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Therapies go digital. What drives physicians' acceptance?

Alessandro Carrera1, Emanuele Lettieri1, Gaia Lietti1

  • 1Department of Management Engineering, Politecnico di Milano, Milano, Italy.

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Area of Science:

  • Digital Health
  • Health Informatics
  • Medical Technology Adoption

Background:

  • National healthcare systems face rising demand and workforce shortages.
  • Digital health technologies, including Digital Therapeutics (DTx), offer solutions for efficiency and patient care.
  • Physicians' cautious adoption of DTx poses a challenge to healthcare integration.

Purpose of the Study:

  • To investigate factors influencing physicians' acceptance of Digital Therapeutics.
  • To develop and test a model combining Institutional Theory and Technology Acceptance Model (TAM).
  • To understand the interplay between rational and institutional factors in DTx adoption.

Main Methods:

  • Developed a research model integrating Institutional Theory and TAM.
  • Conducted a survey of 107 physicians from the Italian scientific society in Diabetology.
  • Empirically tested hypotheses using Structural Equation Modelling (SEM).

Main Results:

  • Perceived Ease of Use influenced Perceived Usefulness, which in turn affected Intention To Use DTx.
  • Societal norms and rules impacted Perceived Usefulness; hospital innovation culture and facilities enhanced Perceived Ease of Use.
  • Colleagues' opinions and scientific society guidelines highlighted DTx value in patient care pathways.

Conclusions:

  • Healthcare institutions should focus on cultural, normative, and regulative factors to boost physician endorsement of DTx.
  • Findings advance understanding of clinician adoption of digital health by integrating rational and institutional perspectives.
  • Results offer practical insights for healthcare providers and DTx manufacturers to promote adoption.