In the face of a critical condition such as the COVID-19 pandemic, electronic health care records (EHCR) usefulness is becoming more apparent. Electronic health services are essential for public health, including prevention, monitoring, diagnosis, prioritisation, treatment and follow-up of patients. Regardless of e-health, potential benefits, implementation limitations and adaption barriers are expected, especially in EHCR. In this regard, it is essential to study the factors influencing EHCR adoption. While theoretical models have studied technological adaptation factors, there is scattered literature on the EHCR adaptation in the field of e-health. Therefore, this study aimed to investigate the factors influencing the EHCR adaptation in primary healthcare services. Qualitative data collection was performed using semi-structured interviews and focus groups to realise EHCR users’ perceptions and identify specific determinants. Data collection was performed as a qualitative method among physicians, specialists, health experts and chief executive officers (CEOs). The results of this study identified 9 determinants and 20 mechanisms affecting each determinant. Based on the findings, a modified Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) model has been proposed for EHCR in the field of e-health, which can be used in other research. These results can add some theoretical content to the body of literature in this area.
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