Saigi-Rubió Francesc, Jiménez-Zarco Ana, Torrent-Sellens Joan
Open University of
Open University of Catalonia.
Int J Technol Assess Health Care. 2016 Jan;32(1-2):29-36. doi: 10.1017/S0266462316000015.
While most studies have focused on analyzing the results of telemedicine use, it is crucial to consider the determinants of its use to fully understand the issue. This article aims to provide evidence on the determinants of telemedicine use in clinical practice.
The survey targeted a total population of 398 medical professionals from a healthcare institution in Spain. The study sample was formed by the ninety-three primary care physicians who responded. Using an extended Technology Acceptance Model and microdata for the ninety-six physicians, binary logistic regression analysis was carried out.
The analysis performed confirmed the model's goodness-of-fit, which allowed 48.1 percent of the dependent variable's variance to be explained. The outcomes revealed that the physicians at the healthcare institution placed greater importance on telemedicine's potential to reduce costs, and on its usefulness to the medical profession. The perception of medical information security and confidentiality and the patients' predisposition toward telemedicine were the second explanatory factors in order of importance. A third set of moderating effects would appear to corroborate the importance of the physicians' own opinions.
These results have revealed the need for a dynamic approach to the design of telemedicine use, especially when it targets a variety of end-users. Hence, the importance of conducting studies before using telemedicine, and attempting to identify which of the above-mentioned predictors exert an influence and how.
虽然大多数研究都集中在分析远程医疗的使用结果，但要全面理解这一问题，考虑其使用的决定因素至关重要。本文旨在提供临床实践中远程医疗使用决定因素的证据。
该调查针对西班牙一家医疗机构的398名医学专业人员进行。研究样本由93名做出回应的初级保健医生组成。利用扩展技术接受模型和96名医生的微观数据进行二元逻辑回归分析。
所进行的分析证实了模型的拟合优度，该模型能够解释48.1%的因变量方差。结果显示，该医疗机构的医生更重视远程医疗在降低成本方面的潜力及其对医学专业的有用性。医疗信息安全和保密性的认知以及患者对远程医疗的倾向是按重要性排序的第二个解释因素。第三组调节效应似乎证实了医生自身意见的重要性。
这些结果表明，需要采用动态方法来设计远程医疗的使用，尤其是当它针对多种终端用户时。因此，在使用远程医疗之前进行研究，并试图确定上述哪些预测因素产生影响以及如何产生影响非常重要。
