Telemedicine and transformative health access for millennials-Gen Z: PLS-SEM based behavioral exploration

Abstract

Global health system is rapidly transitioning from conventional models to inclusive digital healthcare due to the pandemic and technological advancements. This transition has led to widespread telemedicine adoption in response to healthcare needs. In Indonesia, the implementation of telemedicine has increased significantly after enacting relevant policies due to limited healthcare accessibility. The younger demographic, namely Millennials and Gen Z plays an important role in adopting this technology, offering significant potential for future development and research. Despite the significance of this technology, existing literature lacks a comprehensive psychological analysis of digital transformation in telemedicine adoption, particularly concerning Millennials-Gen Z. Therefore, this research aimed to construct telemedicine adoption model by integrating psychological aspects of digital transformation and multidimensional planned behavior. A total of 205 Millennials-Gen Z telemedicine users were included in the survey. The results showed that commitment to digital health transformation among these age groups significantly influenced telemedicine adoption. Readiness to engage in transformation influenced behavioral planning, while beliefs, attitudes, social norms, and self-control intricately impacted an inclination and willingness. Furthermore, it was discovered that behavioral intention contributed to enhancing the user experience of telemedicine services. These results offered substantial theoretical and practical implications, guiding providers and policymakers in constructing telemedicine services that catered to public health equity.