调查影响公民采用电子健康应用意向的因素的综合研究框架:COVID-19 后视角

Firas Alnaser, S. Rahi, Mahmoud Alghizzawi, A. Ngah
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摘要

目的 在大流行病期间,使用电子健康应用程序进行医疗一直很流行。然而,在 "COVID-19 "之后的世界里,个人对电子健康应用程序的采用率却相当低。为了解决这一问题,本研究整合了三个著名的理论,即接受和使用技术模型统一理论、创新扩散理论以及 DeLone 和 McLean 模型,并调查了个人采用电子医疗应用程序的意向。调查问卷面向智能手机用户。研究结果表明,绩效预期、努力预期、信息质量、系统质量、服务质量、便利条件和社会影响共同解释了用户采用电子医疗应用意向的实质性差异(R2 = 76.5%)。同样,效应大小分析表明,社会影响对用户采用电子医疗应用软件的意向有很大影响。Geiser 和 Stone 的 Q2 分析表明,研究模型在预测用户采用电子医疗应用程序的意向方面具有很强的能力。在实践中,它建议管理者应注意改善绩效预期、社会影响、便利条件、系统质量、服务质量和信息质量,从而培养积极的行为,鼓励智能手机用户采用电子医疗应用程序。原创性/价值本研究具有原创性,因为它整合了三个模型,并调查了个人采用电子医疗应用程序的意向。据笔者所知,这是第一项测试患者健康价值对用户采用电子健康应用程序的意向和实际使用之间的调节作用的研究。该研究确定了兼容性和创新性是绩效和努力预期的重要前因,从而使这项研究更具独特性和价值。
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An integrative research framework to investigate factors influencing citizen’s intention to adopt e-health applications: post-COVID-19 perspective
Purpose The use of e-health applications has remained popular during pandemic for medical treatments. Nevertheless, adoption of e-health applications among individuals is considerably low in post-COVID-19 world. To address this issue, the current research integrates three renowned theories, namely unified theory of acceptance and use of technology model, diffusion of innovation and DeLone and McLean model and investigates individual intention to adopt e-health application. Design/methodology/approach Research design is grounded in quantitative and cross-sectional methods and uses a survey questionnaire. Survey questionnaire is administered toward smartphone users. Overall, 238 valid responses were analyzed with structural equation modeling approach. Findings Results indicate that altogether performance expectancy, effort expectancy, information quality, system quality, service quality, facilitating condition and social influence explained substantial variance (R2 = 76.5%) in user intention to adopt e-health applications. Similarly, effect size analysis has revealed substantial impact of social influence on user intention to adopt e-health applications. Geiser and Stone’s Q2 analysis discloses that research model has substantial power to predict user intention to adopt e-health applications. Practical implications This study integrates three known information system models to investigate individual behavior toward adoption of e-health applications. In practice, it suggests that managers should pay attention in improving performance expectancy, social influence, facilitating condition, system quality, service quality and information quality which develop positive behavior and encourage smartphone users to adopt e-health applications. Originality/value This study is original as it integrates three models and investigates individual intention to adopt e-health applications. To the best of the author’s knowledge, this is the first study to test the moderating impact of patient health value between user intention to adopt and actual use of e-health applications. It has established that compatibility and innovativeness are essential antecedents of performance and effort expectancy and hence make this research more unique and valuable.
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