Wang Xiang, Lee Chang-Franw, Jiang Jiabei, Zhu Xiaoyang
Graduate School of Design, National Yunlin University of Science and Technology, Yunlin 64002, Taiwan.
Pujiang Institute, Nanjing Tech University, Nanjing 211200, China.
Healthcare (Basel). 2023 Jan 30;11(3):396. doi: 10.3390/healthcare11030396.
Mobile healthcare applications are of significant potential value in the development of the aged-care industry due to their great convenience, high efficiency, and low cost. Since the cognition and utilization rates of mobile healthcare applications for the elderly are still low, this study explored the factors that affect the elderly's adoption of mobile healthcare applications. This study conducted a questionnaire survey on the elderly in China and received 365 valuable responses. This study combined the technology acceptance model, protection motivation theory, and perceived risk theory to build a research model of factors affecting the use of mobile healthcare applications by the elderly. The data were analyzed using a structural equation model. The results were as follows: according to the empirical research, (1) perceived usefulness and perceived ease of use positively affect the use attitude of the elderly; perceived usefulness and user attitude positively affect the behavior intention of the elderly; perceived ease of use positively affects perceived usefulness; (2) perceived severity has a significant positive correlation with use attitude; perceived susceptibility and attitude to use have no significant impact; (3) perceived risk is negatively correlated with the use attitude and behavioral intention. The above-mentioned factors should be taken into consideration during the development of mobile healthcare applications for the aged to upgrade the overall service quality of mobile healthcare applications, thus enhancing the operational level of mobile healthcare applications and the health literacy of the aged.
移动医疗应用因其极大的便利性、高效性和低成本，在老年护理行业发展中具有重大潜在价值。由于老年人对移动医疗应用的认知率和使用率仍然较低，本研究探讨了影响老年人采用移动医疗应用的因素。本研究对中国老年人进行了问卷调查，共收到365份有效回复。本研究结合技术接受模型、保护动机理论和感知风险理论，构建了影响老年人使用移动医疗应用的因素研究模型。采用结构方程模型对数据进行分析。结果如下：根据实证研究，（1）感知有用性和感知易用性对老年人的使用态度有正向影响；感知有用性和用户态度对老年人的行为意向有正向影响；感知易用性对感知有用性有正向影响；（2）感知严重性与使用态度有显著正相关；感知易感性和使用态度无显著影响；（3）感知风险与使用态度和行为意向呈负相关。在开发老年移动医疗应用时，应考虑上述因素，以提升移动医疗应用的整体服务质量，从而提高移动医疗应用的运营水平和老年人的健康素养。
