Xia Bridget, Pierce Bradford S, Perrin Paul B
School of Data Science, University of Virginia, Charlottesville, Virginia, United States of America.
James A. Haley Veterans Affairs Medical Center, Tampa, Florida, United States of America.
PLoS One. 2025 Sep 8;20(9):e0331832. doi: 10.1371/journal.pone.0331832. eCollection 2025.
The purpose of this study is to apply the theory of reasoned action (TRA) and technology acceptance model (TAM) to U.S. physicians' adoption of telemedicine during the COVID-19 pandemic. A total of 230 physicians licensed in the U.S. completed a cross-sectional survey during the COVID-19 pandemic assessing telemedicine use and components of the TRA and TAM. Path models representing the TRA, TAM, and a trimmed version of the TAM were tested. The TRA was an adequate to poor fit for modeling physicians' decisions concerning telemedicine use. The TAM demonstrated better fit, although a trimmed TAM was ultimately retained for parsimony with mostly good or adequate fit indices. Subjective norms, perceived usefulness, and attitude toward telemedicine may be important targets for trainings and advocacy efforts to facilitate and sustain telemedicine use in a post-pandemic context.
本研究的目的是将理性行动理论（TRA）和技术接受模型（TAM）应用于美国医生在新冠疫情期间采用远程医疗的情况。共有230名在美国获得执照的医生在新冠疫情期间完成了一项横断面调查，评估远程医疗的使用以及TRA和TAM的组成部分。对代表TRA、TAM和TAM简化版的路径模型进行了测试。TRA对模拟医生关于远程医疗使用的决策的拟合度一般至较差。TAM显示出更好的拟合度，不过最终保留了TAM简化版以保持简约性，其拟合指数大多良好或足够。主观规范、感知有用性以及对远程医疗的态度可能是培训和宣传工作的重要目标，以便在疫情后促进和维持远程医疗的使用。
