Das Gupta Atantra
Marketing Research, Management Development Institute Gurgaon, Gurgaon, Haryana, India.
Biomed Eng Comput Biol. 2024 Sep 24;15:11795972241277292. doi: 10.1177/11795972241277292. eCollection 2024.
The concept of viewing a patient as an organization within the context of digital healthcare is an innovative and evolving concept. Traditionally, the patient-doctor relationship has been centered around the individual patient and their interactions with healthcare providers. However, with the advent of technology and digital healthcare solutions, the dynamics of this relationship are changing. Digital healthcare platforms and technologies enable patients to have more control and active participation in managing their health and healthcare processes. This shift empowers patients to take on a more proactive role, similar to how an organization functions with various stakeholders, goals, and strategies. The prevalence of mobile phones and wearables is regarded as an important factor in the acceptance of digital health.
This study aimed to identify the factors affecting adoption intention using the TAM (Technology Acceptance Model), HB (Health Belief model), and the UTAUT (Unified Theory of Acceptance and Use of Technology). The argument is made that the adoption of the technology enables patients to create resources (ie, data), transforming patients from mere consumers to producers as well.
PLS analysis showed that health beliefs and perceived ease of use had positive effects on the perceived usefulness of digital healthcare, and system capabilities positively impacted perceived ease of use. Furthermore, perceived service, the customer's willingness to change and reference group influence significantly impacted adoption intention ( > 0.1, > 1.96, < .05). However, privacy protection and data security, online healthcare resources, and user guidance were not positively associated with perceived usefulness.
Perceived usefulness, the customer's willingness to change, and the influence of the reference group are decisive variables affecting adoption intention among the general population, whereas privacy protection and data security are indecisive variables. Online resources and user guides do not support adoption intentions.
将患者视为数字医疗背景下的一个组织这一概念是一个创新且不断发展的概念。传统上,医患关系一直以个体患者及其与医疗服务提供者的互动为中心。然而,随着技术和数字医疗解决方案的出现,这种关系的动态正在发生变化。数字医疗平台和技术使患者能够在管理自身健康和医疗过程中拥有更多控制权并积极参与。这种转变使患者能够发挥更积极主动的作用,类似于一个组织与各种利益相关者、目标和战略的运作方式。手机和可穿戴设备的普及被视为接受数字健康的一个重要因素。
本研究旨在使用技术接受模型(TAM)、健康信念模型(HB)和技术接受与使用统一理论(UTAUT)来确定影响采用意愿的因素。有人认为,采用该技术使患者能够创造资源(即数据),从而将患者从单纯的消费者转变为生产者。
偏最小二乘法(PLS)分析表明,健康信念和感知易用性对数字医疗的感知有用性有积极影响,系统能力对感知易用性有积极影响。此外,感知服务、客户的变革意愿和参照群体影响对采用意愿有显著影响(>0.1,>1.96,<0.05)。然而,隐私保护和数据安全、在线医疗资源以及用户指导与感知有用性没有正相关关系。
感知有用性、客户的变革意愿和参照群体的影响是影响普通人群采用意愿的决定性变量,而隐私保护和数据安全是不确定变量。在线资源和用户指南不支持采用意愿。