Structural Equation Model Approach to Understand Intentions to use Online Hospital Services (OHS) in Context of Rural China
Keywords:
waveguide, refraction index, triangular element, eigenmode, eigenmatrix equation, edge, node, electric equipotential, focus., online hospital services; technology acceptance model; perceived usefulness; perceived ease of use; trustAbstract
This study aims to explore the factors influencing the adoption of Online Hospital Services (OHS) among rural residents in China, utilizing the Technology Acceptance Model (TAM) framework. A Structural Equation Model (SEM) was employed to analyze data collected from 422 participants with Internet hospital experience, selected through random sampling. Data collection involved online questionnaires distributed over 45 days, resulting in effective samples. The survey was divided into six sections, focusing on various aspects of user perceptions and intentions regarding OHS. The results indicate that perceived usefulness (PU) and perceived ease of use (PEOU) positively affect attitudes towards OHS, with trust acting as a crucial mediator between these variables and usage intentions. The studys theoretical contributions include extending TAM by highlighting the central role of trust in digital health adoption, particularly in rural contexts. Practically, the findings suggest that policymakers and technology developers should focus on enhancing trust and user-friendliness to promote OHS adoption, thereby bridging the urban-rural healthcare divide and improving healthcare accessibility.
References
A. A. M. Al-Momani, T. Ramayah, M. A. Al-Sharafi (2024) Exploring the impact of cybersecurity on using electronic health records and their performance among healthcare professionals: A multi-analytical SEM-ANN approach. 77, 102592. https://doi.org/10.1016/j.techsoc.2024.102592
P. Biancone, S. Secinaro, R. Marseglia, D. Calandra (2023) E-health for the future. 120, 102406. https://doi.org/10.1016/j.technovation.2021.102406
F. Chameroy, S. Salgado, V. de Barnier, D. Chaney (2024) In platform we trust: How interchangeability affects trust decisions in collaborative consumption. 198, 122997. https://doi.org/10.1016/j.techfore.2023.122997
Q. Chen, D. Xu, H. Fu, W. Yip (2022) Distance effects and home bias in patient choice on the Internet: Evidence from an online healthcare platform in China. 72, 101757. https://doi.org/10.1016/j.chieco.2022.101757
(2023) The Development of E-government. 55-84. https://doi.org/10.1007/978-981-19-9311-4_4
Y. Fu, T. Tang, J. Long, B. Lin, J. Li, G. Quan, H. Yang, C. Zhao, M. Yin, L. Shi (2021) Factors associated with using the internet for medical information based on the doctor-patient trust model: a cross-sectional study. 21(1), 1268.
Y. Ge, H. Qi, W. Qu (2023) The factors impacting the use of navigation systems: A study based on the technology acceptance model. 93, 106-117. https://doi.org/10.1016/j.trf.2023.01.005
A. Giallanza, G. La Scalia, R. Micale, C. M. La Fata (2024) Occupational health and safety issues in human-robot collaboration: State of the art and open challenges. 169, 106313. https://doi.org/10.1016/j.ssci.2023.106313
H. Guo, Y. Xie, B. Jiang, J. Tang (2024) When outpatient appointment meets online consultation: A joint scheduling optimization framework. 127, 103101. https://doi.org/10.1016/j.omega.2024.103101
A. Irimia-Diéguez, F. Velicia-Martín, M. Aguayo-Camacho (2023) Predicting Fintech Innovation Adoption: the Mediator Role of Social Norms and Attitudes. 9(1), 36. https://doi.org/10.1186/s40854-022-00434-6
Y. Jiang, P. Sun, Z. Chen, J. Guo, S. Wang, F. Liu, J. Li (2022) Patients' and healthcare providers' perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: a qualitative study. 22(1), 9. https://doi.org/10.1186/s12877-021-02702-z
L. T. Le, P. T. M. Ly, N. T. Nguyen, L. T. T. Tran (2022) Online reviews as a pacifying decision-making assistant. 64, 102805. https://doi.org/10.1016/j.jretconser.2021.102805
H. Li, G. Kostka (2024) Navigating the digital age: The gray digital divide and digital inclusion in China. 01634437241229382. https://doi.org/10.1177/01634437241229382
