影响患者对基于云的远程医疗接受度和满意度的因素：以工作场所为例的慢性病管理案例研究。
Factors Affecting Patients' Acceptance of and Satisfaction with Cloud-Based Telehealth for Chronic Disease Management: A Case Study in the Workplace.
机构信息
Department of Long Term Care, National Quemoy University, Kinmen, Taiwan.
Department of Nursing, Changhua Christian Hospital, Changhua, Taiwan.
出版信息
Appl Clin Inform. 2020 Mar;11(2):286-294. doi: 10.1055/s-0040-1708838. Epub 2020 Apr 15.
OBJECTIVE
Understanding patients' acceptance of and satisfaction with telehealth use is important for workplace health promotion. In this study, we used a questionnaire to measure patients' usage behavior and satisfaction with cloud-based telehealth services in the workplace. We empirically investigated the factors that influence patients' usage and satisfaction based on data collected from 101 participants.
METHODS
As its main research framework, this study utilized a revised version of the technology acceptance model 2 that was based on the telehealth services provided for chronic disease management. Through integrating a cross-sectional research design with an author-developed structured questionnaire that was assessed using reliability and validity tests, an anonymous survey was conducted on selected participants. The proposed research model and hypotheses were validated through path analysis using SPSS.
RESULTS
We found that users believe telehealth services can promote their workplace health management; that job relevance, result demonstrability, and perceived ease of use (PEOU) positively affect the perceived usefulness (PU), which implies that cognitive instrumental processes have the most significant impact on the PU of cloud-based telehealth; and that both PEOU and PU positively affect the intention to use (IU), but PU has a bigger influence than PEOU on users' intentions to continue using telehealth. In particular, the IU and actual usage behavior were critical to the patients' satisfaction with telehealth services.
CONCLUSION
This research contributes to the rapid developing field of technology acceptance research by examining workplace telemedicine engagement. Our results will provide researchers with useful advice and a user-centered strategy for promoting workplace health management, which benefits both health care providers and corporate managers.
目的
了解患者对远程医疗使用的接受程度和满意度对于工作场所健康促进至关重要。本研究使用问卷衡量了患者在工作场所对基于云的远程医疗服务的使用行为和满意度。我们根据从 101 名参与者收集的数据，实证研究了影响患者使用和满意度的因素。
方法
本研究以基于慢性病管理的远程医疗服务的技术接受模型 2 的修订版为主要研究框架，通过将横断面研究设计与作者开发的经过可靠性和有效性测试的结构化问卷相结合，对选定的参与者进行了匿名调查。使用 SPSS 通过路径分析验证了所提出的研究模型和假设。
结果
我们发现，用户认为远程医疗服务可以促进其工作场所健康管理；工作相关性、结果可展示性和感知易用性（PEOU）对感知有用性（PU）有积极影响，这表明认知工具过程对基于云的远程医疗的 PU 影响最大；PEOU 和 PU 都对使用意图（IU）有积极影响，但 PU 对用户继续使用远程医疗的意图影响大于 PEOU。特别是，IU 和实际使用行为对患者对远程医疗服务的满意度至关重要。
结论
本研究通过考察工作场所远程医疗参与度，为快速发展的技术接受研究领域做出了贡献。我们的研究结果将为研究人员提供有用的建议和以用户为中心的策略，以促进工作场所健康管理，这对医疗保健提供者和企业经理都有利。
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