Michael Yü-Chi Wu, Cheryl Tsai-Luen Wu, Naveed Saleem, Mengtong Zhang
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The survey was validated using factor analysis. The 110 participants who completed this study were all active physicians practising telemedicine in the USA. The majority of the participants were female (93%), between 34 and 59 years of age (93%), had at least 10 years of medical experience (84%) and practised in a city (92%). The behavioural intention to use telemedicine was influenced by performance expectancy ( β = 0.34, p<.001), social influence ( β = 0.34, p<.001), facilitating conditions ( β = 0.14, p<.05) and attitude towards telemedicine use ( β = 0.36, p<.001). Attitude towards telemedicine use was influenced by performance expectancy ( β = 0.60, p<.001), effort expectancy ( β = 0.16, p<.05) and social influence ( β = 0.16, p<.05). In addition, telemedicine experience moderated the influence of performance expectancy on behavioural intention negatively ( β =−0.39, p<.001) and moderated the influence of facilitating conditions on behavioural intention positively( β = 0.27, p<.001). This study found that the physicians’ performance expectancy of and attitude towards telemedicine use were significant predictors of physicians’ acceptance. Social influence from colleagues and administrators also played an essential role in impacting physicians’ acceptance of telemedicine. Physicians’ effort expectancy merely affected their attitude towards telemedicine use. Facilitating conditions—such as the inability to perform physical exams, labs, etc.—only influenced the physicians’ intention to use telemedicine. 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Physicians’ effort expectancy merely affected their attitude towards telemedicine use. Facilitating conditions—such as the inability to perform physical exams, labs, etc.—only influenced the physicians’ intention to use telemedicine. 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引用次数: 0
摘要
在 COVID-19 之前,伦理、法律、法规和安全风险等各种问题限制了医生通过远程医疗提供医疗服务的能力。然而,在 2020 年,当美国政府发布豁免令,允许使用远程医疗来减少 COVID-19 的传播时,远程医疗迅速成为主流。本研究考察了远程医疗突然大范围实施后,美国医生对远程医疗的接受程度。作者根据 "技术接受与使用统一理论"(Unified Theory of Acceptance and Use of Technology)编制了一份调查问卷,以评估美国医生对使用远程医疗提供医疗服务的意向和态度。该调查于 2021 年 3 月至 6 月间在几个自愿在线医生团体中进行了分发。调查采用因子分析法进行验证。完成这项研究的 110 名参与者都是在美国从事远程医疗的在职医生。大多数参与者为女性(93%),年龄在 34 岁至 59 岁之间(93%),拥有至少 10 年的医疗经验(84%),在城市中行医(92%)。使用远程医疗的行为意向受绩效预期(β = 0.34,p<.001)、社会影响(β = 0.34,p<.001)、便利条件(β = 0.14,p<.05)和使用远程医疗的态度(β = 0.36,p<.001)的影响。使用远程医疗的态度受绩效预期(β = 0.60,p<.001)、努力预期(β = 0.16,p<.05)和社会影响(β = 0.16,p<.05)的影响。此外,远程医疗经验对绩效期望对行为意向的影响有负向调节作用(β =-0.39,p<.001),对促进条件对行为意向的影响有正向调节作用(β = 0.27,p<.001)。本研究发现,医生对使用远程医疗的绩效预期和态度是医生接受远程医疗的重要预测因素。来自同事和管理者的社会影响也对医生接受远程医疗起到了至关重要的作用。医生的努力预期仅仅影响了他们对使用远程医疗的态度。便利条件--如无法进行体检、化验等--只影响了医生使用远程医疗的意向。最后,调查数据表明,随着医生远程医疗经验的增加,他们的绩效预期会比经验较少的医生预测出更低的行为意向。
An Assessment of the COVID-19 Pandemic’s Impact on US Physicians’ Acceptance of Telemedicine: An Exploratory Study
Prior to the COVID-19, various issues in ethics, laws, regulations and security risks limited physicians in their ability to deliver medical care via telemedicine. However, in 2020, telemedicine quickly became mainstream when the US government issued a waiver granting the use of telemedicine to reduce COVID-19 transmission. This study examined the US physicians’ acceptance of telemedicine after its sudden wide-scale implementation. The authors developed a survey based on the Unified Theory of Acceptance and Use of Technology to assess the US physicians’ intentions and attitudes toward the use of telemedicine in the delivery of medical care. This survey was distributed between March and June in 2021 across several voluntary online physician groups. The survey was validated using factor analysis. The 110 participants who completed this study were all active physicians practising telemedicine in the USA. The majority of the participants were female (93%), between 34 and 59 years of age (93%), had at least 10 years of medical experience (84%) and practised in a city (92%). The behavioural intention to use telemedicine was influenced by performance expectancy ( β = 0.34, p<.001), social influence ( β = 0.34, p<.001), facilitating conditions ( β = 0.14, p<.05) and attitude towards telemedicine use ( β = 0.36, p<.001). Attitude towards telemedicine use was influenced by performance expectancy ( β = 0.60, p<.001), effort expectancy ( β = 0.16, p<.05) and social influence ( β = 0.16, p<.05). In addition, telemedicine experience moderated the influence of performance expectancy on behavioural intention negatively ( β =−0.39, p<.001) and moderated the influence of facilitating conditions on behavioural intention positively( β = 0.27, p<.001). This study found that the physicians’ performance expectancy of and attitude towards telemedicine use were significant predictors of physicians’ acceptance. Social influence from colleagues and administrators also played an essential role in impacting physicians’ acceptance of telemedicine. Physicians’ effort expectancy merely affected their attitude towards telemedicine use. Facilitating conditions—such as the inability to perform physical exams, labs, etc.—only influenced the physicians’ intention to use telemedicine. Finally, the survey data suggested that as physicians gained telemedicine experience, their performance expectancy predicted lower behavioural intention than counterparts with less experience.