An adaptation of the theory of interpersonal behaviour to the study of telemedicine adoption by physicians
An adaptation of the theory of interpersonal behaviour to the study of telemedicine adoption by physicians
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DOI：
10.1016/s1386-5056(03)00094-7
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发表时间：
2003-09-01
影响因子：
4.9
通讯作者：
Cloutier, A
中科院分区：
文献类型：
--
作者：
Gagnon, MP;Godin, G;Cloutier, A
医生对远程医疗的接受是其在全国范围内传播的先决条件。基于人际行为理论，本研究旨在评估医生在临床实践中使用远程医疗的意向的预测因素。在参与RQTE的医生中，向魁北克(加拿大)扩大的省级远程医疗网络邮寄了一份问卷，以确定他们打算采用远程医疗的心理社会决定因素。用验证性因子分析(CFA)对测量模型进行评估，并用结构方程模型(SEM)对理论模型进行检验。调整后的理论模型解释了81%(P<；0.001)医生使用远程医疗意向的差异。意图的主要预测因素是综合规范因素，包括个人和社会规范(Beta=1.08；P<；0.001)和自我认同(Beta=-0.33；P<；0.001)。因此，在临床实践中意识到采用远程医疗的专业和社会责任的医生有更强烈的使用这项技术的意图。然而，个人认同在回归方程中可能具有抑制作用，这表明如果考虑医生作为远程医疗使用者的自我知觉，则可以更好地预测他们使用远程医疗的意图。这些结果在本文所讨论的理论和实践层面上具有多方面的意义。(C)2003爱思唯尔爱尔兰有限公司。保留所有权利。
Physicians' acceptance of telemedicine constitutes a prerequisite for its diffusion on a national scale. Based upon the Theory of Interpersonal Behavior, this study was aimed at assessing the predictors of physicians' intention to use telemedicine in their clinical practice. AR of the physicians involved in the RQTE, the extended provincial telemedicine network of Quebec (Canada) were mailed a questionnaire to identify the psychosocial determinants of their intention to adopt telemedicine. Confirmatory factor analysis (CFA) was performed to assess the measurement model and structural equation modelling (SEM) was applied to test the theoretical model. The adapted theoretical model explained 81% (P < 0.001) of variance in physicians' intention to use telehealth. The main predictors of intentions were a composite normative factor, comprising personal as well as social norms (beta = 1.08; P < 0.001) and self identity (beta = -0.33; P < 0.001). Thus, physicians who perceived professional and social responsibilities regarding adoption of telehealth in their clinical practice had stronger intention to use this technology. However, it is likely that personal identity had a suppression effect in the regression equation, indicating that physicians' intention to use telemedicine was better predicted if their self-perception as telemedicine users was considered. These results have several implications at the theoretical and practical levels that are discussed in this paper. (C) 2003 Elsevier Ireland Ltd. All rights reserved.