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

Analysis of willingness and influencing factors of elderly chronic disease patients to use“Internet+medical treatment”based on UTAUT2 model

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。

Objective Based on Integrated Technology Acceptance Model II(UTAUT2)to explore the willingness 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 August 2023,this paper adopted convenience sampling method to conduct questionnaire survey in 4 top-3 hospitals 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 collected,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”.