{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T18:19:32Z","timestamp":1754158772716,"version":"3.41.2"},"reference-count":62,"publisher":"Emerald","issue":"1","license":[{"start":{"date-parts":[[2019,10,18]],"date-time":"2019-10-18T00:00:00Z","timestamp":1571356800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ICS"],"published-print":{"date-parts":[[2019,10,18]]},"abstract":"<jats:sec><jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title><jats:p>Little is known about factors that affect patient use of online medical records (OMR). Specifically, with rising vulnerability concerns associated with security and privacy breaches, patient use of OMR requires further attention. This paper aims to investigate patient use of OMR. Using the Unified Theory of Acceptance and Use of Technology (UTAUT), factors affecting continued use of OMR were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title><jats:p>The Health Information National Trends Survey 5 (HINTS 5), Cycle 1 data were used. This is an ongoing nation-wide survey sponsored by the National Cancer Institute (NCI) of the USA. The subjects were 31-74\u2009years old with access to the Internet. Descriptive information was projected to the US population.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Findings<\/jats:title><jats:p>In total, 765 respondents representing 48.7 million members of the US population were analyzed. Weighted regression results showed significant effects of perceived usefulness, visit frequency and provider encouragement on continued use of OMR while vulnerability perception was not significant. Moderating effects of these variables were also noted. Perceived usefulness and provider encouragement emerged as important predictors.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Practical implications<\/jats:title><jats:p>Insights may help design interventions by health-care providers and policymakers.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Social implications<\/jats:title><jats:p>Insights should help patient empowerment and developers with designing systems.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title><jats:p>This is the first study to examine health-care consumers\u2019 continued use of OMR using nationally representative data and real-world patients, many of who have one or more chronic diseases (e.g. diabetes, hypertension, asthma) or are cancer survivors. Results highlight factors helping or hindering continuing OMR use. As such, insights should help identify opportunities to increase the extent of use, project future OMR usage patterns and spread the benefits of OMR, including bringing forth positive health outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1108\/ics-07-2019-0076","type":"journal-article","created":{"date-parts":[[2019,10,22]],"date-time":"2019-10-22T07:57:06Z","timestamp":1571731026000},"page":"97-115","source":"Crossref","is-referenced-by-count":9,"title":["Patient use of online medical records: an application of technology acceptance framework"],"prefix":"10.1108","volume":"28","author":[{"given":"Surma","family":"Mukhopadhyay","sequence":"first","affiliation":[]},{"given":"Ramsankar","family":"Basak","sequence":"additional","affiliation":[]},{"given":"Darrell","family":"Carpenter","sequence":"additional","affiliation":[]},{"given":"Brian J.","family":"Reithel","sequence":"additional","affiliation":[]}],"member":"140","reference":[{"issue":"2","key":"key2020040311054111300_ref001","first-page":"374","article-title":"Concern about security and privacy, and perceived control over collection and use of health information are related to withholding of health information from healthcare providers","volume":"21","year":"2013","journal-title":"Journal of the American Medical Informatics Association"},{"issue":"2","key":"key2020040311054111300_ref002","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0749-5978(91)90020-T","article-title":"The theory of planned behavior","volume":"50","year":"1991","journal-title":"Organizational Behavior and Human Decision Processes"},{"unstructured":"American Hospital Association (AHA) Trend Report (2016), \u201cIndividuals\u2019 ability to electronically access their hospital medical records, perform key tasks is growing\u201d, available at: www.aha.org\/system\/files\/research\/reports\/tw\/16jul-tw-healthIT.pdf. (accessed 20 April 2018).","key":"key2020040311054111300_ref003"},{"issue":"4","key":"key2020040311054111300_ref004","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/S0167-4048(03)00407-3","article-title":"Why we need a new definition of information security","volume":"22","year":"2003","journal-title":"Computers and Security"},{"issue":"4","key":"key2020040311054111300_ref005","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1136\/amiajnl-2011-000105","article-title":"Personal health records: a scoping review","volume":"18","year":"2011","journal-title":"Journal of the American Medical Informatics Association"},{"issue":"3","key":"key2020040311054111300_ref006","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1080\/17538150802457562","article-title":"User-centered methods for designing patient-centric self-help tools","volume":"33","year":"2008","journal-title":"Informatics for Health and Social Care"},{"issue":"3","key":"key2020040311054111300_ref007","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1207\/s15328007sem1203_4","article-title":"Sampling weights in latent variable modeling","volume":"12","year":"2005","journal-title":"Structural Equation Modeling: A Multidisciplinary