The Role of Privacy Protection in Healthcare Information Systems Adoption

Authors:
Chien-Lung Hsu;Ming-Ren Lee;Chien-Hui Su
Affiliations:
Department of Information Management, Chang Gung University, Tao-Yuan 333, Republic of China and Department of Electrical Engineering and Computer Science, University of Central Florida, Orlando, ...;Department of Information Management, Taoyuan Innovation Institute of Technology, Taoyuan 320, Republic of China;Department of Information Management, Chang Gung University, Tao-Yuan 333, Republic of China
Venue:
Journal of Medical Systems
Year:
2013

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Abstract

Privacy protection is an important issue and challenge in healthcare information systems (HISs). Recently, some privacy-enhanced HISs are proposed. Users' privacy perception, intention, and attitude might affect the adoption of such systems. This paper aims to propose a privacy-enhanced HIS framework and investigate the role of privacy protection in HISs adoption. In the proposed framework, privacy protection, access control, and secure transmission modules are designed to enhance the privacy protection of a HIS. An experimental privacy-enhanced HIS is also implemented. Furthermore, we proposed a research model extending the unified theory of acceptance and use of technology by considering perceived security and information security literacy and then investigate user adoption of a privacy-enhanced HIS. The experimental results and analyses showed that user adoption of a privacy-enhanced HIS is directly affected by social influence, performance expectancy, facilitating conditions, and perceived security. Perceived security has a mediating effect between information security literacy and user adoption. This study proposes several implications for research and practice to improve designing, development, and promotion of a good healthcare information system with privacy protection.