Implementation of Online Hospitals and Factors Influencing the Adoption of Mobile Medical Services in China: Cross-Sectional Survey Study
Autor: | Huanlin Wang, Chun Lin Du, Yong Kang Wu, Lan Yu Liang |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Telemedicine China Health Knowledge Attitudes Practice 020205 medical informatics Adolescent Cross-sectional study media_common.quotation_subject Distribution (economics) online hospital Health Informatics 02 engineering and technology Unified theory of acceptance and use of technology Structural equation modeling mobile medical service 03 medical and health sciences Young Adult 0302 clinical medicine Empirical research 0202 electrical engineering electronic engineering information engineering medicine Humans Quality (business) 030212 general & internal medicine media_common Expectancy theory Original Paper business.industry COVID-19 Middle Aged Patient Acceptance of Health Care Hospitals Cross-Sectional Studies Socioeconomic Factors Family medicine Health Care Surveys Female UTAUT business Psychology Unified Theory of Acceptance and Use of Technology |
Zdroj: | JMIR mHealth and uHealth |
ISSN: | 2291-5222 |
Popis: | Background Online hospitals are part of an innovative model that allows China to explore telemedicine services based on national conditions with large populations, uneven distribution of medical resources, and lack of quality medical resources, especially among residents needing to be protected from COVID-19 infection. Objective In this study, we built a hypothesis model based on the Unified Theory of Acceptance and Use of Technology (UTAUT) in order to analyze the factors that may influence patients’ willingness to use mobile medical services. This research was designed to assist in the development of mobile medical services. Residents who do not live in urban areas and cannot access medical assistance would greatly benefit from this research, as they could immediately go to the online hospital when needed. Methods A cross-sectional study based at the West China Hospital, Sichuan University, was conducted in July 2020. A total of 407 respondents, 18 to 59 years old, in Western China were recruited by convenience sampling. We also conducted an empirical test for the hypothesis model and applied structural equation modeling to estimate the significance of path coefficients so that we could better understand the influencing factors. Results Out of 407 respondents, 95 (23.3%) were aware of online hospitals, while 312 (76.7%) indicated that they have never heard of online hospitals before. Gender (P=.048) and education level (P=.04) affected people’s willingness to use online hospitals, and both of these factors promoted the use of online hospitals (odds ratio [OR] 2.844, 95% CI 1.010-8.003, and OR 2.187, 95% CI 1.031-4.636, respectively). According to structural equation modeling, the results of the path coefficient analysis indicated that performance expectancy, effort expectancy, and facilitating conditions have positive effects on patients’ willingness to use online hospitals. Conclusions The goal of our research was to determine the factors that influence patients’ awareness and willingness to use online hospitals. Currently, the public’s awareness and usage of online hospitals is low. In fact, effort expectancy was the most important factor that influenced the use of online hospitals; being female and having a high education also played positive roles toward the use of mobile medical services. |
Databáze: | OpenAIRE |
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