信息通信技术在社会和医疗保健方面的接受——理论和模型的范围审查。

IF 3.7 2区医学 Q2 COMPUTER SCIENCE, INFORMATION SYSTEMS International Journal of Medical Informatics Pub Date : 2025-01-15 DOI:10.1016/j.ijmedinf.2025.105796

Heli Kumpulainen , Ulla-Mari Kinnunen , Virpi Jylhä

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引用次数: 0

摘要

背景：虽然信息和通信技术（ICT）的接受过程在社会和医疗环境中得到了广泛的研究，但这些研究的理论背景广泛基于技术接受模型（TAM, TAM2， UTAUT）及其扩展。这些理论模型被批评为过于简单化，并且狭隘地关注个体采用者的信念、感知和使用意图，而没有考虑多维方法来捕捉某些现象的复杂性。因此，有必要确定其他方法来研究在复杂和数字化的社会和保健背景下对信息通信技术的接受情况。目的：本综述的目的是确定和描述除TAM和UTAUT外，在社会和卫生保健背景下ICT接受研究的现有理论和模型。此外，目的是在这些理论和模型中识别和分类信息通信技术接受的维度。方法：采用JBI方法进行范围评价。在PubMed、Scopus、Web of Science和CINAHL四个电子数据库上进行文献检索。报告由系统评价和荟萃分析扩展的首选报告项目（PRISMA-ScR）进行。在此基础上，采用描述性统计和归纳性内容分析的方法，对信息通信技术接受度的理论、模型和维度进行了分析。结果：本综述纳入了21项研究。结果表明，通过使用来自不同学科的各种理论和模型，研究了社会和医疗保健背景下的信息通信技术接受情况。在这些理论和模型中，组织、技术、人、社会文化和环境被确定为社会和保健环境中信息通信技术接受程度的主要方面。结论：本综述概述了信息通信技术接受的替代理论和模型，以及在社会和医疗保健背景下评估信息通信技术接受时需要考虑的维度。

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ICT acceptance in social and healthcare context – A scoping review of theories and models

Background

Although Information and Communication Technology (ICT) acceptance processes have been studied widely in the social and healthcare context, the theoretical background of these studies is widely based on Technology Acceptance Models (TAM, TAM2, UTAUT) and their extensions. These theoretical models have been criticized for being overly simplistic and focusing narrowly on individual adopters’ beliefs, perceptions, and usage intentions without considering multidimensional approaches to capture the complexity of certain phenomena. Thus, there is a need for identifying other approaches to study ICT acceptance in the complex and digitalizing social and health care context.

Aim

The aim of this review is to identify and describe existing theories and models of ICT acceptance studies, other than TAM and UTAUT, in the social and health care context. In addition, the aim is to identify and classify the dimensions of ICT acceptance within these theories and models.

Methods

JBI methodology for scoping reviews was used as guidance. A literature search was done on four electronic databases (PubMed, Scopus, Web of Science and CINAHL). The reporting was conducted by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for the scoping review (PRISMA-ScR). Further, descriptive statistics and inductive content analysis were used to analyse the theories, models and dimensions of ICT acceptance within them.

Results

21 studies were included in this review. Results indicated that ICT acceptance in the social and healthcare context have been studied by using a variety of theories and models from different disciplines. Within these theories and models, organization, technology, human, sociocultural and environment were identified as the main dimensions of ICT acceptance in the social and healthcare context.

Conclusions

This review provides an overview of the alternative theories and models of ICT acceptance and dimensions to be considered when assessing ICT acceptance in the social and healthcare context.

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来源期刊

International Journal of Medical Informatics 医学-计算机：信息系统

CiteScore

8.90

自引率

4.10%

发文量

217

审稿时长

42 days

期刊介绍： International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings. The scope of journal covers: Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.; Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc. Educational computer based programs pertaining to medical informatics or medicine in general; Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.