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Vidal-Silva C, Sánchez-Ortiz A, Serrano-Malebrán J, Arriagada V, Flores M, Godoy M, Vargas C. Social influence, performance expectancy, and price value as determinants of telemedicine services acceptance in Chile. Heliyon 2024; 10:e27067. [PMID: 38562504 PMCID: PMC10982984 DOI: 10.1016/j.heliyon.2024.e27067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Revised: 02/16/2024] [Accepted: 02/23/2024] [Indexed: 04/04/2024] Open
Abstract
Medicine is a discipline based on and nurtured by scientific research and technological development. The use of health services supported by information technology is increasing worldwide, and Latin America is no exception. Factors such as needing more specialists in peripheral cities, large geographic areas, and socio-cultural aspects limit the possibility of receiving timely and quality medical care services. Information Technology (IT) for health purposes, such as e-health, is a cost-effective solution for equitable access to quality healthcare services and optimization of the rising associated costs. As an e-health service, telemedicine facilitates and mediates distance communication between the patient and medical staff. Even though Latin America is at the beginning of the development of telemedicine, it would have a relevant impact, given the geographic and socioeconomic conditions of the population in this part of the world. Drawing on the extended Unified Theory of Acceptance and Use of Technology (UTAUT2) theory, we developed a theoretical model to identify the latent factors influencing the public acceptance of telemedicine and examined their interrelationships. A survey questionnaire was designed and administered to 391 residents in Antofagasta, a mine region of Chile. After that, structural equation modeling was employed to analyze the survey data. The results reveal that the UTAUT2 factors' performance expectancy, social influence, and price value significantly impact the intention to use (R 2 = 0.693). Additionally, the model presented a good fit. This study enriches the existing theoretical research on the acceptance of telemedicine services and offers insights into understanding and managing technology in the Chilean health sector.
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Affiliation(s)
- Cristian Vidal-Silva
- School of Videogame Development and Virtual Reality Engineering, Faculty of Engineering, University of Talca, Av. Lircay S/N, Talca, 3460000, Maule, Chile
| | - Aurora Sánchez-Ortiz
- Department of Administration, Universidad Católica del Norte, Angamos 0610, Antofagasta, 1240000, Antofagasta, Chile
| | - Jorge Serrano-Malebrán
- Department of Administration, Universidad Católica del Norte, Angamos 0610, Antofagasta, 1240000, Antofagasta, Chile
| | - Vanessa Arriagada
- Department of Administration, Universidad Católica del Norte, Angamos 0610, Antofagasta, 1240000, Antofagasta, Chile
| | - Moisés Flores
- Department of Administration, Universidad Católica del Norte, Angamos 0610, Antofagasta, 1240000, Antofagasta, Chile
| | - Mónica Godoy
- Department of Administration, Universidad Católica del Norte, Angamos 0610, Antofagasta, 1240000, Antofagasta, Chile
| | - Cristopher Vargas
- Department of Administration, Universidad Católica del Norte, Angamos 0610, Antofagasta, 1240000, Antofagasta, Chile
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Kasena A, Antonio F. Antecedents of patient health engagement in the radiotherapy service (evidence from Indonesia). Health SA 2023; 28:2245. [PMID: 38204863 PMCID: PMC10778377 DOI: 10.4102/hsag.v28i0.2245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Accepted: 10/02/2023] [Indexed: 01/12/2024] Open
Abstract
Background Private radiotherapy (RT) facilities in emerging countries are growing with cancer incidence. Private healthcare providers must provide better care based on patient perspectives to reach more patients. Aim This study investigated the relationship between antecedents of patient health engagement (PHE) with revisit intention (RVI) and intent to recommend (ITR) in private RT facilities. Setting The survey was conducted in a private hospital with a RT service in Central Java province, Indonesia. Methods A quantitative, cross-sectional design with a purposive sampling method was used. Patient questionnaire survey modified from validated self-administered radiotherapy experience (RTEQ) and PHE questionnaire were used to collect data. Partial least squares-structural equation modelling was used to analyse the data. Results In this study, 173 respondents consented to participate, which demonstrated that seven of the eight experience antecedents of PHE measured by reliable and valid RTEQ and were significantly related to PHE (p-value <0.05). At the same time, the degree of PHE has a significant relationship with RVI and ITR (p-value <0.05). Conclusion Patient informational needs elements from the patient experience, followed by situational repose, were shown to have a prominent relation to PHE. The management of private RT facilities needs to focus more on these elements to encourage PHE to establish hospital performance. Contribution The findings denote that six elements of RTEQ relate to PHE and further hospital outcomes. Hospital management could utilise this approach to improve the quality of care in RT facilities, specifically in private hospitals in emerging countries.
