IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i18p9553-d632920.html
   My bibliography  Save this article

Role of Individual Motivations and Privacy Concerns in the Adoption of German Electronic Patient Record Apps—A Mixed-Methods Study

Author

Listed:
  • Richard Henkenjohann

    (Faculty of Linguistics and Information Science, University of Hildesheim, 31141 Hildesheim, Germany
    Digital Health Center, Hasso Plattner Institute for Digital Engineering gGmbH, University of Potsdam, 14482 Potsdam, Germany)

Abstract

Germany’s electronic patient record (“ePA”) launched in 2021 with several attempts and years of delay. The development of such a large-scale project is a complex task, and so is its adoption. Individual attitudes towards an electronic health record are crucial, as individuals can reject opting-in to it and making any national efforts unachievable. Although the integration of an electronic health record serves potential benefits, it also constitutes risks for an individual’s privacy. With a mixed-methods study design, this work provides evidence that different types of motivations and contextual privacy antecedents affect usage intentions towards the ePA. Most significantly, individual motivations stemming from feelings of volition or external mandates positively affect ePA adoption, although internal incentives are more powerful.

Suggested Citation

  • Richard Henkenjohann, 2021. "Role of Individual Motivations and Privacy Concerns in the Adoption of German Electronic Patient Record Apps—A Mixed-Methods Study," IJERPH, MDPI, vol. 18(18), pages 1-31, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9553-:d:632920
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/18/9553/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/18/9553/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Grace Fox, 2020. "“To protect my health or to protect my health privacy?” A mixed‐methods investigation of the privacy paradox," Journal of the Association for Information Science & Technology, Association for Information Science & Technology, vol. 71(9), pages 1015-1029, September.
    2. Kordzadeh, Nima & Warren, John & Seifi, Ali, 2016. "Antecedents of privacy calculus components in virtual health communities," International Journal of Information Management, Elsevier, vol. 36(5), pages 724-734.
    3. Jens H. Weber-Jahnke & Christina Obry, 2012. "Protecting privacy during peer-to-peer exchange of medical documents," Information Systems Frontiers, Springer, vol. 14(1), pages 87-104, March.
    4. Weiyin Hong & Frank K. Y. Chan & James Y. L. Thong & Lewis C. Chasalow & Gurpreet Dhillon, 2014. "A Framework and Guidelines for Context-Specific Theorizing in Information Systems Research," Information Systems Research, INFORMS, vol. 25(1), pages 111-136, March.
    5. D. Harrison McKnight & Vivek Choudhury & Charles Kacmar, 2002. "Developing and Validating Trust Measures for e-Commerce: An Integrative Typology," Information Systems Research, INFORMS, vol. 13(3), pages 334-359, September.
    6. Abhay Nath Mishra & Catherine Anderson & Corey M. Angst & Ritu Agarwal, 2012. "Electronic Health Records Assimilation and Physician Identity Evolution: An Identity Theory Perspective," Information Systems Research, INFORMS, vol. 23(3-part-1), pages 738-760, September.
    7. Ting Li & Thomas Slee, 2014. "The effects of information privacy concerns on digitizing personal health records," Journal of the Association for Information Science & Technology, Association for Information Science & Technology, vol. 65(8), pages 1541-1554, August.
    8. Naresh K. Malhotra & Sung S. Kim & James Agarwal, 2004. "Internet Users' Information Privacy Concerns (IUIPC): The Construct, the Scale, and a Causal Model," Information Systems Research, INFORMS, vol. 15(4), pages 336-355, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Karl van der Schyff & Greg Foster & Karen Renaud & Stephen Flowerday, 2023. "Online Privacy Fatigue: A Scoping Review and Research Agenda," Future Internet, MDPI, vol. 15(5), pages 1-31, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Grace Fox & Tabitha L. James, 2021. "Toward an Understanding of the Antecedents to Health Information Privacy Concern: A Mixed Methods Study," Information Systems Frontiers, Springer, vol. 23(6), pages 1537-1562, December.
    2. Grace Fox & Lisa van der Werff & Pierangelo Rosati & Patricia Takako Endo & Theo Lynn, 2022. "Examining the determinants of acceptance and use of mobile contact tracing applications in Brazil: An extended privacy calculus perspective," Journal of the Association for Information Science & Technology, Association for Information Science & Technology, vol. 73(7), pages 944-967, July.
