初级保健医生对B2B远程医疗系统的持续使用意图:基于中国混合模型的经验研究
Pan Gao1,2, Dongle Wei1,2, Yu Wang1,2
1School of Management, Zhengzhou University, No. 100 Science Avenue, High-Tech Development District, Zhengzhou, Henan, China.
BMC health services research
|November 4, 2025
概括
初级保健医生 (PCP) 的积极态度,动机和感知到的控制力推动他们持续使用企业对企业 (B2B) 远程医疗. 感知到的风险会对使用产生负面影响,而技术保证和可靠性是B2B远程医疗采用的关键驱动因素.
科学领域:
- 医疗保健管理的管理
- 数字健康数字健康
- 医疗信息学 医疗信息学
背景情况:
- 企业对企业 (B2B) 远程医疗在中国普遍存在,但使用率较低.
- 初级保健医生 (PCP) 是 B2B 远程医疗的关键用户,但他们的持续使用意图未得到充分研究.
- 了解影响PCP持续参与B2B远程医疗的因素对于改善医疗保健服务至关重要.
研究的目的:
- 确定和分析影响初级保健医生 (PCP) 持续使用企业对企业 (B2B) 远程医疗的意图的因素.
- 开发和测试一个综合的理论框架,包括技术,个人和环境的维度.
- 为增强PCP采用和利用B2B远程医疗平台提供见解.
主要方法:
- 采用了一个集成的技术-个人-环境框架.
- 部分最小平方结构方程建模 (PLS-SEM) 和模糊集定性比较分析 (fsQCA) 用于分析.
- 在中国30多个初级医疗机构的421名PCP中进行了横截面调查.
主要成果:
- 个人因素 (态度,感知到的行为控制,内在的动机) 对持续使用意图产生了积极的影响;感知到的风险产生了负面影响.
- 技术因素 (保证性,可靠性) 直接和积极地影响了意图;可感性有间接影响.
- 环境因素没有显著影响; fsQCA确定了高和低意图的配置.
结论:
- PCP对B2B远程医疗的持续使用意图是由个人和技术因素决定的,而不是环境因素.
- 调查结果为决策者和管理人员提供了一个理论基础,以促进PCP与B2B远程医疗的参与.
- 加强PCP对B2B远程医疗的采用,可以推进综合医疗保健提供系统.
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