TY - JOUR A1 - Henkenjohann, Richard T1 - Role of individual motivations and privacy concerns in the adoption of German electronic patient record apps BT - a mixed-methods study JF - International journal of environmental research and public health : IJERPH / Molecular Diversity Preservation International N2 - Germany's electronic patient record ("ePA") launched in 2021 with several attempts and years of delay. The development of such a large-scale project is a complex task, and so is its adoption. Individual attitudes towards an electronic health record are crucial, as individuals can reject opting-in to it and making any national efforts unachievable. Although the integration of an electronic health record serves potential benefits, it also constitutes risks for an individual's privacy. With a mixed-methods study design, this work provides evidence that different types of motivations and contextual privacy antecedents affect usage intentions towards the ePA. Most significantly, individual motivations stemming from feelings of volition or external mandates positively affect ePA adoption, although internal incentives are more powerful. KW - personal electronic health records KW - technology adoption KW - endogenous KW - motivations KW - health information privacy concern KW - mixed-methods KW - ePA Y1 - 2021 U6 - https://doi.org/10.3390/ijerph18189553 SN - 1660-4601 VL - 18 IS - 18 PB - MDPI CY - Basel ER -