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Factors affecting success of an integrated community-based telehealth system

Issue title: Papers from the 3rd International Conference on Biomedical Engineering and Technology (iCBEB 2014), 25–28 September 2014, Beijing, China

Subtitle:

Guest editors: Edward J. Ciaccio

Article type: Research Article

Authors: Hsieh, Hui-Lunga | Tsai, Chung-Hungb; * | Chih, Wen-Haic | Lin, Huei-Hsiehd

Affiliations: [a] Chu Shang Show Chwan Hospital, Nantou, Taiwan | [b] Department of Health Administration, Tzu Chi College of Technology, Hualien, Taiwan | [c] Department of Business Administration, National Dong Hwa University, Hualien, Taiwan | [d] Department of Finance and Taxation, Takming University of Science and Technology, Taipei, Taiwan

Correspondence: [*] Corresponding author: Chung-Hung Tsai, Department of Health Administration, Tzu Chi College of Technology, Hualien, Taiwan. E-mail:tsairob@tccn.edu.tw

Keywords: Information success model, integrated community-based telehealth

DOI: 10.3233/THC-150953

Journal: Technology and Health Care, vol. 23, no. s2, pp. S189-S196, 2015

Published: 2015
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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.

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