Factors influencing use of eHealth services during and after the COVID-19 pandemic.

IF 1.6 Q3 HEALTH POLICY & SERVICES
Korina Katsaliaki
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引用次数: 0

Abstract

Objectives: The rapid advancement of information and communication technologies has made eHealth applications increasingly available and accessible. The COVID-19 pandemic has accelerated the need for remote health service provision. This research aims to explore the usage, perceptions, and knowledge of eHealth interventions during and after the COVID-19 pandemic.

Methods: A cross-sectional survey was conducted in 2021 (during the pandemic) and 2023 (post-pandemic) using a structured questionnaire based on the Technology Acceptance Model (TAM) and the eHealth Literacy Scale (eHEALS). The survey, conducted in Greece, included 638 participants in total (277 in 2021 and 361 in 2023). Structural equation modeling was employed to assess the factors influencing eHealth adoption.

Results: The findings indicate a slight increase in positive perceptions of eHealth usefulness, intention to use, and actual usage over the 2 years. However, concerns remain regarding the ease of use and eHealth literacy. eHealth literacy significantly predicts the perceived usefulness and ease of use of eHealth services, both of which predict the intention to use them. Additionally, higher education levels are positively associated with eHealth literacy, while older age is negatively associated with ease of use. Gender did not significantly impact these factors. These findings were consistent across both surveys.

Conclusions: Policy-makers should focus on simplifying eHealth services, removing technical barriers, and enhancing the population's eHealth literacy to promote wider adoption of eHealth services.

影响在 COVID-19 大流行期间和之后使用电子保健服务的因素。
目的:信息和通信技术的飞速发展使电子保健应用变得越来越容易获得和使用。COVID-19 大流行加速了对远程医疗服务的需求。本研究旨在探讨 COVID-19 大流行期间和之后电子健康干预措施的使用情况、看法和知识:方法:在 2021 年(大流行期间)和 2023 年(大流行之后)进行了一项横断面调查,采用了基于技术接受模型(TAM)和电子健康素养量表(eHEALS)的结构化问卷。调查在希腊进行,共有 638 人参加(2021 年 277 人,2023 年 361 人)。采用结构方程模型评估了影响采用电子健康的因素:研究结果表明,在这两年中,人们对电子健康的有用性、使用意向和实际使用情况的积极看法略有增加。电子健康素养对电子健康服务的有用性和易用性有显著的预测作用,而这两点都会影响使用意向。此外,较高的教育水平与电子健康素养呈正相关,而较高的年龄则与易用性呈负相关。性别对这些因素的影响不大。这些结果在两次调查中都是一致的:政策制定者应注重简化电子健康服务、消除技术障碍和提高民众的电子健康素养,以促进电子健康服务的广泛采用。
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来源期刊
Health Services Management Research
Health Services Management Research HEALTH POLICY & SERVICES-
CiteScore
4.00
自引率
4.80%
发文量
33
期刊介绍: Health Services Management Research (HSMR) is an authoritative international peer-reviewed journal which publishes theoretically and empirically rigorous research on questions of enduring interest to health-care organizations and systems throughout the world. Examining the real issues confronting health services management, it provides an independent view and cutting edge evidence-based research to guide policy-making and management decision-making. HSMR aims to be a forum serving an international community of academics and researchers on the one hand and healthcare managers, executives, policymakers and clinicians and all health professionals on the other. HSMR wants to make a substantial contribution to both research and managerial practice, with particular emphasis placed on publishing studies which offer actionable findings and on promoting knowledge mobilisation toward theoretical advances.
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