The Influence of the Intention on Using Telehealthcare System: A Study at a Regional Teaching Hospital in South Taiwan

• Main Authors: Lung-Sheng Tung, 董龍生
• Other Authors: Weir-Sen Lin
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/k5m3h3

碩士 === 嘉南藥理科技大學 === 醫務管理系 === 100 === A telehealthcare system had been developed and used at a regional teaching hospital in Southern Taiwan. People join and become the members can use services provided as followings: reports and query of their medical treatment, diagnosis, admission note, clinical laboratory, health management and reminder, transmission of physiological measurement value etc. The theory of Unified Theory of Acceptance and Use of Technology (UTAUT) explores four key aspects (Performance Expectancy, Effort Expectancy, Social Influence, Facilitating Conditions) to determine the factors which influence the intention and behavior of how people accept technology. The UTAUT theory is used to find out the intention and influential factors of the people on using telehealthcare system, and willingness to pay. We expect this study can provide some insights for the medical institutions in the future to manage the telehealthcare system. Execution period was from April to May, 2012. 212 valid semi-structured questionnaires were collected and analyzed, including 152 joined members, and 60 non-members who never used the system. The SPSS 12.0 statistical software was used for the statistical analysis. We found that the intention score of the group members is significantly higher than that of the non-member group. People with income NT$ 40,000-60,000 per month is also significantly higher than those with NT$ 20,000-40,000 per month. Only 25% people agree or very-agree to pay for this service. 86.8% people can accept the payment for NT$ 500-1,000 per year with charge. 39% people think the fees should be payable from The Bureau of National Health Insurance, 43% people think strategic alliance with insurance companies to pay the fee. The result of multiple liner regression shows that Performance Expectancy and Facilitating Conditions are significant factors which influence using intentions. From results of this study, we recommend to provide more incentives to urge people becoming members and using this system, even if it is difficult to distinguish the causal relationship between membership and the using intention . We suggest that the payment can be covered by The Bureau of National Health Insurance or simply leverage private insurance companies. Another possibility is to include the telehealthcare payment in the compulsory long term care insurance which is enforced by the government in the future.