巴基斯坦基于物联网(IoT)的医疗接受度的实证研究:PILOT研究

Z. Solangi, Yasir Ali Solangi, M. S. A. Aziz, Asadullah
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引用次数: 9

摘要

本研究的动机是将健康信念模型(HBM)和技术接受与使用统一理论(UTAUT)模型与信任和医患关系结合起来,最终目的是调查基于物联网的健康服务框架的肯定性。为了理解技术和临床背景,本研究提出的框架分别是UTAUT和HBM理论的综合,最后使用信任和医患关系因素来衡量个人和患者对物联网医疗系统的看法。拟议的框架通过对来自巴基斯坦五个人口稠密城市的40名受访者进行的试点研究得到了验证。研究结果验证了所提出的框架是适合实施的实证数据。在对这两种理论进行验证的基础上,在健康框架下,本研究证明由感知易感性(Perceived Susceptibility, PSS)和感知严重性(Perceived Severity, PS)两个独立因素组成的感知健康风险对行动提示具有显著的正向影响。而在技术情境下,绩效期望(PE)、努力期望(EE)、社会影响(SI)和促进条件(FC)对行动使用行为的线索有共同显著的正向影响。此外,信任和医患关系对行为线索使用行为也有正向影响。工具问卷采用整群抽样,结构方程模型(SEM)对假设进行验证和检验。研究结果可以作为改善巴基斯坦等发展中国家卫生保健服务的理论基础,推广到其他类似人群。
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An empirical study of Internet of Things (IoT) — Based healthcare acceptance in Pakistan: PILOT study
The motivation behind the study is to incorporate Health Belief Model (HBM) and Unified Theory of Acceptance and Use of Technology (UTAUT) model alongside trust and doctor-patient relationship keeping the ultimate objective to investigate the affirmation of IoT-based health services framework. In order to understand technological, and clinical context the proposed framework of this study is a synthesis of UTAUT, and HBM theories respectively, finally trust and doctor-patient relation factors are used to measure individual and patients' perspective about IoT-based health care systems. The proposed framework is validated with a pilot study of 40 respondents from five thickly populated cities of Pakistan. The findings verified that the proposed framework is appropriate to implement with empirical data. Based on the confirmation of the most familiar both theories, in health framework, this study demonstrates Perceived Health Risk which is composed of two independent factors, Perceived Susceptibility (PSS) and Perceived Severity (PS) have a significantly positive effect on cues to action. While in a technological context, Performance Expectancy (PE), Effort Expectancy (EE), Social Influence (SI), and Facilitating Conditions (FC) have a jointly significant positive effect on cues to action to use behavior. Furthermore, both trust and doctor-patient relationship have also a positive effect on cues to action to use behavior. The instrument questionnaire adopted cluster sampling, and structural equation modeling (SEM) to validate and test the hypotheses. The findings may be used and generalized to other similar population as a theoretical basis to improve the health care services of developing countries like Pakistan.
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