Malarvizhi Chinnasamy Agamudai Nambi, Al Mamun Abdullah, Reza Mohammad Nurul Hassan, Masud Muhammad Mehedi
Faculty of Management, Multimedia University, Cyberjaya, Malaysia.
UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, UKM Bangi, Malaysia.
Digit Health. 2024 Sep 5;10:20552076241272577. doi: 10.1177/20552076241272577. eCollection 2024 Jan-Dec.
The adoption of e-healthcare services is critical for improving healthcare accessibility and efficiency, particularly in regions with diverse populations, such as Malaysia. Although e-healthcare services offer numerous advantages, their adoption is considerably low and requires a thorough understanding of the key factors that influence their use. This study investigated the determinants and dynamics of e-healthcare adoption among adults over 40 years by extending the unified theory of acceptance and use of technology. We employed a quantitative research approach, specifically a cross-sectional design. Data were collected from 393 Malaysian respondents through a structured survey questionnaire, using convenience sampling. They were analyzed using partial least-squares-structural equation modeling. The findings revealed that performance expectancy, effort expectancy, social influence, and perceived product value significantly influenced individuals' intentions to use e-healthcare services. Meanwhile, perceived risk had an insignificant negative effect. Facilitating conditions significantly influenced individuals' intentions and actual usage of e-healthcare services. Furthermore, individuals' intentions to use e-healthcare services significantly affected their actual use of these services. Additionally, the intention to use e-healthcare services mediated the relationship between the factors and usage of e-healthcare services, except for perceived risk. Surprisingly, perceived service accuracy had no significant moderating effect on the relationship between individuals' intention to use and their actual use of e-healthcare services. This study offers valuable insights for educators, practitioners, and policymakers, enriching the scholarly discourse in this field. For education, integrating e-healthcare topics into curricula can enhance digital health literacy. In practice, healthcare providers should focus on improving user experience and addressing barriers to technology adoption. For policy making, developing supportive policies, and infrastructure to facilitate e-healthcare adoption is crucial to enhancing public health outcomes.
采用电子医疗服务对于提高医疗可及性和效率至关重要，尤其是在像马来西亚这样人口多样化的地区。尽管电子医疗服务具有诸多优势，但其采用率相当低，需要深入了解影响其使用的关键因素。本研究通过扩展技术接受与使用统一理论，调查了40岁以上成年人采用电子医疗服务的决定因素和动态情况。我们采用了定量研究方法，具体为横断面设计。通过结构化调查问卷，使用便利抽样从393名马来西亚受访者中收集数据。使用偏最小二乘结构方程模型对数据进行分析。研究结果表明，绩效期望、努力期望、社会影响和感知产品价值显著影响个体使用电子医疗服务的意愿。同时，感知风险具有不显著的负面影响。促进条件显著影响个体使用电子医疗服务的意愿和实际使用情况。此外，个体使用电子医疗服务的意愿显著影响他们对这些服务的实际使用。另外，使用电子医疗服务的意愿在除感知风险外的因素与电子医疗服务使用之间起中介作用。令人惊讶的是，感知服务准确性对个体使用意愿与实际使用电子医疗服务之间的关系没有显著的调节作用。本研究为教育工作者、从业者和政策制定者提供了有价值的见解，丰富了该领域的学术论述。对于教育而言，将电子医疗主题纳入课程可以提高数字健康素养。在实践中，医疗服务提供者应专注于改善用户体验并解决技术采用的障碍。对于政策制定而言。制定支持性政策和基础设施以促进电子医疗服务的采用对于改善公共卫生结果至关重要。
