Faculty of Engineering and Information Sciences, University of Wollongong, Wollongong, Australia; College of Computers and Information Systems, Umm Al-Qura University, Makkah, Saudi Arabia.
Faculty of Engineering and Information Sciences, University of Wollongong, Wollongong, Australia.
Int J Med Inform. 2022 Jul;163:104775. doi: 10.1016/j.ijmedinf.2022.104775. Epub 2022 Apr 25.
The use of the teleconsultation system has increased in recent years, which enabled healthcare providers and patients to share, communicate and transfer information in real-time via different types of telemedicine services and applications. However, there is a lack of studies that underpin factors that motivate patients to use teleconsultation systems.
This study aimed to identify factors that influence consumers' motivation to use teleconsultation systems by developing a theoretical framework and empirically testing the developed framework with a real-world teleconsultation system.
A cross-sectional study was used for this research to empirically validate the proposed model. The online survey consisted of 51 items, which were developed by the researchers. Partial least squares structural equation modelling (PLS-SEM) was used to analyze the measurement model and structural model.
485 participants completed the online survey, 471 of which were included in the model analysis. The measurement analysis indicated that convergent validity was achieved as all items' outer lording were well above the threshold of 0.70, all indicators reliability and AVEs were well above the threshold of 0.50. Also, the measurement analysis indicated that discriminate validity was achieved as the Heterotrait-Monotrait ratio of correlations for all constructs were below the threshold of 0.90. In the structural model analysis, the inner constructs of the model, autonomy, competence and relatedness explained 60.1% of the variance in users' motivation toward the use of the teleconsultation system. The outer constructs of the model, subjective norm, external and internal facilitating conditions, explained 67.3% of the variance in users' autonomy, whereas attitude, performance expectancy, external and internal facilitating conditions explained 51.9% of the variance in the users' competence, and subjective norm explained 25.6% of the variance in the users' relatedness.
The developed framework can explain why consumers are motivated to use teleconsultation systems for online medical consultations. The model indicated that a variety of internal and external factors can positively or negatively influence consumers' perceived autonomy, competence and relatedness, which can impact their motivation toward the use of teleconsultation systems.
近年来，远程咨询系统的使用有所增加，这使得医疗保健提供者和患者能够通过各种类型的远程医疗服务和应用实时共享、交流和传输信息。然而，缺乏研究来支持促使患者使用远程咨询系统的因素。
本研究旨在通过开发一个理论框架，并使用实际的远程咨询系统对该框架进行实证检验，来确定影响消费者使用远程咨询系统动机的因素。
本研究采用横断面研究方法对提出的模型进行实证验证。在线调查由研究人员开发，共包含 51 个项目。偏最小二乘结构方程模型（PLS-SEM）用于分析测量模型和结构模型。
共有 485 名参与者完成了在线调查，其中 471 名被纳入模型分析。测量分析表明，收敛效度得到了实现，因为所有项目的外部信度均远高于 0.70 的阈值，所有指标的可靠性和 AVE 均远高于 0.50 的阈值。此外，测量分析表明，区分效度得到了实现，因为所有构建体的相关特质比均低于 0.90 的阈值。在结构模型分析中，模型的内部结构，即自主性、能力和相关性，解释了用户使用远程咨询系统动机的 60.1%的方差。模型的外部结构，即主观规范、外部和内部促进条件，解释了用户自主性的 67.3%的方差，而态度、绩效期望、外部和内部促进条件解释了用户能力的 51.9%的方差，主观规范解释了用户相关性的 25.6%的方差。
所开发的框架可以解释为什么消费者有动机使用远程咨询系统进行在线医疗咨询。该模型表明，各种内部和外部因素可以积极或消极地影响消费者对自主性、能力和相关性的感知，从而影响他们对远程咨询系统的使用动机。
