一个基于公共价值的模型,以了解患者采用电子健康:理论基础和经验应用
Mohammad Alhur1,2, José Caamaño-Alegre1,3, Francisco Reyes-Santias4,5,6
1Facultad de Derecho, University of Santiago de Compostela, Santiago de Compostela, España.
患者 患者 患者 患者
科学领域:
- 医疗信息学 医疗信息学
- 数字健康采用数字健康采用
- 患者行为分析分析
背景情况:
- 由于狭窄的理论框架,全球电子健康的采用面临着延迟.
- 像UTAUT这样的现有模型可能无法完全捕捉患者对公共价值的看法.
- 了解患者的看法对于有效的电子健康实施至关重要.
研究的目的:
- 开发和经验测试基于患者的公共价值观念的电子健康采用模型.
- 调查约旦患者采用政府健康应用程序的情况.
- 为加速全球电子健康的采用提供信息的战略.
主要方法:
- 对约旦430名患者进行的定量调查.
- 结构方程建模 (SEM) 采用两步方法.
- 评估测量模型合适性和常用方法偏差,然后进行结构模型分析.
主要成果:
- 开发的患者价值尺度是有效和可靠的,有五个维度:享乐主义动机,实用主义动机,社会价值,道德公共价值和公共信任价值.
- 患者的公共价值直接影响电子健康应用程序的使用,通过习惯进行调解.
- 享乐主义的动机优先于实用主义的动机,伦理/信任价值观对于数据处理和患者尊严至关重要.
结论:
- 采用电子健康是一个整体的过程,受患者对公共价值的看法的影响.
- 公共价值观显著影响患者在使用电子健康应用程序时的行为.
- 调查结果为决策者和开发者提供了可操作的见解,以加强电子健康的实施.
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