J. Li, N. Zhao, H. Zhang, H. Yang, J. Yang (2022) Roles and Challenges for Village Doctors in COVID-19 Pandemic Prevention and Control in Rural Beijing, China: A Qualitative Study. https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.888374
W. Li, J. Gui, X. Luo, J. Yang, T. Zhang, Q. Tang (2023) Determinants of intention with remote health management service among urban older adults: A Unified Theory of Acceptance and Use of Technology perspective. https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1117518
M. Liesa-Orús, C. Latorre-Cosculluela, V. Sierra-Sánchez, S. Vázquez-Toledo (2023) Links between ease of use, perceived usefulness and attitudes towards technology in older people in university: A structural equation modelling approach. 28(3), 2419-2436. https://doi.org/10.1007/s10639-022-11292-1
J. Y. W. Liu, G. Sorwar, M. S. Rahman, M. R. Hoque (2023) The role of trust and habit in the adoption of mHealth by older adults in Hong Kong: a healthcare technology service acceptance (HTSA) model. 23(1), 73. https://doi.org/10.1186/s12877-023-03779-4
S. Nguyen, S. Llosa (2023) When users decide to bypass collaborative consumption platforms: The interplay of economic benefit, perceived risk, and perceived enjoyment. 96, 104713. https://doi.org/10.1016/j.tourman.2022.104713
T. T. Pham, H. Lingard, R. P. Zhang (2023) Factors influencing construction workers' intention to transfer occupational health and safety training. 167, 106288. https://doi.org/10.1016/j.ssci.2023.106288
P. Qin, S. Jiang (2024) Toward Digital Hospital Services: Developing an Integrated Model to Understand Patient Intentions for Utilizing Online Hospital Service Platforms. 20(6(S)), 880-896. https://doi.org/10.52783/jes.2768
P. Qin, H. Yang, S. Jiang (2023) Exploring the Users' Intention to Use Online Hospital Service Platform Based on Extend UTAUT. 20(S11), 813-832. https://doi.org/10.59670/ml.v20iS11.5780
T. Roh, Y. S. Yang, S. Xiao, B. I. Park (2024) What makes consumers trust and adopt fintech? An empirical investigation in China. 24(1), 3-35. https://doi.org/10.1007/s10660-021-09527-3
D. E. Seale, C. M. LeRouge, M. Kolotylo-Kulkarni (2023) A Description of Personal Health Information Management Work With a Spotlight on the Practices of Older Adults: Qualitative e-Delphi Study With Professional Organizers. 25, e42330.
D. Trabucchi, A. S. Patrucco, T. Buganza, G. Marzi (2023) Is transparency the new green? How business model transparency influences digital service adoption. 126, 102803. https://doi.org/10.1016/j.technovation.2023.102803
V. Venkatesh, F. D. Davis (2000) A theoretical extension of the technology acceptance model: Four longitudinal field studies. 46(2), 186-204.
H. Wu, N. Ba, S. Ren, L. Xu, J. Chai, M. Irfan, Y. Hao, Z.-N. Lu (2022) The impact of internet development on the health of Chinese residents: Transmission mechanisms and empirical tests. 81, 101178. https://doi.org/10.1016/j.seps.2021.101178
M. Yang, J. Jiang, M. Kiang, F. Yuan (2022) Re-Examining the Impact of Multidimensional Trust on Patients' Online Medical Consultation Service Continuance Decision. 24(3), 983-1007. https://doi.org/10.1007/s10796-021-10117-9
L. Ye, Y. Dai, X. Dong (2022) The enabling mechanism of shuren culture in ICT4D: A case study of rural China. 101842. https://doi.org/10.1016/j.techsoc.2021.101842
H. Zhang, B.-B. Zhou, S. Liu, G. Hu, X. Meng, X. Liu, H. Shi, Y. Gao, H. Hou, X. Li (2023) Enhancing intercity transportation will improve the equitable distribution of high-quality health care in China. 152, 102892. https://doi.org/10.1016/j.apgeog.2023.102892
Q. Zhang, B. L. Oo, B. T. H. Lim (2023) Unveiling corporate social responsibility awareness and implementation: a study of the Chinese construction firms. 66(9), 1861-1889. https://doi.org/10.1080/09640568.2022.2043258
Y. Zhao, Q. Qiao, X. Xu, Y. Bian (2024) Effectiveness of hierarchical medical system and economic growth: based on China's urban vs. rural health perspectives. 12. https://doi.org/10.3389/fpubh.2024.1364584
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