National United University, Institute of Information and Society, Miao-Li, Taiwan.
Telemed J E Health. 2010 Jan-Feb;16(1):41-8. doi: 10.1089/tmj.2009.0093.
In an aging society, the issue of increased medical costs troubles both government agencies and families with aging parents. Many elderly people require long-term care, and the medical and financial problems associated with long-term care worry their entire family. Mobile healthcare service (MHS) has been widely applied by medical practitioners and researchers for years. Unfortunately, the elderly often fear both the technology and the cost its use incurs; hence, they seldom actively adopt MHS without the prompting and support of other family members. This study highlights this issue of long-term healthcare for the elderly and extracts the factors affecting their family's intentions in adopting MHS. Based on the integration of the Theory of Planned Behavior and the Technology Acceptance Model, the factors associated with the family's intention of the aging people toward MHS are explored. Data were collected from 200 students in the "Job Master" track in a local "Executive Master of Business Administration" program. Half of them had at least one immediate family member who was older than 65 years of age. A partial least squares (PLS) analysis shows that "attitude" significantly affected the behavioral intention of adopting MHS, and "perceived usefulness" and "perceived ease-of-use" had an indirect effect via "attitude." The PLS model explains the variance in intention (64.1%), attitude (58.1%), and perceived usefulness (33.8%). Overall, this study shows that attitude was an important determinant of MHS adoption. Gender also significantly affected the relationship between attitude and behavioral intention to adopt MHS.
在老龄化社会中，医疗费用增加的问题困扰着政府机构和有年迈父母的家庭。许多老年人需要长期护理，与长期护理相关的医疗和财务问题让他们的整个家庭都感到担忧。移动医疗服务（MHS）多年来一直被医疗从业者和研究人员广泛应用。不幸的是，老年人通常既害怕技术，也害怕使用技术所带来的成本；因此，如果没有其他家庭成员的提示和支持，他们很少主动采用 MHS。本研究强调了老年人长期医疗保健的问题，并提取了影响其家庭采用 MHS 意愿的因素。本研究基于计划行为理论和技术接受模型的整合，探讨了老年人家庭对 MHS 的意向的相关因素。数据来自当地“工商管理硕士”课程中的“职业大师”课程的 200 名学生，其中一半学生至少有一位 65 岁以上的直系亲属。偏最小二乘（PLS）分析表明，“态度”显著影响了采用 MHS 的行为意向，而“感知有用性”和“感知易用性”通过“态度”对其产生间接影响。PLS 模型解释了意向（64.1%）、态度（58.1%）和感知有用性（33.8%）的方差。总的来说，本研究表明态度是采用 MHS 的重要决定因素。性别也显著影响了态度和采用 MHS 的行为意向之间的关系。
