{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:42:23Z","timestamp":1788777743087,"version":"build-2803163510"},"reference-count":76,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,11,28]],"date-time":"2020-11-28T00:00:00Z","timestamp":1606521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIM J"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>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\u2019 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1833358320964899","type":"journal-article","created":{"date-parts":[[2020,11,29]],"date-time":"2020-11-29T00:41:23Z","timestamp":1606610483000},"page":"98-109","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":41,"title":["Factors affecting the acceptance of integrated electronic personal health records in Saudi Arabia: The impact of e-health literacy"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8171-8676","authenticated-orcid":false,"given":"Yaser A","family":"Alsahafi","sequence":"first","affiliation":[{"name":"University of Technology Sydney, Australia"},{"name":"Faculty of Engineering and Computer Science, Department of Information Technology, University of Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Gay","sequence":"additional","affiliation":[{"name":"University of Technology Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adel A","family":"Khwaji","sequence":"additional","affiliation":[{"name":"University of Technology Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,11,28]]},"reference":[{"key":"bibr1-1833358320964899","doi-asserted-by":"publisher","DOI":"10.2196\/12373"},{"issue":"2","key":"bibr2-1833358320964899","first-page":"575","volume":"34","author":"Abdullah M","year":"2019","journal-title":"Health"},{"key":"bibr3-1833358320964899","doi-asserted-by":"publisher","DOI":"10.5539\/gjhs.v11n5p51"},{"key":"bibr4-1833358320964899","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsps.2018.05.021"},{"issue":"3","key":"bibr5-1833358320964899","first-page":"70","volume":"7","author":"Almasabi M","year":"2013","journal-title":"Research Journal of Medical Sciences"},{"key":"bibr6-1833358320964899","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlpt.2018.10.004"},{"key":"bibr7-1833358320964899","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlpt.2016.02.005"},{"issue":"2","key":"bibr8-1833358320964899","first-page":"171","volume":"29","author":"Altuwaijri M","year":"2008","journal-title":"Saudi Medical Journal"},{"key":"bibr9-1833358320964899","volume-title":"Structural Equation Modeling Using AMOS Graphic","author":"Awang Z","year":"2012"},{"key":"bibr10-1833358320964899","first-page":"1","volume":"8","author":"Bah S","year":"2011","journal-title":"Perspectives in Health Information Management"},{"key":"bibr11-1833358320964899","first-page":"257","volume":"202","author":"Bahkali S","year":"2014","journal-title":"Studies in Health Technology and Informatics"},{"key":"bibr12-1833358320964899","doi-asserted-by":"publisher","DOI":"10.1016\/j.cede.2012.04.004"},{"key":"bibr13-1833358320964899","doi-asserted-by":"publisher","DOI":"10.1177\/135910457000100301"},{"key":"bibr14-1833358320964899","doi-asserted-by":"publisher","DOI":"10.4324\/9781315757421"},{"key":"bibr15-1833358320964899","first-page":"2","volume-title":"A First Course in Factor Analysis","author":"Comrey A","year":"1992"},{"key":"bibr17-1833358320964899","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-8-45"},{"key":"bibr18-1833358320964899","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnz163"},{"key":"bibr19-1833358320964899","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4973"},{"key":"bibr20-1833358320964899","doi-asserted-by":"publisher","DOI":"10.1177\/002224378101800104"},{"key":"bibr21-1833358320964899","doi-asserted-by":"publisher","DOI":"10.1108\/IJHCQA-09-2016-0136"},{"key":"bibr22-1833358320964899","doi-asserted-by":"publisher","DOI":"10.19082\/2713"},{"key":"bibr23-1833358320964899","unstructured":"General Authority for Statistics (2018) Population estimates. 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