determinants of behaviour were theoretically derived using well-established behavioural models.</p><p><strong>Results: </strong>Data sharing practices have been described for 77 researchers, and 6 barriers and 4 facilitators identified. The primary barriers to data sharing included perceived negative consequences and lack of competency to share data. The primary facilitators to data sharing included trust in others using the data and social influence related to public benefit. Intervention functions likely to be most effective at changing target behaviours were also identified.</p><p><strong>Conclusion: </strong>Results of this study provide a theoretical and evidence-based process to understand the behavioural barriers and facilitators of data sharing among health researchers.</p><p><strong>Implications: </strong>Designing interventions that specifically address target behaviours to promote data sharing are important for open researcher practices.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"52 1","pages":"18-27"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358320917207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9086125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The diagnostic certainty levels of junior clinicians: A retrospective cohort study.","authors":"Yang Chen,&nbsp;Myura Nagendran,&nbsp;Yakup Kilic,&nbsp;Dominic Cavlan,&nbsp;Adam Feather,&nbsp;Mark Westwood,&nbsp;Edward Rowland,&nbsp;Charles Gutteridge,&nbsp;Pier D Lambiase","doi":"10.1177/18333583211019134","DOIUrl":"https://doi.org/10.1177/18333583211019134","url":null,"abstract":"<p><strong>Background: </strong>Clinical decision-making is influenced by many factors, including clinicians' perceptions of the certainty around what is the best course of action to pursue.</p><p><strong>Objective: </strong>To characterise the documentation of working diagnoses and the associated level of real-time certainty expressed by clinicians and to gauge patient opinion about the importance of research into clinician decision certainty.</p><p><strong>Method: </strong>This was a single-centre retrospective cohort study of non-consultant grade clinicians and their assessments of patients admitted from the emergency department between 01 March 2019 and 31 March 2019. De-identified electronic health record proformas were extracted that included the type of diagnosis documented and the certainty adjective used. Patient opinion was canvassed from a focus group.</p><p><strong>Results: </strong>During the study period, 850 clerking proformas were analysed; 420 presented a single diagnosis, while 430 presented multiple diagnoses. Of the 420 single diagnoses, 67 (16%) were documented as either a symptom or physical sign and 16 (4%) were laboratory-result-defined diagnoses. No uncertainty was expressed in 309 (74%) of the diagnoses. Of 430 multiple diagnoses, uncertainty was expressed in 346 (80%) compared to 84 (20%) in which no uncertainty was expressed. The patient focus group were unanimous in their support of this research.</p><p><strong>Conclusion: </strong>The documentation of working diagnoses is highly variable among non-consultant grade clinicians. In nearly three quarters of assessments with single diagnoses, no element of uncertainty was implied or quantified. More uncertainty was expressed in multiple diagnoses than single diagnoses.</p><p><strong>Implications: </strong>Increased standardisation of documentation will help future studies to better analyse and quantify diagnostic certainty in both single and multiple working diagnoses. This could lead to subsequent examination of their association with important process or clinical outcome measures.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 3","pages":"118-125"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/18333583211019134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39001762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the challenges associated with the use of data from routine health information systems in low- and middle-income countries: A systematic review.","authors":"Klesta Hoxha,&nbsp;Yuen W Hung,&nbsp;Bridget R Irwin,&nbsp;Karen A Grépin","doi":"10.1177/1833358320928729","DOIUrl":"https://doi.org/10.1177/1833358320928729","url":null,"abstract":"<p><strong>Background: </strong>Routine health information systems (RHISs) are crucial to informing decision-making at all levels of the health system. However, the use of RHIS data in low- and middle-income countries (LMICs) is limited due to concerns regarding quality, accuracy, timeliness, completeness and representativeness.</p><p><strong>Objective: </strong>This study systematically reviewed technical, behavioural and organisational/environmental challenges that hinder the use of RHIS data in LMICs and strategies implemented to overcome these challenges.</p><p><strong>Method: </strong>Four electronic databases were searched for studies describing challenges associated with the use of RHIS data and/or strategies implemented to circumvent these challenges in LMICs. Identified articles were screened against inclusion and exclusion criteria by two independent reviewers.</p><p><strong>Results: </strong>Sixty studies met the inclusion criteria and were included in this review, 55 of which described challenges in using RHIS data and 20 of which focused on strategies to address these challenges. Identified challenges and strategies were organised by their technical, behavioural and organisational/environmental determinants and by the core steps of the data process. Organisational/environmental challenges were the most commonly reported barriers to data use, while technical challenges were the most commonly addressed with strategies.