    3. Caroline Lancelot Miltgen & H. Jeff Smith, 2019. "Falsifying and withholding: exploring individuals’ contextual privacy-related decision-making," Post-Print hal-02156671, HAL.
    4. Cheng, Junjun & Chen, Bo & Huang, Zihang, 2023. "Collective-based ad transparency in targeted hotel advertising: Consumers’ regulatory focus underlying the crowd safety effect," Journal of Retailing and Consumer Services, Elsevier, vol. 72(C).
    5. Mario Silic & Andrea Back, 2016. "The Influence of Risk Factors in Decision-Making Process for Open Source Software Adoption," International Journal of Information Technology & Decision Making (IJITDM), World Scientific Publishing Co. Pte. Ltd., vol. 15(01), pages 151-185, January.
    6. Cheah, Jun-Hwa & Lim, Xin-Jean & Ting, Hiram & Liu, Yide & Quach, Sara, 2022. "Are privacy concerns still relevant? Revisiting consumer behaviour in omnichannel retailing," Journal of Retailing and Consumer Services, Elsevier, vol. 65(C).
    7. Chang, Shuchih Ernest & Shen, Wei-Cheng & Liu, Anne Yenching, 2016. "Why mobile users trust smartphone social networking services? A PLS-SEM approach," Journal of Business Research, Elsevier, vol. 69(11), pages 4890-4895.
    8. Ronald Baganzi & Antonio K. W. Lau, 2017. "Examining Trust and Risk in Mobile Money Acceptance in Uganda," Sustainability, MDPI, vol. 9(12), pages 1-22, December.
    9. Sumeet Gupta & Haejung Yun & Heng Xu & Hee-Woong Kim, 2017. "An exploratory study on mobile banking adoption in Indian metropolitan and urban areas: a scenario-based experiment," Information Technology for Development, Taylor & Francis Journals, vol. 23(1), pages 127-152, January.
    10. Nils Koester & Patrick Cichy & David Antons & Torsten Oliver Salge, 2022. "Perceived privacy risk in the Internet of Things: determinants, consequences, and contingencies in the case of connected cars," Electronic Markets, Springer;IIM University of St. Gallen, vol. 32(4), pages 2333-2355, December.
    11. Catherine L. Anderson & Ritu Agarwal, 2011. "The Digitization of Healthcare: Boundary Risks, Emotion, and Consumer Willingness to Disclose Personal Health Information," Information Systems Research, INFORMS, vol. 22(3), pages 469-490, September.
    12. Hu, Bo & Liu, Yu-li & Yan, Wenjia, 2021. "Should I scan my face? The influence of perceived value and trust on Chinese users' intention to use facial recognition payment," 23rd ITS Biennial Conference, Online Conference / Gothenburg 2021. Digital societies and industrial transformations: Policies, markets, and technologies in a post-Covid world 238028, International Telecommunications Society (ITS).
    13. Dongmin Kim & Izak Benbasat, 2006. "The Effects of Trust-Assuring Arguments on Consumer Trust in Internet Stores: Application of Toulmin's Model of Argumentation," Information Systems Research, INFORMS, vol. 17(3), pages 286-300, September.
    14. Bleier, Alexander & Goldfarb, Avi & Tucker, Catherine, 2020. "Consumer privacy and the future of data-based innovation and marketing," International Journal of Research in Marketing, Elsevier, vol. 37(3), pages 466-480.
    15. Escamilla, Rafael & Brosi, Prisca & Fransoo, Jan C. & Mora-Quiñones, Camilo & Mejia Argueta, Christopher, 2024. "Tax privacy concerns hamper digitization of the nanostore channel," Other publications TiSEM 8ead01df-f8bf-421a-911d-3, Tilburg University, School of Economics and Management.
    16. Nancy K. Lankton & D. Harrison McKnight & Ryan T. Wright & Jason Bennett Thatcher, 2016. "Research Note—Using Expectation Disconfirmation Theory and Polynomial Modeling to Understand Trust in Technology," Information Systems Research, INFORMS, vol. 27(1), pages 197-213, March.
    17. Julian Schuir & Frank Teuteberg, 2021. "Understanding augmented reality adoption trade-offs in production environments from the perspective of future employees: A choice-based conjoint study," Information Systems and e-Business Management, Springer, vol. 19(3), pages 1039-1085, September.
    18. Basmah Emad ALQadheeb & Othman Ibraheem Alsalloum, 2021. "Self-Disclosure in Social Networking Sites in Saudi Arabia," International Journal of Business and Management, Canadian Center of Science and Education, vol. 13(10), pages 1-96, July.
    19. Xuequn Wang & Mina Tajvidi & Xiaolin Lin & Nick Hajli, 2020. "Towards an Ethical and Trustworthy Social Commerce Community for Brand Value Co-creation: A trust-Commitment Perspective," Journal of Business Ethics, Springer, vol. 167(1), pages 137-152, November.
    20. Weiyin Hong & Frank K. Y. Chan & James Y. L. Thong, 2021. "Drivers and Inhibitors of Internet Privacy Concern: A Multidimensional Development Theory Perspective," Journal of Business Ethics, Springer, vol. 168(3), pages 539-564, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9553-:d:632920. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.