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建模老年人对医疗可穿戴设备的采用:使用混合 SEM-神经网络方法。

Modeling the adoption of medical wearable devices among the senior adults: Using hybrid SEM-neural network approach.

机构信息

UCSI Graduate Business School, UCSI University, Kuala Lumpur, Malaysia.

UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Selangor, Malaysia.

出版信息

Front Public Health. 2022 Oct 28;10:1016065. doi: 10.3389/fpubh.2022.1016065. eCollection 2022.

Abstract

The world is witnessing an increasing number of senior adult residents who experience health issues. Healthcare innovation facilitates monitoring the health conditions of senior adults and reducing the burden on healthcare institutions. The study explored the effect of health improvement expectancy, effort expectancy, price value, perceived vulnerability, health consciousness, and perceived reliability on the intention and adoption of medical wearable devices (MWD) among senior adults in China. Furthermore, a cross-sectional design was adopted, while quantitative data was collected from 304 senior adults through an online survey. A hybrid approach of partial least square structural equational modeling and artificial neural network-based analysis technique was adopted. The findings demonstrated that health improvement expectancy, perceived vulnerability, price value, and perceived reliability significantly affected the intention to adopt MWDs. Moreover, the intention to adopt MWDs significantly positively affected the actual adoption of MWDs among senior adults. Although the moderating effect of the pre-existing conditions and income between the intention to use MWDs and actual adoption of MWDs was positive, it was not statistically significant. The artificial neural network analysis has proven that perceived reliability, price value, and vulnerability are the most critical factors contributing to the intention to use MWDs. The current study offered valuable insights into the factors affecting the intention and adoption of MWDs among senior adults. Following that, theoretical and practical contributions were documented to improve the ease of use and price value for the prospective users of MWDs. The correct healthcare policies could curtail the influx of senior adults into the hospital and empower these adults to track and manage their health issues at home.

摘要

世界正在见证越来越多的老年居民经历健康问题。医疗保健创新有助于监测老年人的健康状况并减轻医疗机构的负担。本研究探讨了健康改善预期、努力预期、价格价值、感知脆弱性、健康意识和感知可靠性对中国老年人使用医疗可穿戴设备(MWD)的意愿和采用的影响。此外,采用了横断面设计,通过在线调查从 304 名老年人那里收集了定量数据。采用偏最小二乘结构方程建模和基于人工神经网络的分析技术的混合方法。研究结果表明,健康改善预期、感知脆弱性、价格价值和感知可靠性显著影响采用 MWD 的意愿。此外,采用 MWD 的意愿显著正向影响老年人实际采用 MWD。虽然已有疾病和收入状况在使用 MWD 的意愿和实际采用 MWD 之间的调节作用是积极的,但没有统计学意义。人工神经网络分析证明,感知可靠性、价格价值和脆弱性是影响采用 MWD 的意愿的最关键因素。本研究为影响老年人使用 MWD 的意愿和采用的因素提供了有价值的见解。随后,记录了理论和实践贡献,以提高 MWD 未来用户的易用性和价格价值。正确的医疗保健政策可以减少老年人涌入医院的人数,并使这些成年人能够在家中跟踪和管理他们的健康问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/292b/9650156/2a397700945e/fpubh-10-1016065-g0001.jpg

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