Importance-performance analysis of personal health records in Taiwan: A web-based survey

Hsiao Hsien Rau, Yi Syuan Wu, Chi Ming Chu, Fu Chung Wang, Min Huei Hsu, Chi Wen Chang, Kang Hua Chen, Yen Liang Lee, Senyeong Kao, Yu Lung Chiu, Hsyien Chia Wen, Anis Fuad, Chien Yeh Hsu, Hung Wen Chiu

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Empowering personal health records (PHRs) provides basic human right, awareness, and intention for health promotion. As health care delivery changes toward patient-centered services, PHRs become an indispensable platform for consumers and providers. Recently, the government introduced "My health bank," a Web-based electronic medical records (EMRs) repository for consumers. However, it is not yet a PHR. To date, we do not have a platform that can let patients manage their own PHR. Objective: This study creates a vision of a value-added platform for personal health data analysis and manages their health record based on the contents of the "My health bank." This study aimed to examine consumer expectation regarding PHR, using the importance-performance analysis. The purpose of this study was to explore consumer perception regarding this type of a platform: it would try to identify the key success factors and important aspects by using the importance-performance analysis, and give some suggestions for future development based on it. Methods: This is a cross-sectional study conducted in Taiwan. Web-based invitation to participate in this study was distributed through Facebook. Respondents were asked to watch an introductory movie regarding PHR before filling in the questionnaire. The questionnaire was focused on 2 aspects, including (1) system functions, and (2) system design and security and privacy. The questionnaire would employ 12 and 7 questions respectively. The questionnaire was designed following 5-points Likert scale ranging from 1 ("disagree strongly") to 5 ("Agree strongly"). Afterwards, the questionnaire data was sorted using IBM SPSS Statistics 21 for descriptive statistics and the importance-performance analysis. Results: This research received 350 valid questionnaires. Most respondents were female (219 of 350 participants, 62.6%), 21-30 years old (238 of 350 participants, 68.0%), with a university degree (228 of 350 participants, 65.1%). They were still students (195 out of 350 participants, 56.6%), with a monthly income of less than NT $30,000 (230 of 350 participants, 65.7%), and living in the North Taiwan (236 of 350 participants, 67.4%), with a good self-identified health status (171 of 350 participants, 48.9%). After performing the importance-performance analysis, we found the following: (1) instead of complex functions, people just want to have a platform that can let them integrate and manage their medical visit, health examination, and life behavior records; (2) they do not care whether their PHR is shared with others; and (3) most of the participants think the system security design is not important, but they also do not feel satisfied with the current security design. Conclusions: Overall, the issues receiving the most user attention were the system functions, circulation, integrity, ease of use, and continuity of the PHRs, data security, and privacy protection.

Original languageEnglish
Article numbere131
JournalJournal of Medical Internet Research
Volume19
Issue number4
DOIs
Publication statusPublished - Apr 1 2017

Fingerprint

Personal Health Records
Taiwan
Health
Privacy
Computer Security
Surveys and Questionnaires
Electronic Health Records
Motion Pictures
Health Promotion
Health Status
Cross-Sectional Studies
Students
Delivery of Health Care

Keywords

  • Electronic health records
  • Health records
  • Personal
  • Surveys and questionnaires

ASJC Scopus subject areas

  • Health Informatics

Cite this

Importance-performance analysis of personal health records in Taiwan : A web-based survey. / Rau, Hsiao Hsien; Wu, Yi Syuan; Chu, Chi Ming; Wang, Fu Chung; Hsu, Min Huei; Chang, Chi Wen; Chen, Kang Hua; Lee, Yen Liang; Kao, Senyeong; Chiu, Yu Lung; Wen, Hsyien Chia; Fuad, Anis; Hsu, Chien Yeh; Chiu, Hung Wen.

In: Journal of Medical Internet Research, Vol. 19, No. 4, e131, 01.04.2017.

Research output: Contribution to journalArticle

Rau, HH, Wu, YS, Chu, CM, Wang, FC, Hsu, MH, Chang, CW, Chen, KH, Lee, YL, Kao, S, Chiu, YL, Wen, HC, Fuad, A, Hsu, CY & Chiu, HW 2017, 'Importance-performance analysis of personal health records in Taiwan: A web-based survey', Journal of Medical Internet Research, vol. 19, no. 4, e131. https://doi.org/10.2196/jmir.7065
Rau, Hsiao Hsien ; Wu, Yi Syuan ; Chu, Chi Ming ; Wang, Fu Chung ; Hsu, Min Huei ; Chang, Chi Wen ; Chen, Kang Hua ; Lee, Yen Liang ; Kao, Senyeong ; Chiu, Yu Lung ; Wen, Hsyien Chia ; Fuad, Anis ; Hsu, Chien Yeh ; Chiu, Hung Wen. / Importance-performance analysis of personal health records in Taiwan : A web-based survey. In: Journal of Medical Internet Research. 2017 ; Vol. 19, No. 4.
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T2 - A web-based survey

