Predictors of e-Nabız acceptance among physicians: an integration of UTAUT, trust, and privacy factors

PurposeToday, e-government (electronic government) applications have extended to the frontiers of health-care delivery. E-Nabiz contains personal health records of health services received, whether public or private. The use of the application by patients and physicians has provided efficiency and cost advantages. The success of e-Nabiz depends on the level of technology acceptance of health-care service providers and recipients. While there is a large research literature on the technology acceptance of service recipients in health-care services, there is a limited number of studies on physicians providing services. This study aims to determine the level of influence of trust and privacy variables in addition to performance expectancy, effort expectancy, social influence and facilitating factors in the unified theory of acceptance and use of technology (UTAUT) model on the intention and behavior of using e-Nabiz application. Design/methodology/approachThe population of the study consisted of general practitioners and specialist physicians actively working in any health facility in Turkey. Data were collected cross-sectionally from 236 physicians on a voluntary basis through a questionnaire. The response rate of data collection was calculated as 47.20%. Data were collected cross-sectionally from 236 physicians through a questionnaire. Descriptive statistics, correlation analysis and structural equation modeling were used to analyze the data. FindingsThe study found that performance expectancy, effort expectancy, trust and perceived privacy had a significant effect on physicians' behavioral intentions to adopt the e-Nabiz system. In addition, facilitating conditions and behavioral intention were determinants of usage behavior (p < 0.05). However, no significant relationship was found between social influence and behavioral intention (p > 0.05). Originality/valueThis study confirms that the UTAUT model provides an appropriate framework for predicting factors influencing physicians' behaviors and intention to use e-Nabiz. In addition, the empirical findings show that trust and perceived privacy, which are additionally considered in the model, are also influential.