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Affiliation(s)
- Anthony Kasena
- Department of Hospital Administration, Faculty of Medicine, Universitas Pelita Harapan, Daerah Khusus Ibukota Jakarta, Indonesia
| | - Ferdi Antonio
- Department of Hospital Administration, Faculty of Medicine, Universitas Pelita Harapan, Daerah Khusus Ibukota Jakarta, Indonesia
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Arenas Gaitán J, Ramírez Correa PE. COVID-19 and telemedicine: A netnography approach. TECHNOLOGICAL FORECASTING AND SOCIAL CHANGE 2023; 190:122420. [PMID: 36816867 PMCID: PMC9928743 DOI: 10.1016/j.techfore.2023.122420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 11/03/2022] [Accepted: 12/19/2022] [Indexed: 06/18/2023]
Abstract
The COVID-19 pandemic has consolidated some trends that already existed in our society. Perhaps one of the most visible is the transformation of society towards greater digitisation. Digitalisation has gained weight in all aspects of our lives, and from the point of view of the health system we find an example in the slow historical adoption of telemedicine, which contrasts sharply with the massive conversion to this technology as a tool for social distancing. In this sense, the homebound population is the one most affected by the pandemic and the one that could benefit the most from the use of telemedicine. Using a netnography approach and based on the stimulus-organism-response paradigm, this study proposes to analyse the evolution of perception about telemedicine using the opinions expressed on Twitter. The primary technical tasks of the study incorporate the analysis of topics and the review of emotions and positive image perception using natural language processing. Specifically, tweets about telemedicine generated by the Spanish community are analysed in this work. The findings show that the COVID-19 pandemic has affected emotions and topics of interest related to telemedicine. This has changed the image that it had and the behaviour of the Twitter community in Spain. In conclusion, the study results suggest that changes in health systems affect people's emotions and behaviours.
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Huo W, Yuan X, Li X, Luo W, Xie J, Shi B. Increasing acceptance of medical AI: The role of medical staff participation in AI development. Int J Med Inform 2023; 175:105073. [PMID: 37119693 PMCID: PMC10125218 DOI: 10.1016/j.ijmedinf.2023.105073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Revised: 04/06/2023] [Accepted: 04/12/2023] [Indexed: 05/01/2023]
Abstract
BACKGROUND Medical artificial intelligence (AI) in varying degrees has exerted significant influence on many medical fields, especially in the midst of the COVID-19 pandemic. However, little is known regarding how to address the reluctance of medical staff to use AI technology. While recent research has highlighted the importance of medical staff participation in the development of AI, the current understanding of influence of medical staff participation on acceptance of AI is limited. OBJECTIVES To provide insights into the mechanism that how medical staff participation impacts on the medical staff's acceptance of AI and to examine the moderating effect of speciesism. METHODS This study was conducted from 6th August to 3rd September. Data was collected from doctors and nurses and a total of 288 valid questionnaires were obtained. Smart PLS 3.2.8 was used as partial least square (PLS) software to validate the research model. RESULTS The study determined that medical staff participation had a significant impact on acceptance of medical AI-IDT (β = 0.35, p ≤ 0.001) and acceptance of medical AI-ADT (β = 0.44, p ≤ 0.001). The results also show that AI self-efficacy and AI anxiety have significant mediating effects and speciesism has significant moderating effects among the theoretical model. CONCLUSIONS This study provides insights into ways to explore influence factors of acceptance of AI based on user participation perspective. The results indicate that medical staff participation enhances acceptance of medical AI through the cognitive path (i.e., AI self-efficacy) and the affective path (i.e., AI anxiety). These results have practical implications for how organizations assist the staff to accommodate themselves to AI technology in the future.
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Affiliation(s)
- Weiwei Huo
- Shanghai University, Chengzhong Road, 201800 Shanghai, China.
| | - Xinze Yuan
- Shanghai University, Chengzhong Road, 201800 Shanghai, China.
| | - Xianmiao Li
- Anhui University of Science and Technology, 168 Taifeng Street, 232000 Huainan, China.
| | - Wenhao Luo
- Shanghai University, Chengzhong Road, 201800 Shanghai, China.
| | - Jiaying Xie
- Shanghai University, Chengzhong Road, 201800 Shanghai, China.
| | - Bowen Shi
- Shanghai World Foreign Language Academy, Hongcao South Road, 200233 Shanghai, China.
