Healthc Inform Res.  2018 Oct;24(4):359-370. 10.4258/hir.2018.24.4.359.

Public Acceptance of a Health Information Exchange in Korea

  • 1Department of Industrial Engineering, Seoul National University, Seoul, Korea.
  • 2Digital HealthCare Informatization Team, Korea Health Industry Development Institute, Cheongju, Korea.
  • 3Technology Management, Economics and Policy (TEMEP) Graduate Program of Seoul National University, Seoul, Korea.


We assessed the public acceptance of a health information exchange (HIE) and examined factors that influenced the acceptance and associations among constructs of the Technology Acceptance Model (TAM).
We collected data from a survey of 1,000 individuals in Korea, which was administered through a structured questionnaire. We assessed the validity and reliability of the survey instrument with exploratory factor analysis and Cronbach's alpha coefficients. We computed descriptive statistics to assess the acceptance and performed regression analyses with a structural equation model to estimate the magnitude and significance of influences among constructs of TAM.
Eighty-seven percent of the respondents were willing to use the technology, and the average level of agreement with the need for the technology was 4.16 on a 5-point Likert scale. The perception of ease of use of the technology significantly influenced perceptions of usefulness and attitudes about the need for HIE. Perceptions of usefulness influenced attitude and behavioral intention to use HIE, and attitude influenced intention. Age showed a wide range of influences throughout the model, and experience with offline-based information exchange and health status also showed noteworthy influences.
The public acceptance of HIE was high, and influences posited by TAM were mostly confirmed by the study results. The study findings indicated a need for an education and communication strategy tailored by population age, health status, and prior experience with offline-based exchange to gain public buy-in for a successful introduction of the technology.


Information Technology; Health Information Exchange; Diffusion of Innovation; Technology Acceptance Model (TAM); Public Opinion
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