Article ; Online: Implementation of Online Hospitals and Factors Influencing the Adoption of Mobile Medical Services in China: Cross-Sectional Survey Study.
2021 Volume 9, Issue 2, Page(s) e25960
Abstract: ... in the development of mobile medical services. Residents who do not live in urban areas and cannot access ... the factors that influence patients' awareness and willingness to use online hospitals. Currently ... when needed.: Methods: A cross-sectional study based at the West China Hospital, Sichuan University, was ...
| Abstract | Background: Online hospitals are part of an innovative model that allows China to explore telemedicine services based on national conditions with large populations, uneven distribution of medical resources, and lack of quality medical resources, especially among residents needing to be protected from COVID-19 infection. Objective: In this study, we built a hypothesis model based on the Unified Theory of Acceptance and Use of Technology (UTAUT) in order to analyze the factors that may influence patients’ willingness to use mobile medical services. This research was designed to assist in the development of mobile medical services. Residents who do not live in urban areas and cannot access medical assistance would greatly benefit from this research, as they could immediately go to the online hospital when needed. Methods: A cross-sectional study based at the West China Hospital, Sichuan University, was conducted in July 2020. A total of 407 respondents, 18 to 59 years old, in Western China were recruited by convenience sampling. We also conducted an empirical test for the hypothesis model and applied structural equation modeling to estimate the significance of path coefficients so that we could better understand the influencing factors. Results: Out of 407 respondents, 95 (23.3%) were aware of online hospitals, while 312 (76.7%) indicated that they have never heard of online hospitals before. Gender (P=.048) and education level (P=.04) affected people's willingness to use online hospitals, and both of these factors promoted the use of online hospitals (odds ratio [OR] 2.844, 95% CI 1.010-8.003, and OR 2.187, 95% CI 1.031-4.636, respectively). According to structural equation modeling, the results of the path coefficient analysis indicated that performance expectancy, effort expectancy, and facilitating conditions have positive effects on patients' willingness to use online hospitals. Conclusions: The goal of our research was to determine the factors that influence patients' awareness and willingness to use online hospitals. Currently, the public's awareness and usage of online hospitals is low. In fact, effort expectancy was the most important factor that influenced the use of online hospitals; being female and having a high education also played positive roles toward the use of mobile medical services. |
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| MeSH term(s) | Adolescent ; Adult ; COVID-19/epidemiology ; China/epidemiology ; Cross-Sectional Studies ; Female ; Health Care Surveys ; Health Knowledge, Attitudes, Practice ; Hospitals ; Humans ; Male ; Middle Aged ; Patient Acceptance of Health Care/statistics & numerical data ; Socioeconomic Factors ; Telemedicine/organization & administration ; Telemedicine/statistics & numerical data ; Young Adult |
| Language | English |
| Publishing date | 2021-02-05 |
| Publishing country | Canada |
| Document type | Journal Article ; Research Support, Non-U.S. Gov't |
| ZDB-ID | 2719220-9 |
| ISSN | 2291-5222 ; 2291-5222 |
| ISSN (online) | 2291-5222 |
| ISSN | 2291-5222 |
| DOI | 10.2196/25960 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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