An empirical study on patients' acceptance and resistance towards electronic health record sharing system: A case study of Hong Kong

Kin Lok Keung, Carman Lee, K. K.H. Ng, Sing Sum Leung, K. L. Choy

Research output: Journal article publicationJournal articleAcademic researchpeer-review

5 Citations (Scopus)


This article aims at identifying significant factors influencing behavioural intention and resistance of patients toward electronic health record sharing systems by using PLS-SEM. A questionnaire was selected as the major data collection method and 243 responses were collected. Thus, this paper reviewed different theoretical models to illustrate the factors which influence the behavioural intention of patients towards the usage of the system and to identify the most important factors for acceptance and resistance of patients' respectively. The responses were then divided into two groups, specialist patients and normal patients, which had the common factors including performance expectancy and effort expectancy. For specialist patients, transition costs were identified as the only factor significantly affecting resistance to use. For normal patients, sunk costs and regret avoidance were found to be positively correlated with resistance to using of normal patients.

Original languageEnglish
Pages (from-to)1-27
Number of pages27
JournalInternational Journal of Knowledge and Systems Science
Issue number2
Publication statusPublished - 1 Apr 2018


  • Electronic health record sharing system
  • Empirical study
  • Smart-PLS
  • Structural equation modelling

ASJC Scopus subject areas

  • Information Systems
  • Strategy and Management
  • Organizational Behavior and Human Resource Management
  • Information Systems and Management
  • Management of Technology and Innovation
  • Artificial Intelligence

Cite this