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Charavet C, Rouanet F, Dridi SM. Patient's and Practionner's Experiences of a First Face-to-Face vs. Remote Orthodontic Consultation: A Randomized Controlled Trial. Healthcare (Basel) 2023; 11:healthcare11060882. [PMID: 36981539 PMCID: PMC10048591 DOI: 10.3390/healthcare11060882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 03/09/2023] [Accepted: 03/10/2023] [Indexed: 03/30/2023] Open
Abstract
(1) Aim: The purpose of this study was to assess patients' and practitioners' reported experience measures (PREMs) following a first standard orthodontic consultation (face-to-face consultation) versus a first orthodontic teleconsultation (video-assisted remote orthodontic consultation).; (2) Materials and Methods: This study was designed as a randomized controlled trial in which 60 patients were randomly allocated to two groups. In the control group, patients received a first face-to-face consultation (n = 30) whereas, in the test group, patients received a first orthodontic teleconsultation (n = 30). Patients as well as the orthodontic practitioners completed questionnaires after the experience. (3) Results: From the patients' point of view, overall satisfaction was comparable between the control group and the test group (p = 0.23). Quality of communication with the clinician, understanding of the explanations provided and a sense of privacy were also comparable between the two groups. However, from the practitioners' perspective, overall satisfaction after the face-to-face consultation was significantly higher than after the first remote consultation (p < 0.01). (4) Conclusions: In the context of a first orthodontic consultation, teleorthodontics appears to be an interesting and complementary approach to a classical face-to-face appointment, but which should by no means become systematic.
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Affiliation(s)
- Carole Charavet
- Département d'Orthodontie, Faculté de Chirurgie Dentaire, Université Côte d'Azur, 06300 Nice, France
- Centre Hospitalier Universitaire de Nice, Institut de Médecine Bucco-Dentaire, Unité d'Orthodontie, 06300 Nice, France
- Laboratoire MICORALIS UPR 7354, Université Côte d'Azur, 06000 Nice, France
| | - Fiona Rouanet
- Département d'Orthodontie, Faculté de Chirurgie Dentaire, Université Côte d'Azur, 06300 Nice, France
- Centre Hospitalier Universitaire de Nice, Institut de Médecine Bucco-Dentaire, Unité d'Orthodontie, 06300 Nice, France
| | - Sophie Myriam Dridi
- Laboratoire MICORALIS UPR 7354, Université Côte d'Azur, 06000 Nice, France
- Département de Parodontologie, Faculté de Chirurgie Dentaire, Université Côte d'Azur, 06300 Nice, France
- Centre Hospitalier Universitaire de Nice, Institut de Médecine Bucco-Dentaire, Unité de Parodontologie, 06300 Nice, France
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Lu F, Wang X, Huang X. Counseling for Health: How Psychological Distance Influences Continuance Intention towards Mobile Medical Consultation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20031718. [PMID: 36767084 PMCID: PMC9914346 DOI: 10.3390/ijerph20031718] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 12/11/2022] [Accepted: 01/15/2023] [Indexed: 05/27/2023]
Abstract
As mobile healthcare services entered the public sight with high frequency during the COVID-19 pandemic, patients are increasingly recognizing the effectiveness of mobile medical consultation (MMC). Earlier studies have investigated what influences continuance intention (CI) towards MMC, but few studies have scrutinized it from the perspective of patients' psychological distance. We formulated a framework to examine the psychological factors influencing CI towards MMC by integrating the information systems continuance model and psychological distance theory. The framework was validated using the partial least squares structural equation modeling (PLS-SEM) approach and data from 475 MMC users in China. The empirical results revealed that immediacy, telepresence, intimacy, and substitutability were significant predictors of CI, while satisfaction mediated these pathways. Pandemic-induced anxiety positively moderated the effect of immediacy on satisfaction and the effect of satisfaction on CI. Practical implementations for MMC healthcare practitioners, designers, and marketers are drawn.
