Influencing factors of patients′ preference for internet medical services
10.3760/cma.j.cn111325-20240425-00324
- VernacularTitle:患者利用互联网医疗服务偏好的影响因素研究
- Author:
Ke LIU
1
;
Zhenyu SUN
1
;
Shuyuan ZHANG
1
;
Dongfu QIAN
1
Author Information
1. 南京医科大学医政学院，南京 211166
- Publication Type:Journal Article
- Keywords:
Internet medical service;
Utilization preference;
Structural equation model;
Influencing factor;
Technology acceptance model;
Theory of planned behavior
- From:
Chinese Journal of Hospital Administration
2024;40(12):969-976
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors of patients′ preference for internet medical services and provide references for promoting the development of the service.Methods:From June to July 2023, based on the technology acceptance model and the theory of planned behavior, this study constructed the influencing factor model and its hypothetical path of patients′ preference for using internet medical services (platform, content, method and cost). The stratified sampling method was used to select patients from hospitals in Changzhou city, Yangzhou city and Lianyungang city to conduct a questionnaire survey. The survey contents included the personal basic information questionnaire, the patient preference scales and the influencing factors scales for patient preference for internet medical service utilization. Based on the survey results, structural equation model and mediation analysis were used to test the hypothesis path of the model.Results:A total of 1 961 patients were included in this study. The results of structural equation modeling showed that patients′ behavioral attitudes towards internet medical services affect their preferences for service platforms ( β=0.291), content ( β=0.286), mode ( β=0.275) and cost ( β=0.880), subjective norms affect their preferences for service modes ( β=0.206); perceptual behavior control affects their preferences for service modes ( β=0.109) and cost ( β=0.263). Perceived usefulness played a promoting role in the influence pathways of behavioral attitude on platform ( β=0.473), subjective norm on approach ( β=0.543), and self-evaluation of health status on preference for cost ( β=0.414). Perceived ease of use played a promoting role in the influence pathways of perceived behavioral control on preference for cost ( β=0.301)and age on content ( β=0.215). Conclusions:Behavioral attitudes, subjective norms and perceived behavioral control synergistically affect patients′ preference for internet medical service utilization, among which perceived usefulness and perceived ease of use played a partial mediating role. In the future, internet medical development should optimize the operation of internet medical platform and encourage patients to take the initiative to seek medical treatment; accurately locate patients′ medical needs and improve the internet medical service price system; utilize the radiating and driving role of social relationships to optimize the digital medical recommendation model.
