The improving electronic health record becomes one of the essential goals of social security medical centers. The present study aims to investigate the factors related to the usage behavior of employees towards electronic health records considering the role of behavioral intention in Social Security Medical centers of Khorasan Razavi Province, Iran.

The present correlational research is conducted in 2020. The statistical population was the staff of the social security medical centers (N=180) using the counting method. The data collection tool was a standard questionnaire that its validity and reliability had been verified in the previous studies. The data were analyzed by SPSS and SMART PLS software.

Hope for effort (path coefficient: 0.240 and t-statistic: 2.984), social impact (path coefficient: 0.194 and t-statistic: 2.453), facilitation of conditions (path coefficient: 0.150 and t-statistic: 2.005), and personal innovation in information technology (path coefficient: 0.225 and t-statistic: 3.005), positively and significantly affected behavioral intention. Also, behavioral intention (path coefficient: 0.462 and t-statistic: 7.495) positively and significantly affected staff’s usage behavior in e-health record acceptance. This is while the expected performance (path coefficient: 0.048 and t-statistic: 0.548) and resistance to change (path coefficient: 0.106 and t-statistic: 1.690) didn't significantly affect behavioral intention.

Considering the positive effect of hope for effort and social impact and facilitation of conditions and personal innovation in information technology, and behavioral intentions on the behavior in e-health record acceptance, it is recommended that Social Security Medical centers of Khorasan Razavi to train and strengthen the above-mentioned factors.