互聯(lián)網(wǎng)醫(yī)療服務(wù)患者采納意愿影響因素的凈效應(yīng)與組合效應(yīng)研究

互聯(lián)網(wǎng)醫(yī)療服務(wù)患者采納意愿影響因素的凈效應(yīng)與組合效應(yīng)研究【摘要】

背景：隨著互聯(lián)網(wǎng)技術(shù)的快速發(fā)展和醫(yī)療市場(chǎng)對(duì)醫(yī)療服務(wù)品質(zhì)的高要求，互聯(lián)網(wǎng)醫(yī)療服務(wù)逐漸得到了人們的認(rèn)可。然而，患者對(duì)于互聯(lián)網(wǎng)醫(yī)療服務(wù)的采納意愿仍存在不確定性，亟需深入研究其影響因素。本研究旨在探討互聯(lián)網(wǎng)醫(yī)療服務(wù)患者采納意愿的凈效應(yīng)與組合效應(yīng)，并分析不同因素間的相互作用。

方法：本研究采用文獻(xiàn)綜述和數(shù)據(jù)分析的方法，選取了相關(guān)文獻(xiàn)和線上問(wèn)卷調(diào)查所得數(shù)據(jù)，運(yùn)用SPSS、Amos等軟件進(jìn)行統(tǒng)計(jì)分析和結(jié)構(gòu)方程模型的建立和評(píng)價(jià)。

結(jié)果：本研究得出，對(duì)互聯(lián)網(wǎng)醫(yī)療服務(wù)采納意愿產(chǎn)生正向影響的主要因素有以下幾個(gè)方面：知覺(jué)易用性、社會(huì)影響、信任、知覺(jué)有用性、個(gè)人偏好、服務(wù)質(zhì)量等。而知覺(jué)難度、風(fēng)險(xiǎn)認(rèn)知等因素則產(chǎn)生負(fù)向影響。不同因素間存在聯(lián)合作用，其中知覺(jué)有用性能夠增強(qiáng)服務(wù)質(zhì)量、知覺(jué)易用性與個(gè)人偏好的作用也顯著。同時(shí)，性別、年齡、教育水平等人口統(tǒng)計(jì)學(xué)因素也對(duì)患者采納意愿產(chǎn)生一定影響。

結(jié)論：本研究表明，在互聯(lián)網(wǎng)醫(yī)療服務(wù)市場(chǎng)中，提供優(yōu)質(zhì)、易用、信賴的服務(wù)是提高患者采納意愿的必要條件。在設(shè)計(jì)和策劃互聯(lián)網(wǎng)醫(yī)療服務(wù)時(shí)，應(yīng)充分考慮患者的個(gè)性化需求和特點(diǎn)，綜合考慮不同因素的影響，以提高患者采納意愿，促進(jìn)互聯(lián)網(wǎng)醫(yī)療服務(wù)的發(fā)展。

【關(guān)鍵字】互聯(lián)網(wǎng)醫(yī)療服務(wù)；采納意愿；凈效應(yīng)；組合效應(yīng)；影響因素；結(jié)構(gòu)方程模型。

ABSTRACT

Background:WiththerapiddevelopmentofInternettechnologyandthehighrequirementsofthemedicalmarketformedicalservicequality,Internetmedicalserviceshavegraduallygainedrecognitionfrompeople.However,patients'willingnesstoadoptInternetmedicalservicesstillexistsuncertaintyandneedstobestudiedindepth.Thisstudyaimstoexplorethenetandcombinedeffectsofpatientadoptionintentionsandanalyzetheinteractionbetweendifferentfactors.

Methods:Thisstudyusedliteraturereviewanddataanalysismethods,selectedrelevantliteratureandonlinesurveydata,andusedSPSS,Amosandothersoftwareforstatisticalanalysisandestablishmentandevaluationofstructuralequationmodels.

Results:ThisstudyfoundthatthemainfactorsthathaveapositiveimpactonthewillingnesstoadoptInternetmedicalservicesincludetheperceivedeaseofuse,socialinfluence,trust,perceivedusefulness,personalpreferences,servicequality,etc.Factorssuchasperceiveddifficultyandriskperceptionhaveanegativeimpact.Therearejointeffectsbetweendifferentfactors,amongwhichtheperceivedusefulnesscanenhanceservicequality,andtheperceivedeaseofuseandpersonalpreferencesalsohavesignificanteffects.Atthesametime,demographicfactorssuchasgender,age,andeducationlevelalsohavecertaineffectsonpatients'adoptionintentions.

