Nazari-Shirkouhi Salman, Badizadeh Ali, Dashtpeyma Mosayeb, Ghodsi Reza
School of Industrial Engineering, Fouman Faculty of Engineering, College of Engineering, University of Tehran, Tehran, Iran.
Faculty of Management and Accounting, Qazvin Branch, Islamic Azad University, Qazvin, Iran.
J Ambient Intell Humaniz Comput. 2023;14(6):7919-7935. doi: 10.1007/s12652-023-04601-0. Epub 2023 Apr 7.
Improving the quality of electronic services (e-services) is essential when dealing with unforeseen factors and uncertainties in healthcare, such as the outbreak of coronavirus (COVID-19) and changes in the needs and expectations of patients. This paper presents a comprehensive conceptual model in healthcare systems for improving the user acceptance of e-services. A model referred to as the technology acceptance model (TAM) is considered that includes several factors. The factors are computer literacy, website quality, service quality, user attitude, perceived enjoyment, and user satisfaction. According to the collected data and the performed analysis, the fit indices of this survey reveal that the conceptual model has an acceptable fit. The findings are as follows. Computer literacy has positive effects on perceived enjoyment and ease of use. Website quality has positive effects on perceived enjoyment, ease of use, and user satisfaction. Perceived enjoyment has a positive effect on perceived usefulness. Ease of use has positive effects on the usefulness, willingness to use e-services, and user attitude. User satisfaction has a positive effect on user attitude. Perceived usefulness has a positive effect on the willingness to use e-services. Finally, among these variables, only the user attitude has no significant effect on the willingness to use e-services in the healthcare system. Therefore, to promote performance quality and to motivate people to use e-services, healthcare managers should improve these factors.
在应对医疗保健中不可预见的因素和不确定性时,提高电子服务(e服务)质量至关重要,比如冠状病毒(COVID - 19)的爆发以及患者需求和期望的变化。本文提出了一个医疗保健系统中用于提高用户对e服务接受度的综合概念模型。考虑了一个被称为技术接受模型(TAM)的模型,它包含几个因素。这些因素是计算机素养、网站质量、服务质量、用户态度、感知趣味性和用户满意度。根据收集到的数据和进行的分析,本次调查的拟合指数表明该概念模型具有可接受的拟合度。研究结果如下。计算机素养对感知趣味性和易用性有积极影响。网站质量对感知趣味性、易用性和用户满意度有积极影响。感知趣味性对感知有用性有积极影响。易用性对有用性、使用e服务的意愿和用户态度有积极影响。用户满意度对用户态度有积极影响。感知有用性对使用e服务的意愿有积极影响。最后,在这些变量中,只有用户态度对医疗保健系统中使用e服务的意愿没有显著影响。因此,为了提高绩效质量并激励人们使用e服务,医疗保健管理者应改善这些因素。