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1 – 10 of over 16000Euehun Lee and Semi Han
The purpose of this paper is to explore the mobile health adoption behaviour of potential adopters and to provide guidelines for mobile health success. This study applied…
Abstract
Purpose
The purpose of this paper is to explore the mobile health adoption behaviour of potential adopters and to provide guidelines for mobile health success. This study applied both health behaviour and consumer value research and developed an integrated research model to encourage mobile health adoption.
Design/methodology/approach
The authors contacted about 1,800 potential respondents living in Seoul, Korea. The authors used stratified sampling to choose sampling areas and quota sampling to select the final sampling unit. A total of 550 interviews were conducted, and the data were analysed using a structural equation modelling technique with linear structural relations.
Findings
The results demonstrate that usefulness, convenience and monetary values of mobile health positively influence adoption intention. Convenience and monetary values are strongly perceived by individuals who have experienced illness, but the effect of illness experiences on the usefulness value is insignificant. Gender, age and income do not influence adoption intention.
Originality/value
There is no research yet studies mobile health adoption behaviour in the integrated view of consumer value and the health service research. This integrated adoption model of mobile health can be a response of the calls to develop the mobile health adoption model adapted to the health context and to identify added predictors of the mobile health adoption.
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Williams Ezinwa Nwagwu and Henry Abolade Areo
The purpose of this study was to examine how cost, network and technology factors affect the use of mobile technologies for clients’ care in internal medicine department…
Abstract
Purpose
The purpose of this study was to examine how cost, network and technology factors affect the use of mobile technologies for clients’ care in internal medicine department in Nigeria’s premier teaching hospital, the University College Hospital, Ibadan.
Design/methodology/approach
The study adopted a survey design covering a cross-section of medical doctors, pharmacists, nurses and medical laboratory technologists in the Department of Internal Medicine. A questionnaire guided data collection.
Findings
There is a high level of consciousness and use of mobile technologies for meeting healthcare needs of internal medicine clients in the University College Hospital, Ibadan and medical practitioners are deploying the technology most. However, there is no similar evidence of consciousness and use of wearable health-care technologies and solutions. The hospital makes some provision for mobile technology support for relevant medical staff and purposes. However, about three in 10 of the respondents reported that they use their own funds to recharge hospital-provided mobile phones means.
Research limitations/implications
The study focusses only on one institution but the result reflects the situation in other hospitals, University College Hospital, Ibadan, Nigeria being the major supplier of health and medical human resources in the country.
Practical implications
The hospital requires undertaking institutional assessment of mobile service need and consumption for clients’ care and thereafter make adequate provision to match the need. Furthermore, the institution could work out various forms of collaboration with mobile technology operators in the country to subsidise the cost of the use of telephones for clients’ care as part of their corporate social responsibility.
Social implications
The institution could work out collaboration with mobile technology operators in the country to subsidise cost of mobile client care as part of the philanthropic and corporate social responsibility of telecom companies.
Originality/value
This study focusses mainly on internal medicine and has implication for a more proper understanding of adult deployment of mobile phones for client care.
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Zhaohua Deng, Shan Liu and Oliver Hinz
Although the health information seeking behavior of consumers through the internet has received great attention, limited attempt has been made to integrate both the health…
Abstract
Purpose
Although the health information seeking behavior of consumers through the internet has received great attention, limited attempt has been made to integrate both the health information seeking behavior and the usage behavior in a mobile online context. The purpose of this paper is to explore the factors that influence consumer mobile health information seeking (MHIS) and usage behavior based on information quality, perceived value, personal health value, and trust.
Design/methodology/approach
A survey was conducted to collect data. A two-step approach of structure equation modeling based was used to test the measurement model and hypothesis model.
Findings
Information quality, perceived value, and trust were found to have positive effects on both the intention to seek and to use health information, and that the intention to seek affects the intention to use. Among the three components of perceived value, the utilitarian and epistemic values were found to have significant effects on intention to seek. In addition, the current health status of health consumers moderates the relationships between MHIS and usage intention and their determinants.
Originality/value
Studies have primarily focussed on online health information seeking behavior, whereas a few of these studies have examined the seeking behavior intention and the usage behavior intention in a general model. The results indicate that health information usage behavior intention is closely related to the seeking behavior intention in the mobile context, which enriches the research on the relationship between information seeking and its outcomes. Furthermore, this study highlights the impact of information quality, perceived value, and trust on the intention to seek, and the impacts of information quality and trust on the intention to use, which have been overlooked in previous studies on MHIS.
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Janan J. Dietrich, Jenny Coetzee, Kennedy Otwombe, Sanele Mdanda, Busisiwe Nkala, Matamela Makongoza, Celokhuhle Tshabalala, Stefanie Hornschuh, Christine N. Soon, Angela Kaida, Robert Hogg, Glenda E. Gray and Cari L. Miller
– The purpose of this paper is to measure prevalence and predictors of mobile phone access and use among adolescents in Soweto, South Africa.
Abstract
Purpose
The purpose of this paper is to measure prevalence and predictors of mobile phone access and use among adolescents in Soweto, South Africa.