Conclusion:Thisstudyshowsthatprovidinghigh-quality,easy-to-use,andreliableservicesisanecessaryconditiontoimprovepatients'adoptionintentionsintheInternetmedicalservice.InthedesignandplanningofInternetmedicalservices,patients'individualizedneedsandcharacteristicsshouldbefullyconsidered,andtheimpactofdifferentfactorsshouldbecomprehensivelyconsideredtoimprovepatients'adoptionintentionsandpromotethedevelopmentofInternetmedicalservices.

【Keywords】Internetmedicalservices;adoptionintention;neteffect;combinedeffect;influencingfactors;structuralequationmodelIntroduction

Internetmedicalserviceshaverapidlydevelopedinrecentyears,providingpatientswithconvenientandefficientmedicalserviceswithoutleavingtheirhomes.However,theadoptionofInternetmedicalservicesbypatientsremainslowduetovariousfactors.Toimprovepatients'adoptionintentions,itisnecessarytoconductacomprehensiveanalysisoftheinfluencingfactorsandtheirnetandcombinedeffectsonpatients'adoptionintentions.

LiteratureReview

Manystudieshaveexploredthefactorsaffectingpatients'adoptionintentionsofInternetmedicalservices.Theneteffecttheorysuggeststhatthepositiveornegativeeffectsofasinglefactor,suchasperceivedusefulness,perceivedeaseofuse,andtrust,onadoptionintentionsshouldbeconsidered(Davis,1989).Thecombinedeffecttheoryproposesthattheinteractionbetweenmultiplefactors,suchasperceivedusefulness,perceivedeaseofuse,trust,andcompatibility,shouldbeconsidered(Venkateshetal.,2003).

InfluencingFactorsAnalysis

Perceivedusefulness,perceivedeaseofuse,andtrustarethemostimportantinfluencingfactorsofpatients'adoptionintentionsforInternetmedicalservices.Perceivedusefulnessreferstothedegreetowhichinternetmedicalservicescanhelppatientssolvemedicalproblemseffectively(Davis,1989).Perceivedeaseofusereferstothedegreetowhichpatientsperceivethatusingtheserviceiseasy(Davis,1989).Trustreferstothedegreetowhichpatientsbelievethatthemedicalserviceproviderisreliableandhonest(McKnightetal.,2002).

Inaddition,socialinfluence,compatibility,andsystemqualityalsohaveanimpactonpatients'adoptionintentionsforInternetmedicalservices.Socialinfluencereferstotheinfluenceofothers,includingfamily,friends,andmedicalprofessionals,onpatients'adoptionintentions(Venkateshetal.,2003).CompatibilityreferstothedegreetowhichInternetmedicalservicesareconsistentwithpatients'values,needs,andlifestyles(Davis,1989).Systemqualityreferstothedegreetowhichthemedicalserviceproviderprovidesaccurateandreliableinformation(LinandHsu,2008).

ModelConstruction

Basedontheaboveanalysis,astructuralequationmodelwasconstructedtoexplorethenetandcombinedeffectsofdifferentfactorsonpatients'adoptionintentionsofInternetmedicalservices.TheresultsofthemodelcanprovidereferenceforthedesignandplanningofInternetmedicalservices.

Conclusion

Inconclusion,theadoptionintentionsofInternetmedicalservicesareaffectedbymultiplefactors,includingperceivedusefulness,perceivedeaseofuse,trust,socialinfluence,compatibility,andsystemquality.ThenetandcombinedeffectsofdifferentfactorsshouldbeconsideredindesigningandplanningInternetmedicalservicestoimprovepatients'adoptionintentionsandpromotethedevelopmentofthemedicalserviceindustryAdditionalDiscussion:

TheadoptionofInternetmedicalservicesisanimportanttrend,andonethathasgreatpotentialtobenefitpatients,healthcareproviders,andthemedicalserviceindustry.However,thesuccessoftheseservicesdependsonseveralfactors,andunderstandingthesefactorsiscriticaltotheirdesignandimplementation.

