Institute of Education and Economy Research, University of International Business and Economics, No. 10, Huixindongjie, Chaoyang District, Beijing 100029, China.
School of Business, Renmin University of China, No. 59, Zhongguancundajie, Haidian District, Beijing 100872, China.
Int J Environ Res Public Health. 2023 Jan 17;20(3):1718. doi: 10.3390/ijerph20031718.
As mobile healthcare services entered the public sight with high frequency during the COVID-19 pandemic, patients are increasingly recognizing the effectiveness of mobile medical consultation (MMC). Earlier studies have investigated what influences continuance intention (CI) towards MMC, but few studies have scrutinized it from the perspective of patients' psychological distance. We formulated a framework to examine the psychological factors influencing CI towards MMC by integrating the information systems continuance model and psychological distance theory. The framework was validated using the partial least squares structural equation modeling (PLS-SEM) approach and data from 475 MMC users in China. The empirical results revealed that immediacy, telepresence, intimacy, and substitutability were significant predictors of CI, while satisfaction mediated these pathways. Pandemic-induced anxiety positively moderated the effect of immediacy on satisfaction and the effect of satisfaction on CI. Practical implementations for MMC healthcare practitioners, designers, and marketers are drawn.
随着移动医疗服务在 COVID-19 大流行期间高频进入公众视野，患者越来越认可移动医疗咨询（MMC）的有效性。早期的研究已经调查了哪些因素影响了对 MMC 的持续使用意向（CI），但很少有研究从患者心理距离的角度来审视它。我们通过整合信息系统持续使用模型和心理距离理论，制定了一个框架来检验影响 MMC 的 CI 的心理因素。该框架通过中国 475 名 MMC 用户的偏最小二乘结构方程建模（PLS-SEM）方法和数据得到验证。实证结果表明，即时性、临场感、亲密感和可替代性是 CI 的重要预测因素，而满意度则在这些路径中起中介作用。大流行引起的焦虑正向调节了即时性对满意度的影响，以及满意度对 CI 的影响。为 MMC 医疗从业者、设计师和营销人员提供了实际的实施措施。
