The analysis of the effect of satisfaction on telehealth utilization with a structural equation model

IF 1.5 Q3 MANAGEMENT

Human systems management Pub Date : 2022-10-31 DOI:10.3233/hsm-220085

Xiaohui You, Erin Seedorf

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引用次数: 0

Abstract

BACKGROUND: While COVID-19 has significantly impacted how healthcare is provided, telehealth services with remote access have dramatically reduced the chance of in-person contact and the costs of services for patients with increased healthcare quality. OBJECTIVE: As the COVID-19 is still a very prevalent part of people’s lives, it is critical to examine what factors affect telehealth, impacts the choice of the prominent and efficient healthcare service platform, and utilizes telehealth effectively and efficiently. METHODS: Grounded on the Self-determination theory (SDT), this research analyzes a sample of 142 response data for the effects of access, need, knowledge, and technology skills, on telehealth utilization mediated by satisfaction via Structural Equation Modeling (SEM). RESULTS: The empirical results indicated that telehealth satisfaction significantly increased the use of telehealth services during the pandemic. Meanwhile, the access, needs, and knowledge of telehealth also significantly increase telehealth utilization directly and indirectly through telehealth satisfaction. Additionally, an individual’s technological skill has no significant effect on telehealth use; instead, it can increase telehealth satisfaction, which increases telehealth utilization. CONCLUSION: The study with its theoretical and practical implications may provide researchers and public health officials with new options and strategies for telehealth services regarding the pandemic issue.

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用结构方程模型分析满意度对远程医疗利用的影响

背景：虽然新冠肺炎对医疗保健的提供方式产生了重大影响，但具有远程访问功能的远程医疗服务极大地减少了住院患者接触的机会，降低了患者的服务成本，提高了医疗保健质量。目的：由于新冠肺炎仍然是人们生活中非常普遍的一部分，因此至关重要的是要研究哪些因素会影响远程医疗，影响突出和高效医疗服务平台的选择，并有效和高效地利用远程医疗。方法：本研究以自我决定理论（SDT）为基础，通过结构方程建模（SEM）分析了142个响应数据样本，了解访问、需求、知识和技术技能对满意度介导的远程医疗利用的影响。结果：实证结果表明，在疫情期间，远程医疗满意度显著增加了远程医疗服务的使用。同时，远程医疗的获取、需求和知识也通过远程医疗满意度直接和间接显著提高了远程医疗的利用率。此外，个人的技术技能对远程医疗的使用没有显著影响；相反，它可以增加远程医疗的满意度，从而提高远程医疗的利用率。结论：这项具有理论和实践意义的研究可能为研究人员和公共卫生官员提供关于疫情问题的远程医疗服务的新选择和策略。

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

Human systems management MANAGEMENT-

CiteScore

3.50

自引率

30.40%

发文量

期刊介绍： Human Systems Management (HSM) is an interdisciplinary, international, refereed journal, offering applicable, scientific insight into reinventing business, civil-society and government organizations, through the sustainable development of high-technology processes and structures. Adhering to the highest civic, ethical and moral ideals, the journal promotes the emerging anthropocentric-sociocentric paradigm of societal human systems, rather than the pervasively mechanistic and organismic or medieval corporatism views of humankind’s recent past. Intentionality and scope Their management autonomy, capability, culture, mastery, processes, purposefulness, skills, structure and technology often determine which human organizations truly are societal systems, while others are not. HSM seeks to help transform human organizations into true societal systems, free of bureaucratic ills, along two essential, inseparable, yet complementary aspects of modern management: a) the management of societal human systems: the mastery, science and technology of management, including self management, striving for strategic, business and functional effectiveness, efficiency and productivity, through high quality and high technology, i.e., the capabilities and competences that only truly societal human systems create and use, and b) the societal human systems management: the enabling of human beings to form creative teams, communities and societies through autonomy, mastery and purposefulness, on both a personal and a collegial level, while catalyzing people’s creative, inventive and innovative potential, as people participate in corporate-, business- and functional-level decisions. Appreciably large is the gulf between the innovative ideas that world-class societal human systems create and use, and what some conventional business journals offer. The latter often pertain to already refuted practices, while outmoded business-school curricula reinforce this problematic situation.