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理解医疗技术采用中的社会心理障碍:技术接受模型(TAM)、技术接受与使用统一理论(UTAUT)框架综述

Understanding Psychosocial Barriers to Healthcare Technology Adoption: A Review of TAM Technology Acceptance Model and Unified Theory of Acceptance and Use of Technology and UTAUT Frameworks.

作者信息

Lee Ann Thong, Ramasamy R Kanesaraj, Subbarao Anusuyah

机构信息

Faculty of Management, Multimedia University, Cyberjaya 63100, Malaysia.

Faculty Computing Informatics, Multimedia University, Cyberjaya 63100, Malaysia.

出版信息

Healthcare (Basel). 2025 Jan 27;13(3):250. doi: 10.3390/healthcare13030250.

Abstract

Leveraging healthcare technology improves human development and well-being. However, adoption is frequently delayed by behavioural and psychological barriers, such as perceived usefulness, trust, and organisational readiness. This review examines the suitability of the Unified Theory of Acceptance and Use of Technology (UTAUT) and the Technology Acceptance Model (TAM) frameworks in healthcare settings, focusing on behavioural, educational, and psychological factors that influence technology adoption. A total of 20 peer-reviewed articles from 2019 to 2024 were examined. The review identified significant organisational and psychological obstacles, including a lack of trust, inadequate training, and organisational support. While the UTAUT provided a more comprehensive viewpoint, it needed to be modified to include context-specific factors, including trust, facilitating circumstances, and educational interventions. Meanwhile, the TAM's emphasis on perceived usefulness and ease of use was shown to be insufficient for dealing with complex healthcare situations. Interventions targeting stakeholders' organisational and psychological preparation and educational strategies are essential to overcoming resistance and enhancing trust. Future research should look into integrative frameworks incorporating behavioural, psychological, and instructional tactics to improve the use of technology in healthcare.

摘要

利用医疗技术可促进人类发展和福祉。然而,行为和心理障碍,如感知有用性、信任和组织准备情况等,常常会延迟技术的采用。本综述考察了技术接受与使用统一理论(UTAUT)和技术接受模型(TAM)框架在医疗环境中的适用性,重点关注影响技术采用的行为、教育和心理因素。共审查了2019年至2024年期间的20篇同行评审文章。该综述确定了重大的组织和心理障碍,包括缺乏信任、培训不足和组织支持。虽然UTAUT提供了更全面的观点,但需要进行修改以纳入特定情境因素,包括信任、促进因素和教育干预措施。同时,TAM对感知有用性和易用性的强调被证明不足以应对复杂的医疗情况。针对利益相关者的组织和心理准备的干预措施以及教育策略对于克服阻力和增强信任至关重要。未来的研究应探讨整合行为、心理和教学策略的综合框架,以改善医疗技术的使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e70b/11816427/4dfa2f90e1fe/healthcare-13-00250-g001.jpg

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