학술논문

Deterrence approach on the compliance with electronic medical records privacy policy: the moderating role of computer monitoring
Document Type
article
Source
BMC Medical Informatics and Decision Making, Vol 19, Iss 1, Pp 1-12 (2019)
Subject
Electronic medical records
Privacy policy
Sanction certainty
Compliance intention
Deterrence theory
Regulatory compliance
Computer applications to medicine. Medical informatics
R858-859.7
Language
English
ISSN
1472-6947
Abstract
Abstract Background This study explored the possible antecedents that will motivate hospital employees’ compliance with privacy policy related to electronic medical records (EMR) from a deterrence perspective. Further, we also investigated the moderating effect of computer monitoring on relationships among the antecedents and the level of hospital employees’ compliance intention. Methods Data was collected from a large Taiwanese medical center using survey methodology. A total of 303 responses was analyzed via hierarchical regression analysis. Results The results revealed that sanction severity and sanction certainty significantly predict hospital employees’ compliance intention, respectively. Further, our study found external computer monitoring significantly moderates the relationship between sanction certainty and compliance intention. Conclusions Based on our findings, the study suggests that healthcare facilities should take proactive countermeasures, such as computer monitoring, to better protect the privacy of EMR in addition to stated privacy policy. However, the extent of computer monitoring should be kept to minimum requirements as stated by relevant regulations.