Fox Grace, Lynn Theo, van der Werff Lisa, Kennedy Jennifer
Irish Institute of Digital Business, Dublin City University Business School, Dublin 9, Ireland.
College of Engineering and Computer Science, University of Central Florida, Orlando, Florida, USA.
Health Serv Res. 2025 Jun;60(3):e14403. doi: 10.1111/1475-6773.14403. Epub 2024 Oct 27.
To investigate women's perceptions of telemedicine for reproductive health care services, focusing on how perceived benefits and privacy risks influence their intentions to adopt telemedicine and their willingness to disclose personal health information.
A cross-sectional survey was conducted. The study applied the privacy calculus theory to the context of telemedicine for reproductive health, using adapted, validated variables to develop the survey. Outcome variables included intentions to adopt telemedicine and willingness to disclose accurate personal health information.
Data were collected in May and June 2023 using Qualtrics online panel services, targeting women across the United States who had not used telemedicine for reproductive health. The sample comprised 847 women aged 18 and older. Structural equation modeling was employed using AMOS v28.0 to test the hypothesized relationships between perceived benefits, perceived risks, and adoption intentions. The analysis controlled for age, household income, political affiliation, religious views, and prior births.
Perceived benefits were positively related to intention to adopt telemedicine for reproductive care (β: 0.600, p < 0.001), and willingness to disclose accurate personal health information (β: 0.453, p < 0.001). Unexpectedly, perceived privacy risks were positively related to adoption intentions (β: 0.128, p < 0.001), but negatively related to willingness to disclose (β: -0.282, p < 0.001). Intentions to adopt were positively associated with willingness to disclose (β: 0.089, p < 0.05). Lastly, older women and women located in states with abortion restrictions expressed lower intentions to adopt. The model explained 40.2% of variance in intention to adopt and 38.3% of variance in willingness to disclose.
The study demonstrates the importance of perceived benefits and privacy risks in driving telemedicine adoption and disclosure intentions among women in the reproductive health context. These findings suggest the need for targeted strategies to address privacy concerns and support telemedicine adoption, particularly in restrictive regulatory environments.
调查女性对远程医疗生殖健康服务的看法，重点关注感知到的益处和隐私风险如何影响她们采用远程医疗的意愿以及披露个人健康信息的意愿。
开展了一项横断面调查。该研究将隐私计算理论应用于远程医疗生殖健康领域，使用经过调整和验证的变量来设计调查问卷。结果变量包括采用远程医疗的意愿和披露准确个人健康信息的意愿。
2023年5月和6月，使用Qualtrics在线样本服务收集数据，目标是美国未使用过远程医疗生殖健康服务的女性。样本包括847名18岁及以上的女性。使用AMOS v28.0进行结构方程建模，以检验感知到的益处、感知到的风险与采用意愿之间的假设关系。分析控制了年龄、家庭收入、政治派别、宗教观点和既往生育情况。
感知到的益处与采用远程医疗进行生殖保健的意愿呈正相关（β：0.600，p < 0.001），与披露准确个人健康信息的意愿呈正相关（β：0.453，p < 0.001）。出乎意料的是，感知到的隐私风险与采用意愿呈正相关（β：0.128，p < 0.001），但与披露意愿呈负相关（β： -0.282，p < 0.001）。采用意愿与披露意愿呈正相关（β：0.089，p < 0.05）。最后，年龄较大的女性以及所在州有堕胎限制的女性采用意愿较低。该模型解释了采用意愿中40.2%的方差和披露意愿中38.3%的方差。
该研究表明，在生殖健康背景下，感知到的益处和隐私风险在推动女性采用远程医疗及披露意愿方面具有重要意义。这些发现表明，需要制定针对性策略来解决隐私问题并支持远程医疗的采用，尤其是在限制性监管环境中。
