Measuring patient trust in telemedicine services: Development of a survey instrument and its validation for an anticoagulation web-service
Measuring patient trust in telemedicine services: Development of a survey instrument and its validation for an anticoagulation web-service
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DOI：
10.1016/j.ijmedinf.2016.09.009
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发表时间：
2017-01-01
影响因子：
4.9
通讯作者：
Hermens, Hermie
中科院分区：
文献类型：
--
作者：
van Velsen, Lex;Tabak, Monique;Hermens, Hermie
背景：对于许多电子服务，最终用户的信任是使用的关键先决条件。然而，对于远程医疗的背景下，知识的到来和测量的最终用户trust.Objective：开发和验证病人信任评估工具（PATAT）：一种调查工具，以定量评估病人的信任在远程医疗service.Methods：由焦点小组通知，我们开发了一项调查，包括测量量表的以下因素：对护理组织、护理专业人员、治疗和技术的信任，以及评估对远程医疗服务信任的整体看法的量表。该调查由795名使用远程医疗应用程序管理抗凝治疗的患者完成。结果：测量模型在剔除一个项目后，测量结果为良好到优秀。因果模型导致高解释方差（R-2= 0.68）。对医疗保健专业人员和治疗的信任对整体信任的影响很小，而对技术的信任则显示出很大的影响。在护理组织的信任并没有导致整体trust.Conclusion显着的效果：PATAT是一种有效的手段来评估病人的信任，在远程医疗服务，可以用来衡量这样的服务或引起重新设计的输入。(C)2016爱思唯尔爱尔兰有限公司版权所有。
Background: For many eServices, end-user trust is a crucial prerequisite for use. For the telemedicine context however, knowledge about the coming about and measurement of end-user trust is scarce.Objective: To develop and validate the PAtient Trust Assessment Tool (PATAT): a survey instrument to quantitatively assess patient trust in a telemedicine service.Methods: Informed by focus groups, we developed a survey that includes measurement scales for the following factors: trust in the care organization, care professional, treatment, and technology, as well as a scale that assesses a holistic view on trust in the telemedicine service. The survey was completed by 795 patients that use a telemedicine application to manage their anticoagulation treatment. Data were analyzed by means of Partial Least Squares Structural Equation Modeling (PLS-SEM).Results: The measurement model yielded good to excellent quality measures, after the removal of one item. The causal model resulted in high explained variance (R-2= 0.68). Trust in healthcare professionals and the treatment had a small effect on overall trust, while trust in the technology displayed a large effect. Trust in the care organization did not result in a significant effect on overall trust.Conclusion: The PATAT is a valid means to assess patient trust in a telemedicine service and can be used to benchmark such a service or to elicit redesign input. (C) 2016 Elsevier Ireland Ltd. All rights reserved.