模拟远程医疗连续使用:PLS-SEM和fsqca的发现
Razib Chandra Chanda1, Ali Vafaei-Zadeh1, Haniruzila Hanifah1
1Graduate School of Business, Universiti Sains Malaysia, Minden, Malaysia.
Journal of health organization and management
|February 12, 2025
概括
低收入国家的远程医疗使用是由用户满意度和积极态度驱动的,感知到的实用性和安全性是疫情后持续采用的关键因素.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康数字健康
- 医疗保健管理的管理
背景情况:
- 在全球范围内,COVID-19大流行加速了远程医疗的采用.
- 远程医疗对于在资源有限的环境中克服医疗保健准入障碍至关重要.
- 在低收入国家中,远程医疗的持续使用需要理解用户保留驱动因素.
研究的目的:
- 探索低收入国家持续使用远程医疗服务的关键驱动因素.
- 确定影响用户满意度和对远程医疗的态度的因素.
- 为医疗保健提供者和政策制定者提供可操作的见解.
主要方法:
- 在孟加拉国 (n=273) 采用有目的抽样的定量研究方法.
- 使用部分最小平方结构方程建模 (PLS-SEM) 的比较分析.
- 模糊的定性比较分析 (fsQCA) 为更深入的因果洞察.
主要成果:
- PLS-SEM:预期确认和易用性提高了满意度;实用性和易用性影响了态度.
- PLS-SEM:实用性和安全性与分别的满意度/态度没有显著的关联.
- fsQCA:有用性显著影响了满意度;安全性有效地促进了持续使用的意图,无论它的水平如何.
结论:
- 用户满意度和积极态度对于远程医疗的延续意向至关重要.
- 远程医疗服务提供商应该专注于提高用户满意度和培养积极态度.
- 研究结果为政府和提供者提供了改善医疗保健获取和效率的策略.
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