老年用户使用移动医疗意愿的影响因素元分析

A Meta-Analysis of Factors Influencing mHealth Acceptance of the Elderly

信息和通信技术进步为移动医疗的实施提供了便利,但老年人口移动医疗服务使用率偏低。文章针对移动医疗老年用户使用意愿影响因素实证研究之间结果不一致的问题,对相关文献进行综合梳理和再分析。基于近十年30篇移动医疗使用意愿相关实证研究文献,采用元分析方法,利用CMA软件检验变量关系异质性、文献发表偏倚并计算各变量关系的合并效果量,并以国家或地区的经济发展水平作为调节变量进行次群体分析。研究表明:老年用户使用移动医疗的行为意愿通常直接受到7个因素的影响:努力期望、绩效期望、态度、价值价格、感知信任、便利条件以及社会影响;其中,技术焦虑与努力期望高度负相关,努力期望正向影响绩效期望,绩效期望显著影响老年用户使用移动医疗态度,经济发展水平对相关变量关系的调节作用明显。

Advances in information and communication technology have facilitated the implementation of mHealth,but the usage rate of mHealth services among the elderly population is significantly low.In view of the inconsistent results between empirical studies on the factors influencing the intention to use mHealth among elderly users,this paper comprehensively reviews and re-analyzes the relevant literature.Based on 30 pieces of empirical research literature related to the intention to use mHealth in the last decade,it conducts a meta-analysis using CMA software to test for heterogeneity in the relationship of variables,publication bias in literature and to calculate the combined effect size of each variable relationship,followed by a subgroup analysis with the level of national or regional economic development as the adjusting variable.This study shows that the behavioral intention of older users to use mHealth is usually directly affected by seven factors:effort expectation,performance expectation,attitude,value price,perceived trust,convenience and social influence.Among them,technical anxiety is highly negatively related to effort expectation,effort expectation positively influences performance expectation,and performance expectation significantly affects older users’attitude towards using mHealth.In addition,the level of economic development significantly regulates the relationship between relevant variables.