在COVID-19期间理解对强制使用远程医疗的信任:修改后的健康信念模型方法
1Department of Healthcare Administration, Mississippi State University, Meridian, Mississippi State, USA.
International journal of health care quality assurance
|October 27, 2025
概括
对远程医疗的信任,特别是当它被授权时,建立在用户的信心和服务感知上,而不是健康风险. 这种理解对于在政策驱动的采用过程中提高远程护理参与度至关重要.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 由于COVID-19大流行,需要广泛采用远程医疗服务.
- 了解对远程医疗的信任形成至关重要,特别是在强制性使用条件下.
- 像健康信念模型这样的现有模型可以扩展到包括服务特定因素.
研究的目的:
- 探索在韩国强制使用期间对远程医疗的信任决定因素.
- 将健康信念模型扩展到服务质量和感知成本结构.
- 确定影响患者信任和继续使用远程医疗的意图的因素.
主要方法:
- 对288名被要求使用远程医疗的COVID-19患者进行了在线调查.
- 部分最小平方结构方程建模 (PLS-SEM) 用于数据分析.
- 这项研究研究了健康信念,服务感知,信任和行为意图之间的关系.
主要成果:
- 自我有效性,服务质量和感知成本对远程医疗的信任产生了积极的影响.
- 感知到的严重程度和感知到的易感性并没有显著影响信任.
- 信任是患者继续使用远程医疗服务的意图的一个重要预测因素.
结论:
- 在强制使用下,对远程医疗的信任主要是由用户的自我效能和服务感知驱动的.
- 对健康风险的看法 (严重程度,易感性) 对信任的影响较小.
- 调查结果为在政策强制采用远程医疗时增强远程护理参与提供了实际见解.
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