Determinants of the intention to use e-Health by community dwelling older people.

Determinants of the intention to use e-Health by community dwelling older people.
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DOI:
10.1186/s12913-015-0765-8
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发表时间:
2015-03-15
影响因子:
2.8
通讯作者:
Francke AL
Francke AL
中科院分区:
医学3区
文献类型:
--
作者:
de Veer AJ;Peeters JM;Brabers AE;Schellevis FG;Rademakers JJ;Francke AL

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未来,越来越多的老年人将被要求接受通过互联网提供的护理。例如,医疗保健专业人员可以通过远程护理提供治疗或支持。但老年人是否愿意使用这种所谓的电子健康应用程序呢?本研究的目的是深入了解老年人(即未来的老年人)使用电子医疗应用程序的意图。利用技术接受和使用统一理论 (UTAUT) 的要素,我们假设他们的意图与电子医疗将有所帮助的信念(绩效预期)、感知的易用性(努力预期)、重要他人的信念(社会影响力)以及有关互联网使用的自我效能有关。 1014 名年龄在 57 岁至 77 岁之间的人完成了一份预先设计的调查问卷(回应率为 67%)。使用嵌套线性回归分析来测试假设的关系。如果未来提供电子医疗应用程序,63.1%的受访者肯定或可能使用它。总体而言,受教育程度较低的人群使用电子医疗的意愿较低。大多数受访者认为电子医疗易于使用(60.8%)和易于学习(68.4%),这些项目构成了预期努力的量表。绩效预期量表中的项目普遍得分较低:45.8% 的人认为电子医疗有用,38.2% 的人认为它是一种愉快的互动方式。测试模型表明,预期绩效和努力与使用电子医疗的意愿高度相关。此外,自我效能感与使用意图相关,而社会影响力则无关。通过告知人们电子医疗的潜在好处并让他们练习该应用程序,可以提高对电子医疗的接受度。应特别关注受教育程度较低的人和以前没有使用过互联网的人。本文的在线版本 (doi:10.1186/s12913-015-0765-8) 包含补充材料,可供授权用户使用。
In the future, an increasing number of elderly people will be asked to accept care delivered through the Internet. For example, health-care professionals can provide treatment or support via telecare. But do elderly people intend to use such so-called e-Health applications? The objective of this study is to gain insight into the intention of older people, i.e. the elderly of the future, to use e-Health applications. Using elements of the Unified Theory of Acceptance and Use of Technology (UTAUT), we hypothesized that their intention is related to the belief that e-Health will help (performance expectancy), the perceived ease of use (effort expectancy), the beliefs of important others (social influence), and the self-efficacy concerning Internet usage. A pre-structured questionnaire was completed by 1014 people aged between 57 and 77 (response 67%). The hypothesized relationships were tested using nested linear regression analyses. If offered an e-Health application in the future, 63.1% of the respondents would definitely or probably use it. In general, people with a lower level of education had less intention of using e-Health. The majority of respondents perceived e-Health as easy to use (60.8%) and easy to learn (68.4%), items that constitute the scale for effort expectancy. Items in the performance expectancy scale generally scored lower: 45.8% perceived e-Health as useful and 38.2% perceived it as a pleasant way to interact. The tested model showed that expected performance and effort were highly related to intention to use e-Health. In addition, self-efficacy was related to intention to use while social influence was not. Acceptance of e-Health can be increased by informing people about the potential benefits of e-Health and letting them practice with the application. Special attention should be paid to people with less education and people who have not used the Internet before. The online version of this article (doi:10.1186/s12913-015-0765-8) contains supplementary material, which is available to authorized users.
决定患者使用医疗点检测医疗设备进行自我监测意愿的因素:国际正常化比率自我检测案例。
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