Journal"},{"issue":"3","key":"key2020040311054111300_ref008","first-page":"237","article-title":"Appropriate use of single-item measures is here to stay","volume":"26","year":"2015","journal-title":"Marketing Letters"},{"issue":"2","key":"key2020040311054111300_ref009","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1509\/jmkr.44.2.175","article-title":"The predictive validity of multiple-item versus single item measures of the same constructs","volume":"44","year":"2007","journal-title":"Journal of Marketing Research"},{"issue":"3","key":"key2020040311054111300_ref010","doi-asserted-by":"crossref","first-page":"351","DOI":"10.2307\/3250921","article-title":"Understanding information systems continuance: an expectation-confirmation model","volume":"25","year":"2001","journal-title":"MIS Quarterly"},{"issue":"3","key":"key2020040311054111300_ref011","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1287\/isre.1060.0096","article-title":"Reconceptualizing system usage: an approach and empirical test","volume":"17","year":"2006","journal-title":"Information Systems Research"},{"volume-title":"Multiple Chronic Conditions in the United States","year":"2017","key":"key2020040311054111300_ref012"},{"issue":"4","key":"key2020040311054111300_ref013","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.ijhcs.2010.10.005","article-title":"Reliability, validity, and sensitivity of a single item measure of online store usability","volume":"69","year":"2011","journal-title":"International Journal of Human-Computer Studies"},{"key":"key2020040311054111300_ref014","first-page":"413","volume-title":"Statistical Power Analysis for the Behavioral Sciences","year":"1988","edition":"2nd ed."},{"issue":"3","key":"key2020040311054111300_ref015","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1080\/00031305.1981.10479327","article-title":"Rank transformations as a bridge parametric and nonparametric statistics","volume":"35","year":"1981","journal-title":"The American Statistician"},{"issue":"8","key":"key2020040311054111300_ref016","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1287\/mnsc.35.8.982","article-title":"User acceptance of computer technology: a comparison of two theoretical models","volume":"35","year":"1989","journal-title":"Management Science"},{"key":"key2020040311054111300_ref017","first-page":"2984","article-title":"Information security and privacy of patient-centered health it services: what needs to be done?","volume-title":"2014 47th HI International Conference on System Sciences","year":"2014"},{"issue":"1","key":"key2020040311054111300_ref018","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1111\/1475-6773.12090","article-title":"Generalizing observational study results: applying propensity score methods to complex surveys","volume":"49","year":"2014","journal-title":"Health Services Research"},{"issue":"4","key":"key2020040311054111300_ref019","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1111\/j.0889-7204.2006.05229.x","article-title":"Developing a web\u2010based education and counseling program for heart failure patients","volume":"21","year":"2006","journal-title":"Progress in Cardiovascular Nursing"},{"issue":"2","key":"key2020040311054111300_ref020","first-page":"195","article-title":"Using single-item measures for construct measurement in management research","volume":"69","year":"2009","journal-title":"Business Administration Review"},{"issue":"16\/1","key":"key2020040311054111300_ref021","first-page":"c5814","article-title":"Adoption, non-adoption, and abandonment of a personal electronic health record: case study of HealthSpace","volume":"341","year":"2010","journal-title":"BMJ"},{"unstructured":"HINTS 5 Cycle 1 Methodology Report (2019), \u201cHINTS 5 cycle 1 methodology report\u201d, available at: https:\/\/hints.cancer.gov\/docs\/methodologyreports\/HINTS5_Cycle_1_Methodology_Rpt.pdf (accessed 20 April 2018).","key":"key2020040311054111300_ref022"},{"issue":"1","key":"key2020040311054111300_ref023","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1057\/palgrave.jit.2000056","article-title":"A review of the predictors, linkages, and biases in IT innovation adoption research","volume":"21","year":"2006","journal-title":"Journal of Information Technology"},{"issue":"3","key":"key2020040311054111300_ref024","doi-asserted-by":"crossref","first-page":"549","DOI":"10.2307\/25750691","article-title":"Fear appeals and information security behaviors: an empirical study","volume":"34","year":"2010","journal-title":"MIS Quarterly"},{"issue":"3","key":"key2020040311054111300_ref025","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1007\/s11002-014-9298-x","article-title":"Measure twice and cut once: the carpenter\u2019s rule still applies","volume":"26","year":"2015","journal-title":"Marketing Letters"},{"issue":"1","key":"key2020040311054111300_ref026","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1177\/1460458211399403","article-title":"Personal health records: consumer attitudes toward privacy and security of their personal health information","volume":"17","year":"2011","journal-title":"Health Informatics Journal"},{"issue":"6","key":"key2020040311054111300_ref027","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.im.2010.08.005","article-title":"Consumer\u2019s decision to shop online: the moderating role of positive informational social influence","volume":"48","year":"2011","journal-title":"Information and Management"},{"issue":"3","key":"key2020040311054111300_ref028","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1145\/2658983","article-title":"Privacy implications of health information seeking