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Public Acceptance of a Health Information Exchange in Korea

  • Park, Hayoung (Department of Industrial Engineering, Seoul National University) ;
  • Park, Jong Son (Digital HealthCare Informatization Team, Korea Health Industry Development Institute) ;
  • Lee, Hye Rin (Technology Management, Economics and Policy (TEMEP) Graduate Program of Seoul National University) ;
  • Kim, Soomin (Digital HealthCare Informatization Team, Korea Health Industry Development Institute)
  • 투고 : 2018.09.20
  • 심사 : 2018.10.22
  • 발행 : 2018.10.31

초록

Objectives: We assessed the public acceptance of a health information exchange (HIE) and examined factors that influenced the acceptance and associations among constructs of the Technology Acceptance Model (TAM). Methods: We collected data from a survey of 1,000 individuals in Korea, which was administered through a structured questionnaire. We assessed the validity and reliability of the survey instrument with exploratory factor analysis and Cronbach's alpha coefficients. We computed descriptive statistics to assess the acceptance and performed regression analyses with a structural equation model to estimate the magnitude and significance of influences among constructs of TAM. Results: Eighty-seven percent of the respondents were willing to use the technology, and the average level of agreement with the need for the technology was 4.16 on a 5-point Likert scale. The perception of ease of use of the technology significantly influenced perceptions of usefulness and attitudes about the need for HIE. Perceptions of usefulness influenced attitude and behavioral intention to use HIE, and attitude influenced intention. Age showed a wide range of influences throughout the model, and experience with offline-based information exchange and health status also showed noteworthy influences. Conclusions: The public acceptance of HIE was high, and influences posited by TAM were mostly confirmed by the study results. The study findings indicated a need for an education and communication strategy tailored by population age, health status, and prior experience with offline-based exchange to gain public buy-in for a successful introduction of the technology.