Design/methodology/approach
The current study was an interviewer-administered, cross-sectional survey among adolescents 14-19 years living in a hyper-endemic human immunodeficiency virus (HIV) setting in South Africa.
Findings
Of 830 participants; 57 per cent were female. The median age was 18 years (IQR: 17-18). Mobile phone access was high (91 per cent). Almost half of participants (42 per cent) spent more than five hours daily using their mobile phones. Two-thirds (62 per cent) had access to the internet, most (84 per cent) accessed the internet via their mobile phones. Mobile phone access was more likely amongst Sotho language speakers (aOR: 2.87, 95 per cent CI: 1.30-6.36), those living in formal housing (aOR: 3.55, 95 per cent CI: 1.97-6.42) and those who reported heterosexual orientation (aOR: 2.37, CI: 1.35-4.16).
Originality/value
This study substantially contributes to the literature about mobile phones usage and patterns among school-going adolescents in Soweto, South Africa.
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This study aims to evaluate the interface of the mobile Centralized Doctor Appointment System (CDAS), the largest mobile e-government health application developed in…
Abstract
Purpose
This study aims to evaluate the interface of the mobile Centralized Doctor Appointment System (CDAS), the largest mobile e-government health application developed in Turkey to allow citizens to make medical appointments at public hospitals.
Design/methodology/approach
A total of 40 information systems engineers took part in the study. The evaluation process was mainly based on Nielsen’s heuristics. The data obtained in the evaluation process were enriched using system usability scale to conduct a more detailed analysis.
Findings
Based on the findings, problems related to the usability of the evaluated mobile health application were identified. The most violated heuristic items were found to be “error prevention” and “user control and freedom”, whereas the least violated heuristic item was “consistency and standards”. The participants generally categorized the usability problems they identified as “minor” or “major” according to their severity.
Originality/value
As a developing country, Turkey has made considerable investment in mobile e-government applications in recent years. It is equally important that mobile e-government services provided by public institutions have features that make these applications effective, efficient and satisfying for citizens. Therefore, the usability of mobile health applications in government services needs to be researched to improve their effectiveness and guide authorities, practitioners and designers.
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Rajesh R. Pai and Sreejith Alathur
This paper discusses the need for government and healthcare organization to implement mobile phone-based solutions for healthcare during the Coronavirus (Covid-19…
Abstract
Purpose
This paper discusses the need for government and healthcare organization to implement mobile phone-based solutions for healthcare during the Coronavirus (Covid-19) pandemic. It also highlights the challenges and/or barriers to the rapid introduction, implementation and management of these and other innovative solutions to health service delivery during the current situation
Design/methodology/approach
The data include both qualitative and quantitative, collected from the primary interview-based case study and questionnaire survey. It also uses insights from the general populations, healthcare professionals and health information technology developers to understand the role of a mobile health intervention in the COVID-19 pandemic outbreak.
Findings
Healthcare professionals and health information technology developers are confident that the use of mobile health technology and applications has the ability to assist in monitoring and controlling the COVID-19 outbreak. The key advantages of using mobile phone technology are: increased awareness, improved assistance in tracking and testing casualties, improved assistance in seeking and scheduling health information and medical appointments, increased social distancing, improved overall productivity and quality of life. However, data demonstrated that lack of awareness and accessibility or unwillingness to use the technology, complex healthcare needs, application infrastructure, policies and a dearth of training and support are all barriers to successful implementation of this useful tool.
Practical implications
This research has the potential to make a significant impact on government and healthcare policy through presenting a coherent argument for the importance of designing and deploying mobile health technology and applications for the general population.
Originality/value
prior literature in this domain is inadequate in explaining the importance of mobile phone-based healthcare solutions for health service and during serious disease outbreaks and, in particular, within the Indian context. The findings of this study can be used by government and healthcare organizations to improve health governance during the current global pandemic.
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Increasingly popular mobile health technology is creating a new paradigm for the delivery of care to patients involving a role of the pharmacist. This study aims to…
Abstract
Purpose
Increasingly popular mobile health technology is creating a new paradigm for the delivery of care to patients involving a role of the pharmacist. This study aims to propose a renewed patient–pharmacist relationship in this environment and present an empirical case study investigating the influence of key variables, including the consumer’s attitude toward personalized monitoring performed by the pharmacist, on the intention to adopt a mobile health app. Other drivers identified were ease of use and perceived usefulness of the app, individual and health-related factors (perceived vulnerability and severity of health condition, social norms and innovativeness with technology) and quality of relationship with the pharmacist.
Design/methodology/approach
A self-administered online survey was completed by 356 Canadian mobile device owners of more than 40 of age. Analyses were performed using structural equation modeling.
Findings
The main factor driving adoption intentions was perceived usefulness followed by the respondent’s innovativeness with technology and perceived vulnerability of his/her health condition. Attitude toward personalized monitoring depends primarily on the relationship with the pharmacist. No relationship was found between adoption intentions and attitude toward personalized monitoring.
