The Interplay of Trust and Subjective Norms in Telemedicine Adoption by a Minority Community at Einstein Medical Center Philadelphia

IF 2.8 4区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE
Diane C. Lee, D. Gefen
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引用次数: 0

Abstract

Telemedicine is not released into a social vacuum. In some communities - such as the underserved, low income, mostly minority community served by Einstein Medical Center Philadelphia (EMCP) - the social context presents the medical center with unique challenges centered on a strong community sense of historical discrimination. That context is manifested in people being less inclined to trust symbols of external authority and in their strong reliance on subjective norms. Analyzing 540 survey responses by EMCP emergency department (ED) patients shows that trust in the EMCP portal was the strongest predictor of its acceptance. Being an African American had no effect on portal acceptance compared to others in the community. Importantly, there was a negative interaction effect of subjective norms and trust on portal acceptance - meaning that increasing this trust can reduce the importance of subjective norms or, alternatively, that lower subjective norms may increase the importance of trust in determining acceptance. This moderation may have very practical implications for EMCP because, while it might be challenging for EMCP to change long established subjective norms, it is within their power to increase trust in the portal. Theoretical and practical implications are discussed.
信任与主观规范在费城爱因斯坦医疗中心少数族裔社区远程医疗采用中的相互作用
远程医疗并没有进入社会真空。在一些社区,例如费城爱因斯坦医疗中心(EMCP)服务的服务不足、低收入、主要是少数民族的社区,社会背景给医疗中心带来了独特的挑战,这些挑战集中在强烈的社区历史歧视意识上。这种情况表现在人们不太倾向于信任外部权威的象征,而强烈依赖主观规范。对540名EMCP急诊科(ED)患者的问卷调查结果分析表明,对EMCP门户网站的信任是其接受程度的最强预测因子。与社区中的其他人相比,作为非洲裔美国人对门户网站的接受度没有影响。重要的是,主观规范和信任对门户接受度存在负交互作用——这意味着增加这种信任可以降低主观规范的重要性,或者,较低的主观规范可能会增加信任在决定接受度方面的重要性。这种适度可能对EMCP有非常实际的影响,因为虽然EMCP改变长期建立的主观规范可能具有挑战性,但增加门户中的信任是他们的能力范围。讨论了理论和实践意义。
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
Data Base for Advances in Information Systems
Data Base for Advances in Information Systems INFORMATION SCIENCE & LIBRARY SCIENCE-
CiteScore
3.60
自引率
7.10%
发文量
18
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