Adoption of Electronic Health Records in the Presence of Privacy Concerns: The Elaboration Likelihood Model and Individual Persuasion

Posted: 25 Sep 2008

See all articles by Corey M. Angst

Corey M. Angst

IT, Analytics, and Operations department

Ritu Agarwal

University of Maryland - Robert H. Smith School of Business

Date Written: September 24, 2008

Abstract

Within the emerging context of the digitization of health care, electronic health records (EHRs) constitute a significant technological advance in the way medical information is stored, communicated, and processed by the multiple parties involved in health care delivery. However, in spite of the anticipated value potential of this technology, there is widespread concern that consumer privacy issues may impede its diffusion. In this study, we pose the question: can individuals be persuaded to change their attitudes and opt-in behavioral intentions towards EHRs, and allow their medical information to be digitized even in the presence of significant privacy concerns? To investigate this question, we integrate an individual's Concern For Information Privacy (CFIP) with the Elaboration Likelihood Model (ELM) to examine attitude change and likelihood of opting-in to an EHR system. We theorize that issue involvement and argument framing interact to influence attitude change, and that concern for information privacy further moderates the effects of these variables. We also propose that likelihood of adoption is driven by concern for information privacy and attitude. We test our predictions using an experiment with 366 subjects where we manipulate the framing of the arguments supporting EHRs provided to the subjects. We find that an individual's CFIP interacts with argument framing and issue involvement to affect attitudes toward the use of EHRs. In addition, results suggest that attitude towards EHR use and CFIP directly influence opt-in behavioral intentions. An important finding for both theory and practice is that even when people have high concerns for privacy, their attitudes can be positively altered with appropriate message framing. These results as well as other theoretical and practical implications are discussed.

Keywords: Privacy, ELM, EHR, CFIP, Attitude

Suggested Citation

Angst, Corey M. and Agarwal, Ritu, Adoption of Electronic Health Records in the Presence of Privacy Concerns: The Elaboration Likelihood Model and Individual Persuasion (September 24, 2008). Available at SSRN: https://ssrn.com/abstract=1273154

Corey M. Angst (Contact Author)

IT, Analytics, and Operations department ( email )

348 Mendoza College of Business
University of Notre Dame
Notre Dame, IN 46556-5646
United States

Ritu Agarwal

University of Maryland - Robert H. Smith School of Business ( email )

College Park, MD 20742-1815
United States

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