Factors Affecting Health Care Technology Use in Baby Boomers: A Quantitative Study.
详细信息
文摘
New advances in health information technology such as personal health records (PHRs) provide patients an opportunity to increase their involvement in health care delivery. To achieve increases in quality and reductions in cost,leaders at the U.S. Department of Health and Human Services are establishing payment incentives for increasing the use of electronic health records for physicians,and PHRs for patients,as part of a national health care information network. Although electronic health record use continues to increase among physicians,PHR use is only between 1 and 7% in the general U.S. population and estimated to be half of this among baby boomers. Ten thousand baby boomers turn 65 every day,which will have a significant impact on resource use and U.S. health care costs. Because little is known about patient attitudes reflecting the use of PHRs,this study referenced the research framework of the technology acceptance model,diffusion of innovation theories,and theory of self-efficacy to determine if age,education,health status,privacy,and self-efficacy predict the intention to use PHRs in U.S. leading-edge (born 1946-1955) and trailing-edge (born 1956-1964) baby boomers. Data from 151 baby boomers using a nonprobabilistic,quantitative,single-shot survey indicated that all three correlations were positive and significant at the p ＜ .001 level,with the strongest correlation between ease of use with usefulness (r ＝ .71,p ＜ .001). This combination of findings provided support to reject all null hypotheses. The highest variance ratios comparing the trailing-edge subsample to the leading-edge subsample were for self-efficacy with privacy (variance ratio ＝ 2.70),privacy with ease of use (variance ratio ＝ 2.50),and ease of use with usefulness (variance ratio ＝ 2.85).