Effects of Security and Privacy on Applying Personal Mobile Health Record System: Patients’ Perspective


Mohammadhiwa Abdekhoda 1 , *

1 Department of Medical Library and Information Science, College of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran

How to Cite: Abdekhoda M. Effects of Security and Privacy on Applying Personal Mobile Health Record System: Patients’ Perspective, Shiraz E-Med J. 2018 ; 19(Suppl):e66307. doi: 10.5812/semj.66307.


Shiraz E-Medical Journal: 19 (Suppl); e66307
Published Online: February 23, 2017
Article Type: Abstract
Received: January 15, 2018
Accepted: January 01, 2017





Mobile Health Record System (PACS) Theory of Planned Behavior (TPB) Patients Structural Equation Modeling (SEM)

© 2018, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.


Objectives: This study was carried out to identify the effects of security and privacy concerns on patients’ perception in applying
personal mobile health record system. Methods: This was a cross-sectional study, in which 120 patients, who were referred to the teaching hospital affiliated with Tehran
University of Medical Sciences (TUMS), were randomly selected. The Patients’ perception concerning security and privacy concerns
on applying personal mobile health record system was surveyed by conceptual path model of theory of planned behavior (TPB).
Collected data were analyzed by using regression analysis. To test the final model, structural equation modeling (SEM) was applied.
Finally, the authorized model presented by analysis of moment structures (AMOS). Results: Results indicate that the TPB model has considerable potential in explaining the patients’ perception regarding mobile
health record system adoption. The findings also show that security and privacy have a strongly significant effect on the patients’
perception towards applying personal mobile health record system. Conclusions: The results of this study clearly supported that privacy and security concerns are important factors in applying new
comer technologies such as mobile health record system. This study acknowledged that mobile health record system should guarantee
the patients’ privacy and security concerns, and this fact should be considered by health care managers and policy makers.


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