Department of Business Information Systems, University College Cork, O' Rahilly Building, Cork, Ireland.
Telfer School of Management, University of Ottawa, Ottawa, Canada.
BMC Med Inform Decis Mak. 2020 Feb 27;20(1):41. doi: 10.1186/s12911-020-1049-8.
The objective of this research is to examine, conceptualize, and empirically validate a model of mobile health (mHealth) impacts on physicians' perceived quality of care delivery (PQoC).
Observational quasi-experimental one group posttest-only design was implemented through the empirical testing of the conceptual model with nine hypotheses related to the association of task and technology characteristics, self-efficacy, m-health utilization, task-technology fit (TTF), and their relationships with PQoC. Primary data was collected over a four-month period from acute care physicians in The Ottawa Hospital, Ontario, Canada. The self-reported data was collected by employing a survey and distributed through the internal hospital channels to physicians who adopted iPads for their daily activities.
Physicians' PQoC was found to be positively affected by the level of mHealth utilization and TTF, while the magnitude of the TTF direct effect was two times stronger than utilization. Additionally, self-efficacy has the highest direct and total effect on mHealth utilization; in the formation of TTF, technological characteristics dominate followed by task characteristics.
To date, the impact of utilized mHealth on PQoC has neither been richly theorized nor explored in depth. We address this gap in existing literature. Realizing how an organization can improve TTF will lead to better PQoC.
本研究旨在考察、概念化和实证验证移动医疗（mHealth）对医生感知的护理提供质量（PQoC）的影响模型。
通过对概念模型的实证检验，实施了观察性准实验单组后测设计，其中包含九个与任务和技术特征、自我效能、mHealth 利用、任务技术匹配（TTF）以及它们与 PQoC 的关系相关的假设。主要数据是通过在加拿大安大略省渥太华医院对急性护理医生进行为期四个月的观察收集的。通过内部医院渠道向采用 iPad 进行日常活动的医生发放调查，收集自我报告数据。
研究发现，mHealth 的利用程度和 TTF 对医生的 PQoC 有积极影响，而 TTF 的直接影响程度是利用程度的两倍。此外，自我效能对 mHealth 的利用具有最高的直接和总效应；在 TTF 的形成中，技术特征占据主导地位，其次是任务特征。
迄今为止，利用移动医疗对 PQoC 的影响既没有得到充分的理论化，也没有得到深入的探讨。我们填补了现有文献中的这一空白。了解组织如何提高 TTF 将有助于提高 PQoC。
