Author ORCID Identifier
Ramsankar Basak: https://orcid.org/0000-0001-6665-0370
John P. Bentley: https://orcid.org/0000-0002-9241-6833
Abstract
Nonuse of health information technologies, such as patient portals, is an impediment to digital health equity. Yet, whether or why patients who are nonusers are different receives relatively far less attention. This research adopts a dual-factor framework and integrates elements from the Status Quo Bias perspective and the privacy paradox paradigm to understand nonusers’ motivation. Our findings confirm that nonusers are not homogeneous and show varying levels of perceived need and inertia for patient portals. The study makes theoretical contributions by revealing complex pathways that affect need perceptions. Specifically, moderated mediation mechanisms ─ effects that are transmitted through inertia differ due to provider encouragement (normative influence) ─ significantly shape nonusers's attitudes. The results explain how and why not all end-users show similar degrees of inertia or need and, in the end, a uniform level of inhibitions. The study findings should facilitate efficient, effective, and enhanced engagement with information systems.
Recommended Citation
Mukhopadhyay, S., Basak, R., & Bentley, J. (In press). Causal Moderated Mediation Analysis of Health Technology Nonuse: Exploring Inertia and Normative Influence. Communications of the Association for Information Systems, 58, pp-pp. Retrieved from https://aisel.aisnet.org/cais/vol58/iss1/50
When commenting on articles, please be friendly, welcoming, respectful and abide by the AIS eLibrary Discussion Thread Code of Conduct posted here.
