The role of trust as the facilitator and contingency factor in the adoption of digital healthcare services: A telemedicine context

IF 8.9 1区心理学 Q1 PSYCHOLOGY, EXPERIMENTAL

Computers in Human Behavior Pub Date : 2025-06-06 DOI:10.1016/j.chb.2025.108722

Phatthira Wissawaswaengsuk , Prashant Kumar , Björn Frank , Yuosre F. Badir

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Abstract

This article revisits the role of trust in digital healthcare services, specifically telemedicine, as a context of heightened privacy risks. It posits that trust in a telemedicine service provider causes potential users of the telemedicine service to have confidence in the service provider, and empowers them to take responsibility for their own service adoption decision. Drawing on both the unified theory of acceptance and use of the technology and the contingency theory, this article conceptualizes trust as a contingency factor (i.e., moderator) that alters the influence of the determinants of adoption decisions that have not been examined previously in the extant literature. Based on survey data from 483 consumers, the results suggest that trust in the service provider has a positive effect on the user's intention to use a digital healthcare service (i.e., telemedicine). Moreover, it positively moderates (i.e., strengthens) the influence of performance expectancy, effort expectancy, social influence, and online privacy concerns, but negatively moderates (i.e., weakens) the effect of the facilitating conditions on this intention.

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信任在采用数字医疗服务中的促进作用和应急因素：远程医疗背景

本文将重新审视信任在数字医疗服务（特别是远程医疗）中所扮演的角色，并将其作为隐私风险加剧的背景。它假定对远程医疗服务提供商的信任使远程医疗服务的潜在用户对服务提供商有信心，并使他们能够为自己的服务采用决策负责。利用技术的接受和使用的统一理论和权变理论，本文将信任概念化为一种权变因素（即调节因子），它改变了采用决策的决定因素的影响，而这些决定因素在现有文献中以前没有被研究过。基于对483名消费者的调查数据，结果表明，对服务提供商的信任对用户使用数字医疗服务（即远程医疗）的意愿具有积极影响。此外，它正向调节（即加强）绩效期望、努力期望、社会影响和在线隐私关注的影响，但负向调节（即削弱）便利条件对这一意图的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Computers in Human Behavior Multiple-

CiteScore

19.10

自引率

4.00%

发文量

381

审稿时长

40 days

期刊介绍： Computers in Human Behavior is a scholarly journal that explores the psychological aspects of computer use. It covers original theoretical works, research reports, literature reviews, and software and book reviews. The journal examines both the use of computers in psychology, psychiatry, and related fields, and the psychological impact of computer use on individuals, groups, and society. Articles discuss topics such as professional practice, training, research, human development, learning, cognition, personality, and social interactions. It focuses on human interactions with computers, considering the computer as a medium through which human behaviors are shaped and expressed. Professionals interested in the psychological aspects of computer use will find this journal valuable, even with limited knowledge of computers.