on the web","volume":"58","year":"2015","journal-title":"Communications of the ACM"},{"issue":"4","key":"key2020040311054111300_ref029","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.im.2008.02.005","article-title":"Understanding information systems continuance: the case of internet-based learning technologies","volume":"45","year":"2008","journal-title":"Information and Management"},{"issue":"3","key":"key2020040311054111300_ref030","first-page":"703","article-title":"How habit limits the predictive power of intention: the case of information systems continuance","volume":"31","year":"2007","journal-title":"MIS Quarterly"},{"key":"key2020040311054111300_ref031","first-page":"363","article-title":"Barriers to the adoption and use of personal health record systems","volume-title":"Proceedings of the 2011 ACM International Conference","year":"2011"},{"issue":"2","key":"key2020040311054111300_ref032","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.dss.2010.02.008","article-title":"Examining multi-dimensional trust and multi-faceted risk in initial acceptance","volume":"49","year":"2010","journal-title":"Decision Support Systems"},{"issue":"6","key":"key2020040311054111300_ref033","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1136\/amiajnl-2012-001567","article-title":"Patient-provider communication and trust in relation to use of an online patient portal among diabetes patients: the diabetes and aging study","volume":"20","year":"2013","journal-title":"Journal of the American Medical Informatics Association"},{"issue":"7281","key":"key2020040311054111300_ref034","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1136\/bmj.322.7281.283","article-title":"Public standards and patients' control: how to keep electronic medical records accessible but private","volume":"322","year":"2001","journal-title":"BMJ"},{"issue":"5","key":"key2020040311054111300_ref035","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1080\/10810730490504233","article-title":"The health information national trends survey (HINTS): development, design, and dissemination","volume":"9","year":"2004","journal-title":"Journal of Health Communication"},{"issue":"3","key":"key2020040311054111300_ref036","doi-asserted-by":"crossref","first-page":"e71","DOI":"10.2196\/jmir.1603","article-title":"Factors influencing the use of a web-based application for supporting the self-care of patients with type 2 diabetes: a longitudinal study","volume":"13","year":"2011","journal-title":"Journal of Medical Internet Research"},{"issue":"4","key":"key2020040311054111300_ref037","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1197\/jamia.M2888","article-title":"A systematic review of patient acceptance of consumer health information technology","volume":"16","year":"2009","journal-title":"Journal of the American Medical Informatics Association"},{"issue":"7615","key":"key2020040311054111300_ref038","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1136\/bmj.39279.482963.AD","article-title":"Potential of electronic personal health records","volume":"335","year":"2007","journal-title":"BMJ"},{"key":"key2020040311054111300_ref039","article-title":"Individuals\u2019 use of online medical records and technology for health needs","volume":"40","year":"2018","journal-title":"ONC Data Brief"},{"unstructured":"Pew Research Center (2018), \u201cInternet\/broadband fact sheet\u201d, available at: www.pewinternet.org\/fact-sheet\/internet-broadband\/ (accessed 20 April.2018).","key":"key2020040311054111300_ref040"},{"issue":"9","key":"key2020040311054111300_ref041","doi-asserted-by":"crossref","first-page":"763","DOI":"10.7326\/0003-4819-125-9-199611010-00010","article-title":"Physician recommendations and patient autonomy: finding a balance between physician power and patient choice","volume":"125","year":"1996","journal-title":"Annals of Internal Medicine"},{"issue":"2","key":"key2020040311054111300_ref042","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1016\/j.dss.2012.09.018","article-title":"Factors influencing decision support system acceptance","volume":"54","year":"2013","journal-title":"Decision Support Systems"},{"issue":"4","key":"key2020040311054111300_ref043","doi-asserted-by":"crossref","first-page":"989","DOI":"10.2307\/41409970","article-title":"Information privacy research: an interdisciplinary review","volume":"35","year":"2011","journal-title":"MIS Quarterly"},{"issue":"1","key":"key2020040311054111300_ref044","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.2196\/jmir.931","article-title":"Design and implementation of an interactive website to support long-term maintenance of weight loss","volume":"10","year":"2008","journal-title":"Journal of Medical Internet Research"},{"issue":"2","key":"key2020040311054111300_ref045","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1197\/jamia.M2025","article-title":"Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption","volume":"13","year":"2006","journal-title":"Journal of the American Medical Informatics Association"},{"issue":"3","key":"key2020040311054111300_ref046","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.2196\/jmir.5069","article-title":"Electronic health record patient portal adoption by health care consumers: an acceptance model and survey","volume":"18","year":"2016","journal-title":"Journal of Medical Internet Research"},{"issue":"1","key":"key2020040311054111300_ref047","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1186\/s12911-017-0482-9","article-title":"Electronic health record portal adoption: a cross country analysis","volume":"17","year":"2017","journal-title":"BMC