What factors predict physicians' utilization behavior of contrast-enhanced ultrasound? Evidence from the integration of the Theory of Planned Behavior and Technology Acceptance Model using a structural equation modeling approach

Deng, Qingwen; Zheng, Yuhang; Lu, Junhong; Zeng, Zhichao; Liu, Wenbin

doi:10.1186/s12911-021-01540-8

Cited by 12 publications

(18 citation statements)

References 37 publications

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“… 53 Secondly, mobilize authoritative physicians and managers to gradually adjust other physicians’ compliance with technology use. 54 Thirdly, cultivate organizational readiness for technology use through long-term implementation of bulletin boards and typical event learning. Finally, designate staff push timely industry information so that physicians can make more accurate technology decisions.…”

Section: Discussionmentioning

confidence: 99%

Using Multilevel Structural Equation Modeling (MSEM) to Identify the Predictors and Influencing Mechanism of Technology Use Among Chinese Physicians: An Example from Des-Gamma-Carboxy Prothrombin (DCP)

Deng¹,

Wang²,

Liu³

2022

RMHP

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Background Since expanding the use of appropriate and effective health technologies will greatly benefit the diagnosis and treatment of some major diseases at an early stage, understanding the mechanism of technology use is crucial for its successful implementation. Few previous studies focused on the healthcare providers and involved multi-facets factors at individual, technical, organizational, and environmental levels. Purpose To examine the influencing mechanism of technology use among Chinese physicians by integrating multilevel factors, Des-gamma-Carboxy Prothrombin (DCP) was taken as an example. Methods Through multistage random sampling, a cross-sectional questionnaire survey was conducted among physicians in charge of direct use of DCP of sampled secondary and tertiary hospitals. Since the sample data comprised two hierarchical levels (physicians and hospitals), multilevel structural equation modeling was used to link five aspects of factors with physicians’ technology use and estimate the effects. Results Totally, 229 physicians completed the investigation. The use of DCP appears to be at a relatively low level. Intra-class coefficients of the null model (unadjusted baseline model) suggested that physicians’ DCP use has a significant variation between hospitals. The final model identified that value cognition (B = 0.447, P < 0.01), experienced organizational practice (B = 0.203, P < 0.05), and perceived organizational atmosphere (B = −0.237, P < 0.01) contributed directly to physicians’ DCP use. Additionally, technical assessment, perceived organizational atmosphere, and perceived environmental pressure had indirect impacts on physicians’ DCP use that were mediated by value cognition and experienced organizational practice (P < 0.05). Conclusion This study incorporated and determined the significant direct or indirect role of value cognition, technical assessment, experienced organizational practice, perceived organizational atmosphere, and perceived environmental pressure. This influencing mechanism with integrated multilevel factors could serve as a theoretical basis for tailoring interventions to promote technology use among Chinese physicians.

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Section: Discussionmentioning

confidence: 99%

Using Multilevel Structural Equation Modeling (MSEM) to Identify the Predictors and Influencing Mechanism of Technology Use Among Chinese Physicians: An Example from Des-Gamma-Carboxy Prothrombin (DCP)

Deng¹,

Wang²,

Liu³

2022

RMHP

Self Cite

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Section: Discussionmentioning

confidence: 99%

“…During the CBT, students may experience technical errors in computer networks [ 30 ]. Additionally, cheating behaviors continue to increase in health care education, which emphasizes high ethical standards [ 30 ]. CBT testing can reduce the likelihood of cheating by randomizing questions and answers and disabling other programs during the test [ 12 , 16 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, cheating behaviors continue to increase in health care education, which emphasizes high ethical standards [ 30 ]. CBT testing can reduce the likelihood of cheating by randomizing questions and answers and disabling other programs during the test [ 12 , 16 , 30 ]. In the case of UBT using a tablet computer, since a separate operating server is used, the server can be moved at any time, and randomization of questions and answers can be implemented.…”

Section: Discussionmentioning

confidence: 99%

“…Although research on CBT is increasing, there are limitations in comparison and analysis because research on UBT is limited. According to the technology acceptance model, which is widely used for adaptive decision making on the Internet and in information technology fields, if perceived usefulness and perceived ease of use are high, the technology can be used easily [ 30 , 31 , 32 , 33 ]. Perceived usefulness refers to the belief that a new technology improves performance, while perceived ease of use refers to the degree to which a technology can be easily used.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Student Satisfaction with Ubiquitous-Based Tests in Women’s Health Nursing Course

Kim

2021

Healthcare

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Learning evaluation using ubiquitous-based tests may be essential during a public health crisis, such as the COVID-19 pandemic, during which theoretical classes and clinical practice are conducted online. However, students may not be as familiar with ubiquitous-based tests as they are with paper-based tests. This survey study aimed to evaluate students’ satisfaction with ubiquitous-based tests and compare the evaluation results of a paper-based test with that of a ubiquitous-based test in nursing education. For the midterm exam of the Women’s Health Nursing course, a paper-based test was conducted, while a ubiquitous-based test using a tablet computer was used for the final exam. The Ubiquitous-Based Test Usefulness and Satisfaction tool, which has a five-point Likert-type response scale, was employed to evaluate the post-test usefulness and satisfaction scores of the ubiquitous-based test. The mean score of the ubiquitous-based test usefulness was 4.01 ± 0.67. There was a significant difference in satisfaction levels between the ubiquitous-based and the paper-based test (t = −3.36, p = 0.001). Specifically, the evaluation scores were not affected by different evaluation methods. Study participants deemed the ubiquitous-based test highly useful and satisfactory, suggesting that such tests may be a future-oriented evaluation method, potentially replacing paper-based tests.

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Towards the Tees Valley Energy Transition—Residential Decarbonisation and Skills Analysis

Schaik

Cotton

Dawood

et al. 2023

Springer Proceedings in Energy

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Guided by the theory of planned behaviour, we conducted an interview study to identify beliefs that potentially influence social-housing residents’ future behaviour with domestic low-carbon technology in retrofit housing. The study included (group interview n = 6, individual interviews n = 14). Behavioural beliefs, normative beliefs and control beliefs were identified from participants’ answers using the theory of planned behaviour and thematic analysis. For successful implementation, it will be important to ensure that the predominant benefits (positive beliefs) emerging from this study are implemented (e.g., lower heating bills) and the barriers (negative beliefs) are avoided or alleviated (e.g., upfront costs). The results will be quantified in a follow-up, survey study.

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What factors predict physicians' utilization behavior of contrast-enhanced ultrasound? Evidence from the integration of the Theory of Planned Behavior and Technology Acceptance Model using a structural equation modeling approach

Cited by 12 publications

References 37 publications

Using Multilevel Structural Equation Modeling (MSEM) to Identify the Predictors and Influencing Mechanism of Technology Use Among Chinese Physicians: An Example from Des-Gamma-Carboxy Prothrombin (DCP)

Using Multilevel Structural Equation Modeling (MSEM) to Identify the Predictors and Influencing Mechanism of Technology Use Among Chinese Physicians: An Example from Des-Gamma-Carboxy Prothrombin (DCP)

Evaluation of Student Satisfaction with Ubiquitous-Based Tests in Women’s Health Nursing Course

Towards the Tees Valley Energy Transition—Residential Decarbonisation and Skills Analysis

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