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Predicting the Intention to Use Generative Artificial Intelligence for Health Information: Comparative Survey Study.
Jörg Matthes1, Anne Reinhardt2, Selma Hodzic1
1Department of Communication, University of Vienna, Waehringer Street 29, Vienna, 1090, Austria, 43 14277493.
Journal of Medical Internet Research
|January 28, 2026
Summary
Generative AI for health information is currently used by early adopters who find it useful and enjoyable. Future efforts should focus on usefulness and accessibility to ensure equitable digital health equity.
Area of Science:
- Digital Health
- Artificial Intelligence
- Health Communication
Background:
- Generative artificial intelligence (AI) tools are transforming online information access.
- In healthcare, generative AI presents a disruptive potential due to accessibility and tailored content.
- Questions remain regarding generative AI's health information usage and its impact on digital health equity.
Purpose of the Study:
- Assess the relevance of generative AI as a health information source.
- Identify factors predicting the intention to use generative AI for health.
- Compare adoption factors across four European countries.
Main Methods:
- Online survey of 1990 participants aged 16-74 across Austria, Denmark, France, and Serbia.
- Applied the Unified Theory of Acceptance and Use of Technology 2, extended with health literacy and health status.
- Structural equation modeling with metric measurement invariance tested cross-national associations.
Main Results:
- Generative AI health information usage was limited (39.5% rarely used).
- Medical experts and search engines remain primary health information sources.
- Performance expectancy, habit, and hedonic motivation significantly predicted intention to use generative AI for health across all countries.
Conclusions:
- Current generative AI adoption for health is driven by early adopters finding it useful, convenient, and enjoyable.
- Consistent cross-national adoption patterns suggest a shared European trend.
- Promoting equitable adoption requires focusing on usefulness, convenience, enjoyment, digital access, and safeguards for vulnerable users.
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