Medical Informatics and Decision Making"},{"issue":"5","key":"key2020040311054111300_ref048","doi-asserted-by":"crossref","first-page":"3019","DOI":"10.1007\/s10916-011-9779-x","article-title":"Advances and current state of the security and privacy in electronic health records: survey from a social perspective","volume":"36","year":"2012","journal-title":"Journal of Medical Systems"},{"issue":"5","key":"key2020040311054111300_ref049","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.ijmedinf.2007.06.006","article-title":"An extension of trust and TAM model with IDT in the adoption of the electronic logistics information system in HIS in the medical industry","volume":"77","year":"2008","journal-title":"International Journal of Medical Informatics"},{"issue":"1","key":"key2020040311054111300_ref050","doi-asserted-by":"crossref","first-page":"115","DOI":"10.2307\/3250981","article-title":"Why don't men ever stop to ask for directions? Gender, social influence, and their role in technology acceptance and usage behavior","volume":"24","year":"2000","journal-title":"MIS Quarterly"},{"issue":"1","key":"key2020040311054111300_ref051","doi-asserted-by":"crossref","first-page":"157","DOI":"10.2307\/41410412","article-title":"Consumer acceptance and use of information technology: extending the unified theory of acceptance and use of technology","volume":"36","year":"2012","journal-title":"MIS Quarterly"},{"issue":"5","key":"key2020040311054111300_ref052","doi-asserted-by":"crossref","first-page":"328","DOI":"10.17705\/1jais.00428","article-title":"Unified theory of acceptance and use of technology: a synthesis and the road ahead","volume":"17","year":"2016","journal-title":"Journal of the Association for Information Systems"},{"issue":"3","key":"key2020040311054111300_ref053","doi-asserted-by":"crossref","first-page":"425","DOI":"10.2307\/30036540","article-title":"User acceptance of information technology: toward a unified view","volume":"27","year":"2003","journal-title":"MIS Quarterly"},{"issue":"6","key":"key2020040311054111300_ref054","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1111\/j.1365-2575.2011.00373.x","article-title":"Extending the two\u2010stage information systems continuance model: incorporating UTAUT predictors and the role of context","volume":"21","year":"2011","journal-title":"Information Systems Journal"},{"key":"key2020040311054111300_ref055","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.dss.2016.09.013","article-title":"Continuance of protective security behavior: a longitudinal study","volume":"92","year":"2016","journal-title":"Decision Support Systems"},{"issue":"2","key":"key2020040311054111300_ref056","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1111\/1540-4560.00072","article-title":"Social and political dimensions of privacy","volume":"59","year":"2003","journal-title":"Journal of Social Issues"},{"issue":"3","key":"key2020040311054111300_ref057","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1108\/JEIM-09-2014-0088","article-title":"The unified theory of acceptance and use of technology (UTAUT): a literature review","volume":"28","year":"2015","journal-title":"Journal of Enterprise Information Management"},{"issue":"6","key":"key2020040311054111300_ref058","first-page":"568","article-title":"The digital divide in adoption and use of a personal health record","volume":"171","year":"2011","journal-title":"Archives of Internal Medicine"},{"issue":"4","key":"key2020040311054111300_ref059","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/S0378-7206(04)00073-4","article-title":"Development and validation of an instrument to measure user perceived service quality of information presenting web portals","volume":"42","year":"2005","journal-title":"Information and Management"},{"key":"key2020040311054111300_ref060","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1016\/j.dss.2012.11.008","article-title":"The impacts of information quality and system quality on users' continuance intention in information-exchange virtual communities: an empirical investigation","volume":"56","year":"2013","journal-title":"Decision Support Systems"},{"issue":"7247","key":"key2020040311054111300_ref061","doi-asserted-by":"crossref","first-page":"1468","DOI":"10.1136\/bmj.320.7247.1468","article-title":"The odds ratio","volume":"320","year":"2000","journal-title":"BMJ (Clinical Research Ed.)"},{"issue":"4","key":"key2020040311054111300_ref062","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1080\/03610911003650383","article-title":"How big is a big odds ratio? Interpreting the magnitudes of odds ratios in epidemiological studies","volume":"39","year":"2010","journal-title":"Communications in Statistics\u2014Simulation and Computation"}],"container-title":["Information &amp; Computer Security"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/ICS-07-2019-0076\/full\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/ICS-07-2019-0076\/full\/html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T01:23:03Z","timestamp":1753406583000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.emerald.com\/ics\/article\/28\/1\/97-115\/108363"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,18]]},"references-count":62,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,10,18]]}},"alternative-id":["10.1108\/ICS-07-2019-0076"],"URL":"https:\/\/doi.org\/10.1108\/ics-07-2019-0076","relation":{},"ISSN":["2056-4961","2056-4961"],"issn-type":[{"type":"print","value":"2056-4961"},{"type":"print","value":"2056-4961"}],"subject":[],"published":{"date-parts":[[2019,10,18]]}}}