Factors affecting success of an integrated community-based telehealth system

Abstract

Abstract. BACKGROUND:The rise of chronic and degenerative diseases in developed countries has become one critical epidemiologic issue. Telehealth can provide one viable way to enhance health care, public health, and health education delivery and support. OBJECTIVE: The study aims to empirically examine and evaluate the success factors of community-based telehealth system adoption. METHODS: The valid 336 respondents are the residents of a rural community in Taiwan. The structural equation modeling (SEM) was used to assess the proposed model applied to telehealth. RESULTS: The findings showed the research model had good explanatory power and fitness. Also, the findings indicated that system quality exerted the strongest overall effect on intention to use. Furthermore, service quality exerted the strongest overall effect on user satisfaction. The findings also illustrated that the joint effects of three intrinsic qualities (system quality, information quality, and service quality) on use were mediated by user satisfaction and intention to use. CONCLUSION: The study implies that community-based telehealth service providers should improve three intrinsic qualities to enhance user satisfaction and intention to use, which in turn can lead to increase the usage of the telehealth equipment. The integrated community-based telehealth system may become an innovative and suitable way to deliver better care to the residents of communities.

Factors that affect health information technology adoption by seniors: A systematic review

“…Only one study, involving 336 participants in a rural community in Taiwan, found that among three intrinsic qualities considered (i.e. system, information and service quality), system quality had the strongest overall positive effect on the intention to use telehealth (Hsieh et al., 2015). Zhou et al.…”

“…The intrinsic quality of the technology was investigated in relation to system quality, information quality and service quality (e.g. Hsieh, Tsai, Chih, & Lin, 2015), as well as the quality of healthcare (e.g. Peeters, de Veer, van der Hoek, & Francke, 2012).…”

Systematic review of patient and caregivers’ satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients’ health

“…As means of interpretation of findings and implications for clinical practice, various dimensions of satisfaction were generated: system experience, information sharing, consumer focus and overall satisfaction. These dimensions were adapted from a research model shown to influence users’ satisfaction in a community-based telehealth program [27]. The model proposed by Hsieh et al .…”

“…The model proposed by Hsieh et al . [27] provided a framework to synthesise the data for this systematic review given the paucity of literature that defines the construct of satisfaction with telehealth.…”

Patient Experience of a Neurology Tele-Follow-Up Program Initiated During the Coronavirus Disease 2019 Pandemic: A Questionnaire-Based Study

“…A questionnaire ( Fig. 1) assessing different dimensions of satisfaction 5,[7][8][9][10] was created, which included demographic and neurology follow-up details, expenses incurred for in-person visit for transportation and lodging (cost savings with tele-consult), 9 dichotomous scale items to assess satisfaction, and a 5-point Likert scale item for overall satisfaction. Furthermore, to compare tele-consult experience with in-person experience, we also asked for the patients' future preference toward telemedicine or in-person consultations, along with subjective reasons for their choice.…”