</p><p><strong>Conclusion: </strong>Despite the known benefits of RHIS data for health system strengthening, numerous challenges continue to impede their use in practice.</p><p><strong>Implications: </strong>Additional research is needed to identify effective strategies for addressing the determinants of RHIS use, particularly given the disconnect identified between the type of challenge most commonly described in the literature and the type of challenge most commonly targeted for interventions.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 3","pages":"135-148"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358320928729","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38105649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting clinicians' adherence to principles of diagnosis documentation: A concept mapping approach for improved decision-making.","authors":"Nafiseh Hosseini,&nbsp;Sayyed Mostafa Mostafavi,&nbsp;Kazem Zendehdel,&nbsp;Saeid Eslami","doi":"10.1177/1833358321991362","DOIUrl":"https://doi.org/10.1177/1833358321991362","url":null,"abstract":"<p><strong>Background: </strong>The quality of data in electronic health records (EHRs) depends on adherence of clinicians to principles of diagnosis documentation.</p><p><strong>Objective: </strong>A concept mapping (CM) approach was used to extract factors related to quality of clinicians' documentation that govern EHR data quality.</p><p><strong>Method: </strong>Influential factors extracted from brainstorming sessions were sorted by individual participants, followed by a quantitative analysis using multidimensional scaling and cluster analysis to categorise sorted factors. Finally, a questionnaire was used to elicit the importance-feasibility of the extracted factors. Results were visualised by cluster maps and Go-Zone plots.</p><p><strong>Result: </strong>Factors were classified into seven clusters: \"knowledge about International Classification of Diseases and clinical coding,\" \"need for facilitators and guidelines,\" \"explaining the importance of the issue and defining responsibilities,\" \"cooperation of other personnel,\" \"codify legal requirements,\" \"workload\" and \"clinical obstacles,\" as ranked by importance.</p><p><strong>Conclusion: </strong>To enhance the quality of EHR data, a collaboration between physicians, nurses, managers and EHR developers is required. CM is an acceptable approach to meet this objective. Our findings highlight the significance of clinical coding knowledge, awareness about its importance and applicability and use of well-structured information systems. In combination, these three factors can have a strong positive impact on the quality of EHR data.</p><p><strong>Implications: </strong>A list of solutions is provided for policymakers, and two interventions suggested, based on the findings of this study, including the adoption of EHRs that incorporate documentation guidelines. We further propose updated clinical training programs and a monitoring and feedback mechanism to facilitate the EHR documentation process.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 3","pages":"149-158"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358321991362","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25582848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recognising complexity: Foregrounding vulnerable and diverse populations for inclusive health information management research.","authors":"Bronwyn Hemsley,&nbsp;Deborah Debono","doi":"10.1177/18333583211052708","DOIUrl":"https://doi.org/10.1177/18333583211052708","url":null,"abstract":"Good access to and management of high-quality health information is essential for people with disabilities and/or multiple health conditions. This includes access to information about health and personally held information that can be stored and shared across their health providers (Hemsley et al. 2016). Public digital health technologies (e.g., blogs and websites, social media, and mobile technology apps) as well as personally-controlled electronic health records should help people with disabilities and multiple health conditions make better use of health information and engage in storing and sharing that information at critical points in their health pathway. However, the highly diverse populations of people with disabilities and multiple health conditions, as citizens and members of the general population, are often absent from, or in the background of, initiatives to improve people’s access to health information for informing health decisions. The foregrounding of “less visible” populations with disabilities and/or multiple health conditions means making them a priority, including them in health information initiatives and research, and reporting specifically and respectfully on their needs. In making these diverse populations more visible, health information management professionals could lead the charge to a more inclusive and just health system. Hoyle (2018: 48) emphasised this, and questioned the primacy of diagnostic constructs over aspects of the human experiences: “More fundamentally, the conceptual foundations of health information in terms of “diagnostic” constructs