Moderating factors influencing adoption of a mobile chronic disease management system in China
Moderating factors influencing adoption of a mobile chronic disease management system in China
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DOI：
10.1080/17538157.2016.1255631
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发表时间：
2018-01
影响因子：
2.4
通讯作者：
Zhangxiang Zhu;Yongmei Liu;Xiaoling Che;Xiao-hong Chen
中科院分区：
文献类型：
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作者：
Zhangxiang Zhu;Yongmei Liu;Xiaoling Che;Xiao-hong Chen
摘要近年来，移动的慢性病管理系统（MCDMS）变得越来越重要，但在中国，其采用仍然存在挑战。现有的实证研究还没有完全探讨潜在的MCDMS用户的采用行为。本文介绍了一项研究，我们调查了影响中国慢性病患者及其家属采用或拒绝使用MCDMS的因素。我们应用了一个研究模型的基础上的技术接受模型（TAM），以及四个上下文结构（感知疾病威胁，感知风险，初始信任，和技术焦虑）的279个潜在的MCDMS服务参与者在中国的调查。我们的主要发现包括：（1）与现有研究一致，感知有用性和感知易用性对潜在用户的MCDMS采用意向有正向影响，感知疾病威胁和初始信任对MCDMS采用意向有正向影响，感知风险对MCDMS采用意向有负向影响，技术焦虑对MCDMS感知易用性有负向影响;（4）年轻人比中老年人更重视他们对有用性、易操作性和疾病威胁的感知;（5）家庭成员比慢性病患者更受他们对易用性和疾病威胁的感知的影响，而慢性病患者比家庭成员更重视感知的有用性。本文最后讨论了本研究对研究和实践的启示，以及本研究的局限性和未来的研究方向。
ABSTRACT Mobile chronic disease management systems (MCDMS) have become increasingly important in recent years, but in China, challenges remain for their adoption. Existing empirical studies have not completely explored the adoption behavior of potential MCDMS users. This article presents a study in which we investigated factors that influence chronically ill patients in China and their families to adopt or decline to use MCDMS. We applied a research model based on the technology acceptance model (TAM) as well as four contextual constructs (perceived disease threat, perceived risk, initial trust, and technology anxiety) to a survey of 279 potential MCDMS service participants in China. Our key findings include: (1) as consistent with current research, both perceived usefulness and perceived ease of use have positive impact on potential users’ MCDMS adoption intention; (2) both perceived disease threat and initial trust have positive impact on MCDMS adoption intention; (3) the impact of perceived risk is negative, and technology anxiety has negative impact on perceived ease of use of MCDMS; (4) young people place more importance on their perceptions of usefulness, ease of operation, and disease threat than middle-aged and older users; (5) family members are more influenced by their perception of ease of use and disease threat than chronically ill patients, while chronically ill patients place more importance on perceived usefulness than family members. This article concludes by discussing the implications of our study for research and practice, as well as limitations and future research directions.