{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T07:43:00Z","timestamp":1777794180986,"version":"3.51.4"},"reference-count":52,"publisher":"Emerald","issue":"3","license":[{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JSIT"],"published-print":{"date-parts":[[2023,7,17]]},"abstract":"<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title>\n<jats:p>Blockchain systems have been proposed as a solution for exchanging electronic health records (EHR) because they enable data sharing in decentralised networks. This paper aims to analyse the user acceptability of blockchain technology in enabling EHR exchange and to formulate practical implications for increasing user acceptability.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title>\n<jats:p>A technology acceptance model [extended Unified Theory of Acceptance and Use of Technology (UTAUT) model] was used as a framework to measure the effects of 13 factors. The authors conducted a survey and analysed data from 214 participants using partial least square path modelling.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Findings<\/jats:title>\n<jats:p>The acceptance of blockchain for EHR sharing is positively influenced by performance expectancy, social influence and perceived trust. Effort expectancy and facilitating conditions do not influence acceptance. The UTAUT model explains the variance in acceptance at 58.4%. Self-efficacy influences effort expectancy, incentives influence facilitating conditions and security predicts perceived trust.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Practical implications<\/jats:title>\n<jats:p>Three implications are drawn: (1) Users need to clearly understand system\u2019s purpose, functions, security mechanism and environmental impacts. (2) Users are incentivised to share health data via a blockchain solution if the technology offers personalising options and health information. (3) Health personnel can socially impact patients to use blockchain-based solutions.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title>\n<jats:p>Studies have shown that blockchain technology is a valuable solution for exchanging EHR. The novelty of this work is to identify how and why patients may accept this emerging technology for EHR exchange.<\/jats:p>\n<\/jats:sec>","DOI":"10.1108\/jsit-09-2022-0225","type":"journal-article","created":{"date-parts":[[2023,6,20]],"date-time":"2023-06-20T01:43:15Z","timestamp":1687225395000},"page":"268-295","source":"Crossref","is-referenced-by-count":9,"title":["User acceptability of blockchain technology for enabling electronic health record exchange"],"prefix":"10.1108","volume":"25","author":[{"given":"Lilly Marie","family":"Baltruschat","sequence":"first","affiliation":[]},{"given":"Vikas","family":"Jaiman","sequence":"additional","affiliation":[]},{"given":"Visara","family":"Urovi","sequence":"additional","affiliation":[]}],"member":"140","published-online":{"date-parts":[[2023,6,21]]},"reference":[{"key":"key2023071406234688000_ref001","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1109\/TEMSCONEUROPE54743.2022.9801918","article-title":"Blockchain design in health data management","volume-title":"2022 IEEE Technology and Engineering Management Conference (TEMSCON EUROPE)","year":"2022"},{"key":"key2023071406234688000_ref002","first-page":"1","article-title":"Blockchain technology for embracing healthcare 4.0","year":"2022","journal-title":"IEEE Transactions on Engineering Management"},{"key":"key2023071406234688000_ref003","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1109\/ISPCC53510.2021.9609339","article-title":"A systematic analysis of applications of blockchain in healthcare","volume-title":"2021 6th International Conference on Signal Processing, Computing and Control (ISPCC)","year":"2021"},{"key":"key2023071406234688000_ref004","doi-asserted-by":"crossref","first-page":"120688","DOI":"10.1016\/j.techfore.2021.120688","article-title":"The role of trust in intention to use the IoT in eHealth: application of the modified UTAUT in a consumer context","volume":"167","year":"2021","journal-title":"Technological Forecasting and Social Change"},{"issue":"1","key":"key2023071406234688000_ref005","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1080\/20479700.2020.1843887","article-title":"Blockchain technology in healthcare: challenges and opportunities","volume":"15","year":"2022","journal-title":"International Journal of Healthcare Management"},{"key":"key2023071406234688000_ref0500","first-page":"25","article-title":"Medrec: using blockchain for medical data access and permission management","volume-title":"In 2016 2nd international conference on open and big data (OBD)","year":"2016"},{"issue":"3","key":"key2023071406234688000_ref006","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.3390\/su13031127","article-title":"Adoption and use of learning management systems in education: the role of playfulness and self-management","volume":"13","year":"2021","journal-title":"Sustainability"},{"issue":"2","key":"key2023071406234688000_ref007","doi-asserted-by":"crossref","first-page":"103168","DOI":"10.1016\/j.im.2019.05.003","article-title":"How to perform and report an impactful analysis using partial least squares: guidelines for confirmatory and explanatory IS research","volume":"57","year":"2020","journal-title":"Information and Management"},{"key":"key2023071406234688000_ref008","first-page":"429","article-title":"Effect of transparency and trust on acceptance of automatic online comment moderation systems","volume":"01","year":"2019","journal-title":"2019 IEEE 21st Conference on Business Informatics (CBI)"},{"key":"key2023071406234688000_ref009","doi-asserted-by":"crossref","first-page":"120463","DOI":"10.1016\/j.techfore.2020.120463","article-title":"Surfing blockchain wave, or drowning? 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