are creating limitations: Why should a medical diagnosis be privileged as the key descriptor of care, over disability or other aspects of the human experience? Who gets to say what matters, and how and by whom is that translated into meaningful information? These are important questions on which the health information management profession is well placed to lead”.","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 3","pages":"113-117"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39658180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative investigation into clinical documentation: why do clinicians document the way they do?","authors":"Stella Rowlands,&nbsp;Amina Tariq,&nbsp;Steven Coverdale,&nbsp;Sue Walker,&nbsp;Maryann Wood","doi":"10.1177/1833358320929776","DOIUrl":"https://doi.org/10.1177/1833358320929776","url":null,"abstract":"<p><strong>Background: </strong>Clinical documentation is a fundamental component of patient care. The transition from paper based to electronic medical records/electronic health records has highlighted a number of issues associated with documentation practices including duplication. Developing new ways to document the care provided to patients and in turn, persuading clinicians to accept a change, must be supported by evidence that a change is required. In Australia, there has been a limited number of studies exploring the clinical documentation practices and beliefs of clinicians.</p><p><strong>Objective: </strong>To gain an in-depth understanding of clinician documentation practices.</p><p><strong>Method: </strong>A qualitative design using semi-structured interviews with clinicians (allied health professionals, doctors (physicians) and nurses) working in a tertiary-level hospital in South-East Queensland, Australia.</p><p><strong>Results: </strong>Several themes emerged from the data: environmental factors, including departmental policy and systemic issues, and personal factors, including verification, clinical reasoning and experience influencing documentation practices.</p><p><strong>Conclusion: </strong>Our study identified that the documentation practices of clinicians are complex, being driven by both environmental and systemic factors and personal factors. This in turn leads to duplication and some redundancy. The documentation burden of duplication could be reduced by changes in policy, supported by multidisciplinary documentation procedures and electronic systems aligned with clinician workflows, while retaining some flexible documentation practices. The documentation practices of individuals, when considered from the perspective of enhancing quality care, are considered legitimate and therefore will continue to form part of the health (medical) record regardless of the format.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 3","pages":"126-134"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358320929776","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38141157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting the acceptance of integrated electronic personal health records in Saudi Arabia: The impact of e-health literacy.","authors":"Yaser A Alsahafi,&nbsp;Valerie Gay,&nbsp;Adel A Khwaji","doi":"10.1177/1833358320964899","DOIUrl":"https://doi.org/10.1177/1833358320964899","url":null,"abstract":"<p><strong>Background: </strong>National implementation of electronic personal health record (ePHR) systems is of vital importance to governments worldwide because this type of technology promises to promote and enhance healthcare. Although there is widespread agreement as to the advantages of ePHRs, the level of awareness and acceptance of this technology among healthcare consumers has been low.</p><p><strong>Objective: </strong>The aim of this study was to identify the factors that can influence the acceptance and use of an integrated ePHR system in Saudi Arabia.</p><p><strong>Method: </strong>The unified theory of acceptance and use of technology model was extended in this study to include e-health literacy (e-HL) and tested using structural equation modelling. Data were collected via a questionnaire survey, resulting in 794 valid responses.</p><p><strong>Results: </strong>The proposed model explained 56% of the variance in behavioural intention (BI) to use the integrated ePHR system. Findings also highlighted the significance of performance expectancy, effort expectancy, social influence (SI) and e-HL as determinants of Saudi healthcare consumers' intentions to accept and use the integrated ePHR system. Additionally, assessment of the research model moderators revealed that only gender had a moderating influence on the relationship between SI and BI. Finally, findings showed a low level of awareness among Saudi citizens about the national implementation of an integrated ePHR system, suggesting the need to promote a greater and more widespread awareness of the system and to demonstrate its usefulness.</p><p><strong>Conclusion: </strong>Findings from this study can assist governments, policymakers and developers of health information technologies and systems by identifying important factors that may influence the diffusion and use of integrated ePHRs.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 2","pages":"98-109"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358320964899","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38650743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}