AU - Rau, Hsiao Hsien

AU - Wu, Yi Syuan

AU - Chu, Chi Ming

AU - Wang, Fu Chung

AU - Hsu, Min Huei

AU - Chang, Chi Wen

AU - Chen, Kang Hua

AU - Lee, Yen Liang

AU - Kao, Senyeong

AU - Chiu, Yu Lung

AU - Wen, Hsyien Chia

AU - Fuad, Anis

AU - Hsu, Chien Yeh

AU - Chiu, Hung Wen

PY - 2017/4/1

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N2 - Background: Empowering personal health records (PHRs) provides basic human right, awareness, and intention for health promotion. As health care delivery changes toward patient-centered services, PHRs become an indispensable platform for consumers and providers. Recently, the government introduced "My health bank," a Web-based electronic medical records (EMRs) repository for consumers. However, it is not yet a PHR. To date, we do not have a platform that can let patients manage their own PHR. Objective: This study creates a vision of a value-added platform for personal health data analysis and manages their health record based on the contents of the "My health bank." This study aimed to examine consumer expectation regarding PHR, using the importance-performance analysis. The purpose of this study was to explore consumer perception regarding this type of a platform: it would try to identify the key success factors and important aspects by using the importance-performance analysis, and give some suggestions for future development based on it. Methods: This is a cross-sectional study conducted in Taiwan. Web-based invitation to participate in this study was distributed through Facebook. Respondents were asked to watch an introductory movie regarding PHR before filling in the questionnaire. The questionnaire was focused on 2 aspects, including (1) system functions, and (2) system design and security and privacy. The questionnaire would employ 12 and 7 questions respectively. The questionnaire was designed following 5-points Likert scale ranging from 1 ("disagree strongly") to 5 ("Agree strongly"). Afterwards, the questionnaire data was sorted using IBM SPSS Statistics 21 for descriptive statistics and the importance-performance analysis. Results: This research received 350 valid questionnaires. Most respondents were female (219 of 350 participants, 62.6%), 21-30 years old (238 of 350 participants, 68.0%), with a university degree (228 of 350 participants, 65.1%). They were still students (195 out of 350 participants, 56.6%), with a monthly income of less than NT $30,000 (230 of 350 participants, 65.7%), and living in the North Taiwan (236 of 350 participants, 67.4%), with a good self-identified health status (171 of 350 participants, 48.9%). After performing the importance-performance analysis, we found the following: (1) instead of complex functions, people just want to have a platform that can let them integrate and manage their medical visit, health examination, and life behavior records; (2) they do not care whether their PHR is shared with others; and (3) most of the participants think the system security design is not important, but they also do not feel satisfied with the current security design. Conclusions: Overall, the issues receiving the most user attention were the system functions, circulation, integrity, ease of use, and continuity of the PHRs, data security, and privacy protection.

AB - Background: Empowering personal health records (PHRs) provides basic human right, awareness, and intention for health promotion. As health care delivery changes toward patient-centered services, PHRs become an indispensable platform for consumers and providers. Recently, the government introduced "My health bank," a Web-based electronic medical records (EMRs) repository for consumers. However, it is not yet a PHR. To date, we do not have a platform that can let patients manage their own PHR. Objective: This study creates a vision of a value-added platform for personal health data analysis and manages their health record based on the contents of the "My health bank." This study aimed to examine consumer expectation regarding PHR, using the importance-performance analysis. The purpose of this study was to explore consumer perception regarding this type of a platform: it would try to identify the key success factors and important aspects by using the importance-performance analysis, and give some suggestions for future development based on it. Methods: This is a cross-sectional study conducted in Taiwan. Web-based invitation to participate in this study was distributed through Facebook. Respondents were asked to watch an introductory movie regarding PHR before filling in the questionnaire. The questionnaire was focused on 2 aspects, including (1) system functions, and (2) system design and security and privacy. The questionnaire would employ 12 and 7 questions respectively. The questionnaire was designed following 5-points Likert scale ranging from 1 ("disagree strongly") to 5 ("Agree strongly"). Afterwards, the questionnaire data was sorted using IBM SPSS Statistics 21 for descriptive statistics and the importance-performance analysis. Results: This research received 350 valid questionnaires. Most respondents were female (219 of 350 participants, 62.6%), 21-30 years old (238 of 350 participants, 68.0%), with a university degree (228 of 350 participants, 65.1%). They were still students (195 out of 350 participants, 56.6%), with a monthly income of less than NT $30,000 (230 of 350 participants, 65.7%), and living in the North Taiwan (236 of 350 participants, 67.4%), with a good self-identified health status (171 of 350 participants, 48.9%). After performing the importance-performance analysis, we found the following: (1) instead of complex functions, people just want to have a platform that can let them integrate and manage their medical visit, health examination, and life behavior records; (2) they do not care whether their PHR is shared with others; and (3) most of the participants think the system security design is not important, but they also do not feel satisfied with the current security design. Conclusions: Overall, the issues receiving the most user attention were the system functions, circulation, integrity, ease of use, and continuity of the PHRs, data security, and privacy protection.

KW - Electronic health records

KW - Health records

KW - Personal

KW - Surveys and questionnaires

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