Originality/value
This research features a multidisciplinary approach by using variables from relational marketing, information technology and health and inclusion of the pharmacist (vs physician) as a health consultant, offering relevant marketing avenues for pharmacists.
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Rajesh R. Pai and Sreejith Alathur
This study aims to examine the determinants of mobile health technology and applications use intention. The factors are delineated from prior literature and theories of…
Abstract
Purpose
This study aims to examine the determinants of mobile health technology and applications use intention. The factors are delineated from prior literature and theories of individual traits and adoption characteristics, technology acceptance and health belief.
Design/methodology/approach
Data from 409 respondents were collected from Indian participants through a questionnaire survey. The construct “use intention” was measured using individual traits to mobile services, subjective norm, health consciousness, awareness and perceived usefulness, and the model was tested.
Findings
The study found that mobile health technology and the applications awareness and personal innovativeness influence intention to use.
Originality/value
Previous studies have often looked at technology adoption and acceptance models separately and are less adequately discussed in the Indian context. The components that determine mobile health technology and the applications’ acceptance by literature and theories of individual traits and adoption characteristics, technology acceptance and health beliefs were also inadequately discussed. The significant contribution of this research also includes policy recommendations for improving mobile health acceptance in India.
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Jonatas Wendland, Guilherme Lerch Lunardi and Décio Bittencourt Dolci
Health is at the center of society concerns, being characterized by the dilemma of contributing to the population well-being, while demanding high financial investments at…
Abstract
Purpose
Health is at the center of society concerns, being characterized by the dilemma of contributing to the population well-being, while demanding high financial investments at the same time. In this sense, information technology (IT) becomes essential for the progress of the sector, directly impacting on how care practices are performed. This study aims to analyze the adoption of mobile devices in the mobile emergency care service (MECS) of the state of Rio Grande do Sul, Brazil.
Design/methodology/approach
The authors carried out a multi-method study with an initial qualitative exploration through a focal group, followed by a survey. Potential determinants and impacts of mobile device use on the work context of the MECS teams were identified. Following, we tested the proposed conceptual model applying a questionnaire to 350 professionals from a total of 160 bases throughout the State. Partial least squares structural equation modeling was used to test the hypotheses herein.
Findings
The authors found that Satisfaction with the Use of Mobile PHC (PHC – Primary Health Care) is determined by the application compatibility with MECS work, followed by the performance expectancy with the use of the technology and the technical support provided to the users – acting as important facilitators of this process; while the technological complexity inherent in the use of the technology appears as the main barrier to the success of this technology. Besides, the authors found that both intensity of Use and Satisfaction with the Use of the technology provide different benefits to those involved (teams, patients and the organization).
Research limitations/implications
As limitations of the study, the authors point out to the fact that the data are from a single Brazilian State, and therefore, its results cannot be generalized. Another limitation is that the study considered only the use of a specific mobile technology, which requires caution when using this information in contexts where the health information technology is different, besides the fact that the findings may not be compatible in environments where IT adoption is voluntary.
Practical implications
The study can help managers of public and private organizations in the planning and implementation of different technologies, whether mobile or applied to the health context, as well as in the expansion of their use in their respective institutions.
Social implications
The research contributes to other studies that realize that the adoption of IT can cause relevant changes to health being associated to productivity gains and improvement of the quality of service provided to society through different forms and solutions.
Originality/value
The adoption and use of IT – such as mobile devices – impacts on how care practices are performed in the MECS, providing different benefits to those involved (teams, patients and the organization).
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Tiwonge Davis Manda and Jo Herstad
The purpose of this paper is to discuss implications of human-technology interaction in organizational change, especially where mobile phones are introduced to replace…
Abstract
Purpose
The purpose of this paper is to discuss implications of human-technology interaction in organizational change, especially where mobile phones are introduced to replace paper-based reporting.
Design/methodology/approach
The paper employs a case study approach, focusing on implementation of mobile technology for health (mHealth) solutions to support remote data communication, between health facilities and a district health office (DHO), in Malawi.
Findings
The findings suggest that mobile phones are relevant to parts of multi-stage tasks such as data reporting, which comprise compilation, transportation, and digitization of data, and delivery of feedback. Consequently, innovation due to the introduction of mobile phones, is found in their interaction with other artefacts (paper, desktop computers, etc.), and existing paper-centric and emerging work practices.
Research limitations/implications
Although lessons from this study could be transported across contexts, practitioners, and researchers should pay particular attention to contextual differences.
Practical implications
In accounting for the mutual shaping between technology and context/work practices the paper demonstrates that mHealth innovation demands significant practical work.
Originality/value
mHealth research is often preoccupied with capabilities of mobile devices. First, the authors account for interaction between artefacts, existing, and emerging use contexts, and the use process, at multiple levels of organization. Through this, the authors argue for a need to seriously consider idiosyncrasies of artefacts and tasks at hand, as well as distributed affordances across artefacts, in mHealth implementations. Second, the authors argue that contrary to the general focus on mobile phones as tools for supporting people on the move, their relevance might actually be found in reducing people’s mobility.
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