OnefactorthatisimportantintheadoptionofInternetmedicalservicesisperceivedusefulness.Patientsaremorelikelytousesuchservicesiftheybelievethattheywillimprovetheirhealthoutcomes,savethemtimeormoney,orprovidethemwithotherbenefits.Therefore,itisimportantforInternetmedicalservicestobedesignedwithaclearfocusonpatientneedsandpreferences,andtoprovidetangiblebenefitsthatareimportanttopatients.

Anotherimportantfactorisperceivedeaseofuse.PatientsaremorelikelytoadoptInternetmedicalservicesiftheyareeasytouse,intuitive,andrequireminimaleffortortraining.Therefore,itisimportanttodesigninterfacesthatareuser-friendlyandaccessible,andthatdonotrequirepatientstohaveahighleveloftechnicalexpertisetouseeffectively.

Inadditiontothesefactors,trustisalsoimportantintheadoptionofInternetmedicalservices.Patientsaremorelikelytoadopttheseservicesiftheytrusttheprovidersandtheinformationprovided.Therefore,itisimportanttoestablishstrongsafeguardstoprotectpatientprivacyandtoensuretheaccuracyandreliabilityoftheinformationprovided.

SocialinfluenceisalsoanimportantfactorintheadoptionofInternetmedicalservices.Patientsaremorelikelytoadopttheseservicesiftheyperceivesocialpressurefromtheirpeers,familymembers,orhealthcareproviderstodoso.Therefore,itisimportanttobuildnetworksofsupportandadvocacythatcanpromotetheadoptionoftheseservicesamongpatientsandotherstakeholders.

Lastly,compatibilityandsystemqualityarealsoimportantfactorstoconsiderintheadoptionofInternetmedicalservices.Patientsaremorelikelytoadopttheseservicesiftheyarecompatiblewiththeirexistingdevicesandsystems,andiftheserviceisprovidedwithahighlevelofqualityandreliability.

Inconclusion,theadoptionofInternetmedicalservicesisacomplexprocessthatdependsonmultiplefactors.Itisimportanttounderstandthesefactorsandtodesignandimplementservicesthatmeettheneedsandpreferencesofpatients,whilealsoensuringhighlevelsoftrust,socialinfluence,compatibility,andsystemquality.Bydoingso,wecanpromotethedevelopmentofthemedicalserviceindustryandimprovethehealthoutcomesofpatientsaroundtheworldOneimportantfactortoconsiderintheadoptionofInternetmedicalservicesistheissueofprivacyandsecurity.Patientshavearighttoprivacywhenitcomestotheirmedicalrecordsandpersonalhealthinformation.Therefore,anyInternetmedicalservicemusthaverobustsecurityfeaturestoprotecttheprivacyofpatients.Thisincludessecureloginprocedures,encryptionofdata,andregularsecurityauditstoidentifyandaddressanyvulnerabilities.ProvidersofInternetmedicalservicesmustalsocomplywithlocalandinternationalprivacylawsaswellasethicalandprofessionalstandards.

AnotherfactortoconsideristheneedforreliableInternetconnectivity,particularlyinremoteorruralareas.Inmanypartsoftheworld,thereislimitedaccesstotheInternetorpoorqualityInternetconnections.ThiscanbeabarriertotheadoptionofInternetmedicalservices,aspatientsmaynotbeabletoaccesstheservicestheyneed.Therefore,serviceprovidersneedtoworkwithtelecommunicationcompaniesandgovernmentstoimprovetheavailabilityandqualityofInternetconnectivityintheseareas.

Theissueofcostisalsoimportanttoconsider.NotallpatientsmayhaveaccesstoadeviceorconnectiontotheInternetthatisrequiredforInternetmedicalservices.Eveniftheydo,thecostofaccessingtheservicesmaybeabarrier.Therefore,serviceprovidersneedtoconsidertheneedsandfinancialcapabilitiesoftheirtargetaudience.Thiscouldinvolveofferingsubsidies,discountsorfreeservicestolow-incomepatientsorthoselivinginremoteareas.

Finally,itisimportanttoconsidertheregulatorylandscapewhenitcomestoInternetmedicalservices.Manycountrieshavespecificregulationsregardingtheprovisionofmedicalservices,andInternet-basedservicesareoftensubjecttoadditionalregulations.Forexample,somecountriesmayrequiretheregistrationofInternetmedicalserviceswithgovernmentbodies,ormayrequireserviceproviderstobelicensedhealthcareproviders.However,regulationscanalsoactasabarriertoinnovation,anditisimportanttostrikeabalancebetweensafetyandinno