Pereyra-Rodriguez J J, Jiménez-Zarco A I, Saigí-Rubió F
UGC Dermatología, Hospital Universitario Virgen del Rocío , Sevilla, España.
Facultad de Ciencias Económicas y Empresariales, Universitat Oberta de Catalunya, Barcelona, España.
J Healthc Qual Res. 2018 Nov-Dec;33(6):319-328. doi: 10.1016/j.jhqr.2018.08.004. Epub 2018 Nov 24.
There are numerous factors and barriers that hinder the use of telemedicine, among which some aspects of the organisation stand out. Thus, it would be interesting to determine its intention to use it in a health institution. The objective of this paper was to identify the factors that influence the intent to use telemedicine by the group of professionals of the Andalusian Health Service and the type of professionals based on the use and expectations of (information and communications technology (ICT).
A specific questionnaire was designed based on an extended Model of Technological Acceptance that was distributed to a sample of 2,847 professionals of all the categories of this institution. A univariate analysis, exploratory factor analysis and logistic regression were carried out to determine those explanatory variables that are related to the use of telemedicine.
A total of 424 responses were obtained. The study determined that the institution's support, perceived usefulness and ease of use (P<.05) were factors that influence the use of telemedicine. The support of the workers and the technological profile of the professionals (P<.05) were significant.
Due to there being a high number of factors in health services, it is possible to find differences between the explanatory models in each specific organisation. For this reason, studies need to be carried out before the implantation and use of telemedicine systems in order to identify which of the possible variables influence favourable adoption as a prerequisite for the generalised use of telemedicine.
有许多因素和障碍阻碍着远程医疗的使用,其中组织方面的一些因素较为突出。因此,确定医疗机构使用远程医疗的意愿会很有意思。本文的目的是根据安达卢西亚卫生服务机构专业人员对(信息和通信技术(ICT))的使用情况和期望,确定影响其使用远程医疗意愿的因素以及专业人员类型。
基于扩展的技术接受模型设计了一份特定问卷,并分发给该机构所有类别的2847名专业人员样本。进行了单变量分析、探索性因素分析和逻辑回归,以确定与远程医疗使用相关的那些解释变量。
共获得424份回复。研究确定,机构的支持、感知有用性和易用性(P<.05)是影响远程医疗使用的因素。工作人员的支持和专业人员的技术水平(P<.05)具有显著意义。
由于卫生服务中有大量因素,每个特定组织的解释模型可能存在差异。因此,在植入和使用远程医疗系统之前需要进行研究,以确定哪些可能的变量会影响其顺利采用,这是远程医疗广泛使用的前提条件。