Department of Information Management, The Islamia University of Bahawalpur, Bahawalpur 63100, Pakistan.
School of Medicine, University of Lisbon, 1649-028 Lisbon, Portugal.
Int J Environ Res Public Health. 2023 Nov 26;20(23):7112. doi: 10.3390/ijerph20237112.
This study was conducted with objectives to measure and validate the unified theory of the acceptance and use of technology (UTAUT) model as well as to identify the predictors of mobile health (mHealth) technology adoption among healthcare professionals in limited-resource settings. A cross-sectional survey was conducted at the six public and private hospitals in the two districts (Lodhran and Multan) of Punjab, Pakistan. The participants of the study comprised healthcare professionals (registered doctors and nurses) working in the participating hospitals. The findings of the seven-factor measurement model showed that behavioral intention (BI) to mHealth adoption is significantly influenced by performance expectancy (β = 0.504, CR = 5.064, < 0.05) and self-concept (β = 0.860, CR = 5.968, < 0.05) about mHealth technologies. The findings of the structural equation model (SEM) showed that the model is acceptable (χ (df = 259) = 3.207; = 0.000; CFI = 0.891, IFI = 0.892, TLI = 0.874, RMSEA = 0.084). This study suggests that the adoption of mHealth can significantly help in improving people's access to quality healthcare resources and services as well as help in reducing costs and improving healthcare services. This study is significant in terms of identifying the predictors that play a determining role in the adoption of mHealth among healthcare professionals. This study presents an evidence-based model that provides an insight to policymakers, health organizations, governments, and political leaders in terms of facilitating, promoting, and implementing mHealth adoption plans in low-resource settings, which can significantly reduce health disparities and have a direct impact on health promotion.
本研究旨在测量和验证统一技术接受和使用理论(UTAUT)模型,并确定资源有限环境下医疗保健专业人员采用移动医疗(mHealth)技术的预测因素。采用横断面调查法,在巴基斯坦旁遮普省洛德拉和木尔坦两个地区的六所公立和私立医院进行。研究对象包括在参与医院工作的医疗保健专业人员(注册医生和护士)。七因素测量模型的结果表明,mHealth 采用的行为意向(BI)受到对 mHealth 技术的绩效预期(β=0.504,CR=5.064,<0.05)和自我概念(β=0.860,CR=5.968,<0.05)的显著影响。结构方程模型(SEM)的结果表明,该模型是可接受的(χ(df=259)=3.207;=0.000;CFI=0.891,IFI=0.892,TLI=0.874,RMSEA=0.084)。本研究表明,mHealth 的采用可以显著帮助改善人们获得高质量医疗保健资源和服务的机会,并有助于降低成本和改善医疗服务。本研究在确定在医疗保健专业人员中采用 mHealth 的决定因素方面具有重要意义。本研究提出了一个基于证据的模型,为政策制定者、卫生组织、政府和政治领导人提供了一个见解,以促进、推动和实施资源有限环境中的 mHealth 采用计划,这可以显著减少健康差距,并对健康促进产生直接影响。