Understanding Determinants of Health Care Professionals' Perspectives on Mobile Health Continuance and Performance

doi:10.2196/12350

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题名:	Understanding Determinants of Health Care Professionals' Perspectives on Mobile Health Continuance and Performance
作者:	Ju-Ling Hsiao(蕭如玲) Rai-Fu Chen(陳瑞甫)
贡献者:	Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm Chia Nan Univ Pharm & Sci, Dept Informat Management
关键词:	delivery of health care mobile health health information management health care quality access and evaluation
日期:	2019-01
上传时间:	2020-07-29 13:50:02 (UTC+8)
出版者:	JMIR PUBLICATIONS, INC
摘要:	Background: With the widespread use of mobile technologies, mobile information systems have become crucial tools in health care operations. Although the appropriate use of mobile health (mHealth) may result in major advances in expanding health care coverage (increasing decision-making speeds, managing chronic conditions, and providing suitable health care in emergencies), previous studies have argued that current mHealth research does not adequately evaluate mHealth interventions, and it does not provide sufficient evidence regarding the effects on health. Objective: The aim of this study was to facilitate the widespread use of mHealth systems; an accurate evaluation of the systems from the users' perspective is essential after the implementation and use of the system in daily health care practices. This study extends the expectation-confirmation model by using characteristics of individuals, technology, and tasks to identify critical factors affecting mHealth continuance and performance from the perspective of health care professionals (HCPs). Methods: A questionnaire survey was used to collect data from HCPs who were experienced in using mHealth systems of a Taiwanese teaching hospital. In total, 282 questionnaires were distributed, and 201 complete and valid questionnaires were returned, thus indicating a valid response rate of 71.3% (201/282). The collected data were analyzed using WarpPLS version 5.0 (ScriptWarp Systems). Results: The results revealed that mHealth continuance (R-2=0.522) was mainly affected by perceived usefulness, technology maturity, individual habits, task mobility, and user satisfaction, whereas individual performance (R-2=0.492) was affected by mHealth continuance. In addition, user satisfaction (R-2=0.548) was affected by confirmation and perceived usefulness of mHealth, whereas perceived usefulness (R-2=0.521) was affected by confirmation. This implied that confirmation played a key role in affecting perceived usefulness and user satisfaction. Furthermore, the results showed that mHealth continuance positively affected individual performance. Conclusions: The identified critical factors influencing mHealth continuance and performance can be used as a useful assessment tool by hospitals that have implemented mHealth systems to facilitate the use and infusion of the systems. Furthermore, the results can help health care institutions that intend to introduce or develop mHealth applications to identify critical issues and effectively allocate limited resources to mHealth systems.
關聯:	Jmir Medical Informatics, v.7, n.1, e12350
显示于类别:	[Dept. of Hospital and Health (including master's program)] Periodical Articles [Dept. of Information Management] Periodical Articles

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