Hayat Naeem, Al Mamun Abdullah, Gao Jingzu, Yang Qing, Hussain Wan Mohd Hirwani Wan
Global Entrepreneurship Research and Innovation Centre, Universiti Malaysia Kelantan, Pengkalan Chepa, Kelantan, Malaysia.
UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Selangor Darul Ehsan, Malaysia.
Digit Health. 2024 Mar 6;10:20552076241237499. doi: 10.1177/20552076241237499. eCollection 2024 Jan-Dec.
Technology plays a substantial role in our daily lives, and the spread of COVID-19 paves the way for the use of healthcare technologies to manage health in the comfort of our homes. Middle-aged and older adults face health issues and require instant healthcare advice and support. Electronic healthcare (EH) applications have emerged to facilitate middle-aged and older adults receiving healthcare support instantly while remaining in their homes. The present study empirically evaluates the intention and adoption of electronic health applications with the technological attributes of perceived compatibility, cost, product value, technology accuracy, privacy issues and health motivation among middle-aged and older adults from Malaysia. Moreover, this research examines the mediating effect of the intention to adopt EH applications between technology attributes and the adoption of EH applications. This study uses a cross-sectional method and employs an online survey to assemble quantitative data from 298 middle-aged and older Malaysian adults. It utilizes partial least squares structural equation modelling for data analysis. The data analysis reveals that perceived compatibility, cost, privacy, product value and health motivation significantly influenced the intention to use EH apps. Furthermore, the analysis shows that the intention to adopt EH apps significantly mediates the relationship between the perception of cost, personal privacy, product value, health motivation and adoption of EH apps. However, the intention to use EH apps insignificantly instigates their adoption. Finally, the study presents its implications, limitations and future research directions.
技术在我们的日常生活中发挥着重要作用，而新冠疫情的蔓延为在家中舒适地利用医疗技术管理健康创造了条件。中老年人面临健康问题，需要即时的医疗建议和支持。电子医疗（EH）应用应运而生，以方便中老年人居家就能即时获得医疗支持。本研究实证评估了马来西亚中老年人对电子健康应用的使用意愿及采用情况，以及感知兼容性、成本、产品价值、技术准确性、隐私问题和健康动机等技术属性的影响。此外，本研究还考察了采用EH应用的意愿在技术属性与采用EH应用之间的中介作用。本研究采用横断面研究方法，通过在线调查收集了298名马来西亚中老年人的定量数据。数据分析采用偏最小二乘结构方程模型。数据分析表明，感知兼容性、成本、隐私、产品价值和健康动机对使用EH应用的意愿有显著影响。此外，分析表明，采用EH应用的意愿在成本感知、个人隐私、产品价值、健康动机与采用EH应用之间的关系中起显著中介作用。然而，使用EH应用的意愿对其采用的促进作用不显著。最后，本研究阐述了其意义、局限性和未来的研究方向。
