從科技準備度觀點探討病患對於醫療應用程式採用行為意圖之研究

Effects of patients’ behavioral intention on the adoption of medical apps from a technological readiness perspective

隨著越來越多的病患使用醫療應用程式來管理其健康狀況，然而這些應用程式的跨專業研究正在興起，並可能對臨床實證產生巨大影響。因此，本研究目的旨在探討影響病患對於醫療應用程式採用行為意圖之因素。該研究模型結合整合型科技接受模式、科技準備度與態度等變數。本研究以桃園某個案醫院之病患為研究對象，採用自陳式問卷進行資料蒐集；共計發出700份問卷，回收有效問卷685份。使用結構方程模式方法分析資料已檢驗本研究所提出之14項研究假設，其中12項研究假設獲得支持。實證結果顯示：（1）樂觀性、創新性與不安全感式科技準備度的重要組成部分；（2）績效期望、努力期望、便利條件和態度對行為意圖產生積極影響；（3）科技準備度對績效期望與努力期望產生積極影響。研究結果與發現將有助於瞭解病患對於醫療應用程式採用行為意圖，及提供醫院在發展醫療應用程式之建議。

A growing number of patients manage their health conditions using medical apps. Interprofessional research on apps is emerging, and this research could have a tremendous effect on clinical practice. Therefore, the present study examined the factors affecting patients’ behavioral intention to adopt medical apps. The research model combined the unified theory of acceptance and use of technology, technology readiness levels, and attitude. A self-report questionnaire was used to collect data from patients in a hospital in Taoyuan. Among the 700 distributed questionnaires, 685 completed questionnaires were received. The data were analyzed using structural equation modeling to test 14 research hypotheses; 12 of the hypotheses were supported. The empirical results revealed that (1) optimism, innovativeness, and insecurity are crucial components of technology readiness; (2) performance expectancy, effort expectancy, facilitating conditions, and attitude significantly affect behavioral intention; (3) technology readiness significantly influence performance expectancy and effort expectancy. The results and findings are expected to contribute to clarifying patients’ behavioral intentions for the adoption medical apps, which could help hospitals in the development of medical apps.