키워드

과제정보

연구 과제 주관 기관 : Korea Health Industry Development Institute

참고문헌

  1. Department of Health and Human Services. What is HIE? [Internet]. Washington (DC): Department of Health and Human Services; c2018 [cited at 2018 Aug 7]. Available from: www.healthit.gov/topic/health-it-and-health-information-exchange-basics/what-hie.
  2. The National Alliance for Health Information Technology. Report to the Office of the National Coordinator for Health Information Technology on Defining key health information technology terms. Washington (DC): Department of Health and Human Services; 2008.
  3. Kaelber DC, Bates DW. Health information exchange and patient safety. J Biomed Inform 2007;40(6 Suppl):S40-5. https://doi.org/10.1016/j.jbi.2007.08.011
  4. Organisation of Economic Co-operation and Development. Improving health sector efficiency: the role of information and communication technologies. Paris, France: Organisation of Economic Co-operation and Development; 2010.
  5. Walker J, Pan E, Johnston D, Adler-Milstein J, Bates DW, Middleton B. The value of health care information exchange and interoperability. Health Aff (Millwood) 2005;Suppl Web Exclusives:W5-10-W5-18.
  6. Centers for Medicare and Medicaid Services. Promoting Interoperability (PI) programs [Internet]. Baltimore (MD): Department of Health and Human Services; c2018 [cited at 2018 Sep 18]. Available from: https://www.cms.gov/Regulations-and-Guidance/Legislation/ EHRIncentivePrograms/index.html.
  7. National Health Services Digital. Summary Care Records (SCR) [Internet]. Leeds, UK: National Health Services: c2016 [cited at 2018 Sep 18]. Available from: http://webarchive.nationalarchives.gov.uk/20160921135209/http://systems.digital.nhs.uk/scr.
  8. Canada Health Infoway. A conversation about digital health: annual report 2015-2016 [Internet]. Toronto, Canada: Canada Health Infoway: c2016 [cited at 2018 Sep 18]. Available from: https://www.infoway-inforoute.ca/en/component/edocman/resources/i-infoway-i-corporate/annual-reports/3098-annual-report-2015-2016.
  9. Australian Digital Health Agency. What is my health record? [Internet]. Sydney, Australia: Australian Digital Health Agency; c2018 [cited at 2018 Sep 18]. Available from: https://www.myhealthrecord.gov.au/for-healthcare-professionals.
  10. Center for Interoperable EHR. EHR system functionality and health information exchange. Seoul, Korea: Elsevier Korea; 2010.
  11. Park H, Lee SI, Hwang H, Kim Y, Heo EY, Kim JW, et al. Can a health information exchange save healthcare costs? Evidence from a pilot program in South Korea. Int J Med Inform 2015;84(9):658-66. https://doi.org/10.1016/j.ijmedinf.2015.05.008
  12. Korea Health Industry Development Institute. Establishing and activating the infrastructure of medical information exchange based on health-care information ecosystem. Seoul, Korea: Jeonwooyongsachon; 2016.
  13. Hersh W, Totten A, Eden K, Devine B, Gorman P, Kassakian S, et al. Health information exchange. Rockville (MD): Agency for Healthcare Research and Quality; 2015.
  14. Park H, Ock M, Park JS, Lee H, Kim S, Lee S. Stakeholder survey on the incentive program to promote the adoption of health information exchange. J Inform Tech Serv 2017;16(3):17-45.
  15. Ji H, Yoo S, Heo EY, Hwang H, Kim JW. Technology and policy challenges in the adoption and operation of health information exchange systems. Healthc Inform Res 2017;23(4):314-21. https://doi.org/10.4258/hir.2017.23.4.314
  16. Ancker JS, Edwards AM, Miller MC, Kaushal R. Consumer perceptions of electronic health information exchange. Am J Prev Med 2012;43(1):76-80. https://doi.org/10.1016/j.amepre.2012.02.027
  17. Ancker JS, Silver M, Miller MC, Kaushal R. Consumer experience with and attitudes toward health information technology: a nationwide survey. J Am Med Inform Assoc 2013;20(1):152-6. https://doi.org/10.1136/amiajnl-2012-001062
  18. O'Donnell HC, Patel V, Kern LM, Barron Y, Teixeira P, Dhopeshwarkar R, et al. Healthcare consumers' attitudes towards physician and personal use of health information exchange. J Gen Intern Med 2011;26(9):1019-26. https://doi.org/10.1007/s11606-011-1733-6
  19. Park H, Lee SI, Kim Y, Heo EY, Lee J, Park JH, et al. Patients' perceptions of a health information exchange: a pilot program in South Korea. Int J Med Inform 2013;82(2):98-107. https://doi.org/10.1016/j.ijmedinf.2012.05.001
  20. Agaku IT, Adisa AO, Ayo-Yusuf OA, Connolly GN. 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. J Am Med Inform Assoc 2014;21(2):374-8. https://doi.org/10.1136/amiajnl-2013-002079
  21. Dimitropoulos L, Patel V, Scheffler SA, Posnack S. Public attitudes toward health information exchange: perceived benefits and concerns. Am J Manag Care 2011;17(12 Spec No.):SP111-6.
  22. Grande D, Mitra N, Shah A, Wan F, Asch DA. Public preferences about secondary uses of electronic health information. JAMA Intern Med 2013;173(19):1798-806. https://doi.org/10.1001/jamainternmed.2013.9166
  23. Whiddett R, Hunter I, Engelbrecht J, Handy J. Patients' attitudes towards sharing their health information. Int J Med Inform 2006;75(7):530-41. https://doi.org/10.1016/j.ijmedinf.2005.08.009
  24. Davis FD, Bagozzi RP, Warshaw PR. User acceptance of computer technology: a comparison of two theoretical models. Manag Sci 1989;35(8):982-1003. https://doi.org/10.1287/mnsc.35.8.982
  25. Korea Centers for Disease Control and Prevention. The Korea national health and examination survey contents [Internet]. Cheongju, Korea: Korea Centers for Disease Control and Prevention; c2016 [cited at 2018 Sep 18]. Available from: https://knhanes.cdc.go.kr/knhanes/sub02/sub02_03.do#s8_03.
  26. Statistics Korea. 2016 Administrative district population by age and sex [Internet]. Daejeon, Korea: Statistics Korea; c2016 [cited 2018 Aug 26]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1IN1603&conn_path=I3.
  27. Patel VN, Dhopeshwarkar RV, Edwards A, Barron Y, Sparenborg J, Kaushal R. Consumer support for health information exchange and personal health records: a regional health information organization survey. J Med Syst 2012;36(3):1043-52. https://doi.org/10.1007/s10916-010-9566-0
  28. Esmaeilzadeh P, Sambasivan M. Patients' support for health information exchange: a literature review and classification of key factors. BMC Med Inform Decis Mak 2017;17(1):33. https://doi.org/10.1186/s12911-017-0436-2