[1]姜勤勤,张泽洪,熊晶晶,等.基于技术接受模型和计划行为理论的“互联网+护理服务”患者采纳意愿研究[J].解放军护理杂志,2022,39(02):42-45+50.[doi:10.3969/j.issn.1008-9993.2022.02.011]
 JIANG Qinqin,ZHANG Zehong,XIONG Jingjing,et al.Patients’ Adoption Intention to “Internet+Nursing Service” Based on Technology Acceptance Model and Theory of Planned Behavior Theory[J].Nursing Journal Of Chinese People’s Laberation Army,2022,39(02):42-45+50.[doi:10.3969/j.issn.1008-9993.2022.02.011]
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基于技术接受模型和计划行为理论的“互联网+护理服务”患者采纳意愿研究
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年02期
页码:
42-45+50
栏目:
研究荟萃
出版日期:
2022-02-15

文章信息/Info

Title:
Patients’ Adoption Intention to “Internet+Nursing Service” Based on Technology Acceptance Model and Theory of Planned Behavior Theory
文章编号:
1008-9993(2022)02-0042-05
作者:
姜勤勤张泽洪熊晶晶朱娟芳
(温州医科大学 公共卫生与管理学院,浙江 温州 325035)
Author(s):
JIANG Qinqin ZHANG Zehong XIONG Jingjing ZHU Juanfang
(School of Public Health and Management, Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China)
关键词:
“互联网+护理服务” 采纳意愿 技术接受模型 计划行为理论
Keywords:
Internet+Nursing Service adoption intention technology acceptance model theory of planned behavior
分类号:
R47
DOI:
10.3969/j.issn.1008-9993.2022.02.011
文献标志码:
A
摘要:
目的 基于技术接受模型和计划行为理论,分析影响“互联网+护理服务”患者采纳意愿的因素,以期为可持续发展以及相关政策制定提供有价值的建议。方法 2021年1-2月,采用便利抽样选取某三级甲等医院的患者234例为调查对象,以自行设计问卷对其进行“互联网+护理服务” 采纳意愿调查,以结构方程模型分析数据。 结果 患者行为意愿、态度、感知有用性、感知易用性、主观规范、感知风险、感知成本等维度均分分别为(3.69±0.53)分、(4.07±0.54)分、(4.41±0.53)分、(2.91±0.69)分、(4.10±0.56)分、(3.91±0.57)分、(3.80±0.63)分。感知有用性以及感知成本是患者采纳态度的影响因素(均P<0.001),路径系数分别为0.36和0.32,态度影响患者采纳行为意愿(路径系数为0.43,P<0.001)。 结论 服务提供方可增加护理服务项目供给,保障服务质量以提高患者感知有用性; 政府部门可将相关费用合理纳入医保,降低患者的感知成本; 平台、医疗机构以及社区应加大宣传,共同推进“互联网+护理服务”可持续发展。
Abstract:
Objective To analyze the factors influencing patients’adoption intention to “Internet+Nursing Service” based on the technology acceptance model and the theory of planned behavior,and to provide reference for the future development and decision-making.Methods From January to February 2021, 234 patients from a Level 3 Grade A hospital in the Quzhou City of Zhejiang Province were selected by the convenience sampling method, and a self-designed questionnaire survey was conducted.The structural equation model was used to analyze the data.Results Patients’ behavioral intention, attitude, perceived usefulness, perceived ease of use, subjective norms, perceived risk, perceived cost and other dimensions were(3.69±0.53),(4.07±0.54),(4.41±0.53),(2.91±0.69),(4.10±0.56),(3.91±0.57),(3.80±0.63).The results showed that perceived usefulness and perceived cost were the significant influencing factors for adoption attitude(P<0.001)with path coefficients of 0.36 and 0.32, respectively, and attitude was the important influencing factor for patients’ behavioral intention to “Internet+Nursing Service”(P<0.001)with a path coefficient of 0.43.Conclusions Service providers can enrich the supply of nursing service items and guarantee the quality to improve the perceived usefulness of patients.Government can formulate relevant policies to reasonably incorporate the related expense into medical insurance to reduce the perceived cost of patients.Platforms, medical institutions, and communities should enhance the publicity and jointly promote the sustainable development of “Internet+Nursing Service”.

