Creating online personal medical accounts: Recent experience in two developed countries

Yeh, Ming‐Jui; Saltman, Richard B.

doi:10.1016/j.hlpt.2019.05.004

Cited by 14 publications

(29 citation statements)

References 18 publications

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“…The NHI program in Taiwan guarantees the right for people to seek healthcare regardless of their financial status and the freedom to choose healthcare providers [19,20,21]. Because of fierce competition and fees for services in the system, medical institutions aim to increase the number of cases attended to and look for any means to achieve an advantage, such as purchasing high-tech and expensive equipment [22].…”

Section: Introductionmentioning

confidence: 99%

“…Research investigating the novel policy of “allowance reduction for outpatient visits” in Taiwan is still lacking. Most previous studies focused on the referral system rather than the effects of the hierarchical medical system on healthcare-seeking behavior [21,29]. This study investigated the effect of the hierarchical medical system under the NHI program on healthcare-seeking behavior in Taiwan, and especially focused on the Policy to Reduce Hospital Visits.…”

Section: Introductionmentioning

confidence: 99%

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The Impacts of the Hierarchical Medical System on National Health Insurance on the Resident’s Health Seeking Behavior in Taiwan: A Case Study on the Policy to Reduce Hospital Visits

Yan

Kung

Yeh

2019

IJERPH

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Objective: This study investigated the impacts of the hierarchical medical system under the national health insurance program on residents’ healthcare-seeking behavior in Taiwan. Background: Healthcare authorities in Taiwan initiated an allowance reduction for outpatient visits at regional hospitals and higher hierarchical hospitals in 2018. The ultimate goal is to implement a hierarchical medical system to provide residents accessible as well as consistent medical services. Methods: This research was conducted through a questionnaire survey, and data were collected between August and December 2018 from the records of subjects who had recently sought medical attention. A total of 1340 valid questionnaires were returned. Results: A principal finding was that there were significant differences in the knowledge of new policies by age, marital status, annual income, education level, and occupation (p < 0.001). Regarding the effects on healthcare-seeking behavior, there were significant differences from persons aged 40–49 years (p < 0.1), in junior high school (p < 0.05), not aware of the policy (p < 0.001), and awareness of both the hierarchical medical system and the policy to reduce outpatient visits to large hospitals (p < 0.001). Conclusion: The health administration authorities should devote more effort into promoting knowledge of the policy in order to better inform the public about the hierarchical medical system.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Impacts of the Hierarchical Medical System on National Health Insurance on the Resident’s Health Seeking Behavior in Taiwan: A Case Study on the Policy to Reduce Hospital Visits

Yan

Kung

Yeh

2019

IJERPH

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“…In the context of using these MITs, privacy and security are relatively important issues. Studies have shown that regardless of country or national conditions, people's views on the privacy and security of health information systems are consistent [23,24,73]. Since the discussion of medical privacy is a relatively abstract concept, this study evaluated privacy issues in PHRs from three aspects: information privacy, psychological privacy, and social privacy [82].…”

Section: Principal Findingsmentioning

confidence: 99%

“…Therefore, for governments, the patients' acceptance of and intention to use electronic PHRs could influence subsequent policy formulation and must be considered. Owing to the advantages of EMRs, such as reducing medical costs, promoting care quality, and enhancing medical efficacy, many countries have begun to plan and develop EMRs with different formats and applications [20][21][22][23][24]. However, in most cases, patients cannot access and manage their PHR at any time.…”

Section: Introductionmentioning

confidence: 99%

“…However, in most cases, patients cannot access and manage their PHR at any time. In view of this, the Ministry of Health and Welfare of Taiwan developed a web-based health information enquiry system, My Health Bank (MHB), in 2014 to allow people to access their personal health information from a computer or smartphone at any time or place [7,[24][25][26].…”

Section: Introductionmentioning

confidence: 99%

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A Technology Acceptance Model for Deploying Masks to Combat the COVID-19 Pandemic in Taiwan (My Health Bank): Web-Based Cross-sectional Survey Study

Tsai¹,

Wu²,

Cheng³

et al. 2021

J Med Internet Res

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Background The successful completion of medical practices often relies on information collection and analysis. Government agencies and medical institutions have encouraged people to use medical information technology (MIT) to manage their conditions and promote personal health. In 2014, Taiwan established the first electronic personal health record (PHR) platform, My Health Bank (MHB), which allows people to access and manage their PHRs at any time. In the face of the COVID-19 pandemic in 2020, Taiwan has used MIT to effectively prevent the spread of COVID-19 and undertaken various prevention measures before the onset of the outbreak. Using MHB to purchase masks in an efficient and orderly way and thoroughly implementing personal protection efforts is highly important to contain disease spread. Objective This study aims to understand people’s intention to use the electronic PHR platform MHB and to investigate the factors affecting their intention to use this platform. Methods From March 31 to April 9, 2014, in a promotion via email and Facebook, participants were asked to fill out a structured questionnaire after watching an introductory video about MHB on YouTube. The questionnaire included seven dimensions: perceived usefulness, perceived ease of use, health literacy, privacy and security, computer self-efficacy, attitude toward use, and behavioral intention to use. Each question was measured on a 5-point Likert scale ranging from “strongly disagree” (1 point) to “strongly agree” (5 points). Descriptive statistics and structural equation analysis were performed using SPSS 21 and AMOS 21 software. Results A total of 350 valid questionnaire responses were collected (female: 219/350, 62.6%; age: 21-30 years: 238/350, 68.0%; university-level education: 228/350, 65.1%; occupation as student: 195/350, 56.6%; average monthly income <NT $30,000 [<US $1054.89]: 230/350, 65.7%; residence in northern Taiwan: 236/350, 67.4%; and health status perceived as “good”: 171/350, 48.9%). Five indicators, including chi-square test (X2310=2.63), goodness-of-fit index (0.85), adjusted goodness-of-fit index (0.81), comparative fit index (0.91), and root mean square error of approximation (0.07), were calculated. The results indicated a good fit. Further analysis indicated that the most important factor affecting respondents’ behavioral intention to use MHB was their attitude toward use (0.78), followed by perceived ease of use (0.65), perceived usefulness (0.41), health literacy (0.10), and privacy and security (0.07). Conclusions From the perspective of the populace, this study explored the factors affecting the use of MHB and constructed an interpretation model with a strong goodness of fit. The results of our analysis are consistent with the technology acceptance model. Through the diverse value-added services of MHB, Taiwan's experience in pandemic prevention with smart technology can facilitate future responses to unknown, emerging infectious diseases.

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Exploring potential drivers of patient engagement with their health data through digital platforms: A scoping review

van Kessel,

Ranganathan,

Anderson

et al. 2024

International Journal of Medical Informatics

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Creating online personal medical accounts: Recent experience in two developed countries

Cited by 14 publications

References 18 publications

The Impacts of the Hierarchical Medical System on National Health Insurance on the Resident’s Health Seeking Behavior in Taiwan: A Case Study on the Policy to Reduce Hospital Visits

The Impacts of the Hierarchical Medical System on National Health Insurance on the Resident’s Health Seeking Behavior in Taiwan: A Case Study on the Policy to Reduce Hospital Visits

A Technology Acceptance Model for Deploying Masks to Combat the COVID-19 Pandemic in Taiwan (My Health Bank): Web-Based Cross-sectional Survey Study

Exploring potential drivers of patient engagement with their health data through digital platforms: A scoping review

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