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基于UTAUT2模型的老年慢性病患者"互联网+医疗"使用意愿及影响因素分析

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目的 基于整合技术接受模型Ⅱ(UTAUT2),探讨老年慢性病患者"互联网+医疗"使用意愿及影响因素,为新型慢性病管理模式提供思路.方法 2023年4-8月,采用便利抽样法,在乌鲁木齐市主要城区开展"互联网+医疗"业务量较大的4家三甲医院为调查地点,以老年慢性病患者为研究对象进行问卷调查,共有效回收403份问卷,利用AMOS结构方程建模,构建老年慢性病患者参与"互联网+医疗"影响因素的研究模型并进行假设检验.结果 绩效期望、努力期望、社会影响、信任正向影响老年慢性病患者"互联网+医疗"使用意愿(P<0.05),其影响程度按照路径系数从大到小依次为绩效期望(0.328)、信任(0.279)、社会影响(0.176)、努力期望(0.152);感知风险(-0.174)负向影响使用意愿;促进条件、价值权衡则没有显著影响.结论 建议搭建统一综合管理平台,满足老年患者诊疗需求;加强患者的获得感,降低平台使用难度、加大宣传,增强平台真实性、透明度,有效提升老年慢性病患者"互联网+医疗"使用意愿.
Analysis of willingness and influencing factors of elderly chronic disease patients to use"Internet+medical treatment"based on UTAUT2 model
Objective Based on Integrated Technology Acceptance Model II(UTAUT2)to explore the will-ingness and influencing factors of elderly patients with chronic diseases to participate in"Internet+medical treatment",and to provide ideas for new chronic disease management model.Methods From April to Au-gust 2023,this paper adopted convenience sampling method to conduct questionnaire survey in 4 top-3 hos-pitals in major urban areas of Urumqi with large amount of"Internet+medical"services.Elderly patients with chronic diseases were taken as research objects.A total of 403 questionnaires were effectively collect-ed,and AMOS structural equation modeling was used.The research model of influencing factors of elderly patients with chronic diseases participating in"Internet+medical treatment"was constructed and the hy-pothesis was tested.Results Performance expectation,effort expectation,social influence and trust posi-tively affected the Internet+medical use intention of elderly patients with chronic diseases(P<0.05),and the degree of influence was from large to small as performance expectation(0.328),trust(0.279),social influence(0.176)and effort expectation(0.152)according to the path coefficient.Perceived risk(-0.174)negatively affected the intention to use.The promotion conditions and value tradeoff had no significant effect.Conclusion It is suggested to build a unified and comprehensive management platform to meet the needs of elderly patients;Strengthen patients'sense of gain,reduce the difficulty of using the platform,increase publicity,enhance the authenticity and transparency of the platform,and effectively improve the willingness of elderly patients with chronic diseases to use"Internet+medical treatment".

elderly patients with chronic diseases"Internet+medical treatment"UTAUT2 modelstruc-tural equation modelinfluencing factor

依帕尔克孜·麦麦提明、李玉华、姚萱

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新疆医科大学 公共卫生学院, 乌鲁木齐 830017

新疆医科大学 研究生学院, 乌鲁木齐 830017

上海大学医学院, 上海 200444

老年慢性病患者 "互联网+医疗" UTAUT2模型 结构方程模型 影响因素

国家自然科学基金

71964033

2024

新疆医科大学学报
新疆医科大学

新疆医科大学学报

CSTPCD
影响因子:0.76
ISSN:1009-5551
年,卷(期):2024.47(3)
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