参考文献/References:

[1] 吴敏,张咏梅,宋凌霞,等.国内“互联网+护理服务”研究态势与前沿分析[J].中国临床研究,2021,34(2):279-282.
[2] 黄跃师,袁长蓉,宋晓萍,等.“互联网+护理服务”的发展现状[J].护理研究,2020,34(8):1388-1393.
[3] 李精健,苟菊香,周倩,等.非试点省份护士对“互联网+护理服务”意愿调查[J].中华护理杂志,2020,55(12):1825-1830.
[4] 韩梦丹,赵明利,张雪葳,等.护士对“互联网+护理服务”认知和参与意愿现况调查[J].护理学杂志,2020,35(4): 53-56.
[5] 胡斌春,杨丹.浙江“互联网+护理服务”的实践与探讨[J].护理与康复,2021,20(4):1-4.
[6] 胡建利,盛芝仁,张涛,等.宁波市“互联网+护理服务”居家服务模式的探索和实践[J].中华医院管理杂志,2019,35(12):1023-1026.
[7] 任安霁,李现红,罗军飞,等.护士多点执业平台应用情况的调查研究[J].中华护理杂志,2018,53(10):1218-1223.
[8] 孙建军,成颖,柯青.TAM模型研究进展-模型演化[J].情报科学,2007,25(8):1121-1127.
[9] 何青华,郑晶,刘佳丽,等.基于计划行为理论的服药依从性影响因素问卷的信效度研究[J].,2019,36(7):31-35.
[10]FEATHERMAN M S,PAVLOU P A.Predicting e-services adoption:a perceived risk facets perspective[J].Int J Hum Comput St,2003,59(4):451-474.
[11]杨永清,张金隆,满青珊.移动互联网用户采纳研究-基于感知利益、成本和风险视角[J].情报杂志,2012,31(1):200-206.
[12]VENKATESH V,DAVIS F D.A theoretical extension of the technology acceptance model:four longitudinal field studies[J].Manage Sci,2000,46(2):186-204.
[13]AJZEN I.The theory of planned behavior[J].Organ Behav Hum Dec,1991,50(2):179-211.
[14]DENG Z,MO X,LIU S.Comparison of the middle-aged and older users’ adoption of mobile health services in China[J].Int J Med Inform,2014,83(3):210-224.
[15]邓朝华,洪紫映.在线医疗健康服务医患信任影响因素实证研究[J].管理科学,2017,30(1):43-52.
[16]国家卫生健康委办公厅.国家卫生健康委办公厅关于开展“互联网+护理服务”试点工作的通知[EB/OL].[2021-08-31].http://www.nhc.gov.cn/yzygj/s7657g/201902/bf0b25379ddb48949e 7e21edae2a02da.shtml.
[17]SCHEPERS J,WETZELS M.A Meta-analysis of the technology acceptance model:investigating subjective norm and moderation effects[J].Inform Manag,2007,44(1):90-103.
[18]ZHANG L Y,ZHU J,LIU Q H.A Meta-analysis of mobile commerce adoption and the moderating effect of culture[J].Comput Hum Behav,2012,28(5):1902-1911.
[19]谢凤兰,林芳宇,甘恬田.对患者及护士“互联网+护理服务”态度和意愿的现况调查[J].中华现代护理杂志,2020,26(17):2251-2255.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-06-09 【 修回日期 】 2022-01-07
【 基金项目 】 国家自然科学基金项目(71804133); 2019年国家级大学生创新创业训练计划项目(201910343039)
【 作者简介 】 姜勤勤,本科在读
【 通信作者 】 熊晶晶,电话:0577-86699183
更新日期/Last Update: 2022-02-15