TY - JOUR
T1 - User acceptability of blockchain technology for enabling electronic health record exchange
AU - Baltruschat, Lilly Marie
AU - Jaiman, Vikas
AU - Urovi, Visara
N1 - Funding Information:
This work was partially supported by the NWO Aspasia (Grant 91716421) and by REALM EU (Grant 101095435, https://doi.org/10.3030/101095435 ).
Publisher Copyright:
© 2023, Emerald Publishing Limited.
PY - 2023/7/17
Y1 - 2023/7/17
N2 - Purpose: 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. Design/methodology/approach: 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. Findings: 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. Practical implications: Three implications are drawn: (1) Users need to clearly understand system’s 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. Originality/value: 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.
AB - Purpose: 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. Design/methodology/approach: 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. Findings: 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. Practical implications: Three implications are drawn: (1) Users need to clearly understand system’s 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. Originality/value: 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.
KW - Blockchain acceptability
KW - Blockchain data exchange
KW - E-health data
KW - EHR
KW - Electronic health record
KW - Federated data
KW - Technology acceptance model
KW - UTAUT
UR - http://www.scopus.com/inward/record.url?scp=85162207492&partnerID=8YFLogxK
U2 - 10.1108/JSIT-09-2022-0225
DO - 10.1108/JSIT-09-2022-0225
M3 - Article
SN - 1328-7265
VL - 25
SP - 268
EP - 295
JO - Journal of Systems and Information Technology
JF - Journal of Systems and Information Technology
IS - 3
ER -