The Roles of Trust and Its Antecedent Variables in Healthcare Consumers' Acceptance of Online Medical Consultation during the COVID-19 Pandemic in China.
The Roles of Trust and Its Antecedent Variables in Healthcare Consumers' Acceptance of Online Medical Consultation during the COVID-19 Pandemic in China.
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DOI：
10.3390/healthcare11091232
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发表时间：
2023-04-26
期刊：
影响因子：
2.8
通讯作者：
Li, Yanfeng
中科院分区：
文献类型：
--
作者：
Yan, Mian;Zhang, Meijuan;Kwok, Alex Pak Ki;Zeng, Haoyan;Li, Yanfeng
由于中国在 COVID-19 大流行期间实施的强制隔离措施，在线医疗咨询 (OMC) 引起了研究人员和从业者的极大兴趣。然而，OMC 的接受率随着时间的推移而下降。本文旨在通过将技术接受模型（TAM）与信任及其先行变量相结合，使用提出的研究模型对 OMC 接受度进行实证研究。我们进行了一项定量自我管理横断面调查，收集 260 名医疗保健消费者的数据。使用偏最小二乘结构方程建模方法来检查数据。结果显示，医疗保健消费者的行为意向受到态度的影响，而感知有用性和信任通过态度作为中介显着影响行为意向。此外，感知风险、感知隐私保护、网络外部性、认知声誉和交互性直接影响信任。总体而言，该研究模型解释了 50% 的态度差异和 71% 的行为意图差异。该研究的结果将为 OMC 服务的有效设计、开发和实施决策提供有用的见解。
Online medical consultation (OMC) is generating considerable interest among researchers and practitioners due to the mandatory quarantine measures implemented during the COVID-19 pandemic in China. However, the acceptance rate of OMC has declined over time. This paper aims to empirically investigate OMC acceptance using a proposed research model by integrating the technology acceptance model (TAM) with trust and its antecedent variables. A quantitative self-administered cross-sectional survey was conducted to collect data from 260 healthcare consumers. A partial least squares structural equation modeling method was used to examine the data. Results revealed that healthcare consumers’ behavioral intention was influenced by attitudes, while perceived usefulness and trust significantly influenced behavioral intention through attitude as a mediator. In addition, perceived risk, perceived privacy protection, network externalities, cognitive reputation, and interactivity directly influenced trust. Overall, the research model explained 50% of the variance in attitude and 71% of the variance in behavioral intention. The study’s findings should provide useful insights into making effective design, development, and implementation decisions for OMC services.
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