摘要
目的系统评价影响患者互联网诊疗采纳意愿的因素。方法计算机检索CNKI、VIP、WanFang Data、Web of Science、PubMed和EMbase数据库,搜集有关患者互联网诊疗采纳意愿影响因素的横断面研究,检索时限均为建库至2021年8月。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用Stata 16.0软件进行Meta分析。结果共纳入28个横断面研究,包括10200例患者。Meta分析结果显示:感知有用性、感知易用性、绩效期望是采纳意愿的高度正相关因子;努力期望、社会影响、便利条件、自我效能、感知价值、个体创新性、感知行为控制是采纳意愿的中度正相关因子;感知健康威胁是采纳意愿的低度正相关因子;抵制变化、感知风险是采纳意愿的中度负相关因子;技术焦虑是采纳意愿的低度负相关因子。采纳意愿与使用行为存在高度正相关关系。结论当前证据显示,采纳意愿与使用行为存在高度正相关关系,显著影响患者互联网诊疗采纳意愿的因素包括感知有用性、感知易用性和绩效期望等。
Objective To systematically review the influencing factors of patients’adoption intention toward online medical services.Methods CNKI,VIP,WanFang Data,Web of Science,PubMed and EMbase databases were electronically searched to collect cross-sectional studies on the influencing factors of patients’adoption intention toward online medical services from inception to August 2021.Two reviewers independently screened literature,extracted data and assessed the risk of bias of the included studies;then,meta-analysis was performed by using Stata 16.0 software.Results A total of 28 cross-sectional studies involving 10200 patients were included.The results of meta-analysis showed that perceived usefulness,perceived ease of use,and performance expectations were highly positively correlated with adoption intention.Effort expectation,social influence,convenience,self-efficacy,perceived value,individual innovation and perceived behavior control were moderately positively correlated factors.Perceived health threat was a low positive correlation factor of adoption intention.Resistance to change and perception of risk were moderately negatively correlated.Technology anxiety was a low negative correlation factor of adoption intention.There was a highly positive correlation between adoption intention and use behavior.Conclusion Current evidence shows that there is a highly positive correlation between adoption intention and use behavior,influencing factors of patients’adoption intention include perceived usefulness,perceived ease of use,perceived value,etc.
作者
曹雪霏
宁智鹏
侯艳红
CAO Xuefei;NING Zhipeng;HOU Yanhong(China Pharmaceutical University,Nanjing 211198,P.R.China)
出处
《中国循证医学杂志》
CSCD
北大核心
2022年第3期316-323,共8页
Chinese Journal of Evidence-based Medicine
关键词
互联网诊疗
采纳意愿
影响因素
META分析
系统评价
横断面研究
Online medical service
Adoption intention
Influencing factor
Meta-analysis
Systematic review
Cross-sectional study