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Affiliation(s)
- Fuyong Lu
- Institute of Education and Economy Research, University of International Business and Economics, No. 10, Huixindongjie, Chaoyang District, Beijing 100029, China
| | - Xintao Wang
- School of Business, Renmin University of China, No. 59, Zhongguancundajie, Haidian District, Beijing 100872, China
| | - Xian Huang
- School of Business, Renmin University of China, No. 59, Zhongguancundajie, Haidian District, Beijing 100872, China
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Liu PL, Ye JF, Ao HS, Sun S, Zheng Y, Li Q, Feng GC, Wang H, Zhao X. Effects of electronic personal health information technology on American women's cancer screening behaviors mediated through cancer worry: Differences and similarities between 2017 and 2020. Digit Health 2023; 9:20552076231185271. [PMID: 37434732 PMCID: PMC10331072 DOI: 10.1177/20552076231185271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Accepted: 06/08/2023] [Indexed: 07/13/2023] Open
Abstract
Backgrounds Thanks to their accessibility and low cost, electronic personal health information (ePHI) technologies have been widely used to facilitate patient-physician communication and promote health prevention behaviors (e.g. cancer screening). Despite that empirical evidence has supported the association between ePHI technology use and cancer screening behaviors, the underlying mechanism through which ePHI technology use influences cancer screening behaviors remains a topic of discussion. Objective This study investigates the relationship between ePHI technology uses and cancer screening behaviors of American women and examines the mediating role of cancer worry. Methods Data for this study were from the Health Information National Trends Survey (HINTS) collected in 2017 (HINTS 5 Cycle 1) and 2020 (HINTS 5 Cycle 4). The final sample included 1914 female respondents in HINTS 5 Cycle 1 and 2204 in HINTS 5 Cycle 4. Mann-Whitney U test, two-sample t-test, and mediation analysis were performed. We also referred to the regression coefficients generated by min-max normalization as percentage coefficients (bp) for the comparison. Results This study reports increased usage of ePHI technologies (from 1.41 in 2017 to 2.19 to 2020), increased cancer worry (from 2.60 in 2017 to 2.84 in 2020), and a stable level of cancer screening behaviors (from 1.44 in 2017 to 1.34 in 2020) among American women. Cancer worry was found to mediate the ePHI effect on cancer screening behaviors (bp = 0.005, 95% confidence interval [0.001, 0.010]) in a positive complementary mediation in 2020. Conclusions The research findings support a positive association between ePHI technology use and cancer screening behaviors, and cancer worry has been identified as a salient mediator. An understanding of the mechanism that prompts US women's cancer screening practices provides practical implications for health campaign practitioners.
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Affiliation(s)
- Piper Liping Liu
- Department of Communication, University of Macau, Taipa, Macau, China
| | - Jizhou Francis Ye
- Department of Communication, University of Macau, Taipa, Macau, China
| | - Harris Song Ao
- Department of Communication, University of Macau, Taipa, Macau, China
| | | | - Yu Zheng
- Faculty of Humanities and Arts, Macau University of Science and Technology, Taipa, Macau, China
| | - Qingrui Li
- Faculty of Humanities and Arts, Macau University of Science and Technology, Taipa, Macau, China
| | | | - Haiyan Wang
- Department of Communication, University of Macau, Taipa, Macau, China
| | - Xinshu Zhao
- Department of Communication, University of Macau, Taipa, Macau, China
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Priescu I, Oncioiu I. Measuring the Impact of Virtual Communities on the Intention to Use Telemedicine Services. Healthcare (Basel) 2022; 10:healthcare10091685. [PMID: 36141297 PMCID: PMC9498647 DOI: 10.3390/healthcare10091685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/29/2022] [Accepted: 09/02/2022] [Indexed: 11/16/2022] Open
Abstract
Digital marketing has given new life to healthcare services by enhancing their visibility in the online space. People choose online healthcare services because they can receive instant answers and communicate with specialists in their comfortable environment at the right time. The purpose of this study was to understand the impact of virtual communities on the intention to use telemedicine. The model is based on a combination of consumer desire (psychological objective) and loyalty through promotional formats (economic objective), as well as data collected from 442 respondents analyzed using structural equation modeling. The research results show that by analyzing target groups in social networks, content can be individualized, and an accurate measurement of e-patient satisfaction must be conducted in order to improve the experience of future consumers of telemedicine services. The results of this study explain what makes people want to use digital healthcare services and can serve as a guide for people who run virtual communities and help digital healthcare service providers figure out how to market their services.
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Affiliation(s)
- Iustin Priescu
- Department of Informatics, Faculty of Informatics, Titu Maiorescu University, 040051 Bucharest, Romania
| | - Ionica Oncioiu
- Faculty of Finance-Banking, Accountancy and Business Administration, Titu Maiorescu University, 040051 Bucharest, Romania
- Doctoral School of Economic Sciences, University of Craiova, 200585 Craiova, Romania
- Correspondence:
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