Matches in SemOpenAlex for { <https://semopenalex.org/work/W4385416360> ?p ?o ?g. }
- W4385416360 abstract "<sec> <title>BACKGROUND</title> The swift shift toward internet hospitals has relied on the willingness of medical practitioners to embrace new systems and workflows. Low engagement or acceptance by medical practitioners leads to difficulties in patient access. However, few investigations have focused on barriers and facilitators of adoption of internet hospitals from the perspective of medical practitioners. </sec> <sec> <title>OBJECTIVE</title> This study aims to identify both enabling and inhibiting predictors associated with resistance and behavioral intentions of medical practitioners to use internet hospitals by combining the conservation of resources theory with the Unified Theory of Acceptance and Use of Technology and technostress framework. </sec> <sec> <title>METHODS</title> A mixed methods research design was conducted to qualitatively identify the factors that enable and inhibit resistance and behavioral intention to use internet hospitals, followed by a quantitative survey-based study that empirically tested the effects of the identified factors. The qualitative phase involved conducting in-depth interviews with 16 experts in China from June to August 2022. Thematic analysis was performed using the qualitative data analysis software NVivo version 10 (QSR International). On the basis of the findings and conceptual framework gained from the qualitative interviews, a cross-sectional, anonymous, web-based survey of 593 medical practitioners in 28 provincial administrative regions of China was conducted. The data collected were analyzed using the partial least squares method, with the assistance of SPSS 27.0 (IBM Corp) and Mplus 7.0 (Muthen and Muthen), to measure and validate the proposed model. </sec> <sec> <title>RESULTS</title> On the basis of qualitative results, this study identified 4 facilitators and inhibitors, namely performance expectancy, social influence, work overload, and role ambiguity. Of the 593 medical practitioners surveyed in the quantitative research, most were female (n=364, 61.4%), had a middle title (n=211, 35.6%) or primary title (n=212, 35.8%), and had an average use experience of 6 months every year. By conducting structural equation modeling, we found that performance expectancy (β=−.55; <i>P</i><.001) and work overload (β=.16; <i>P</i>=.005) had the most significant impact on resistance to change. Resistance to change fully mediated the influence of performance expectancy and partially mediated the influences of social influence (variance accounted for [VAF]=43.3%; <i>P</i>=.002), work overload (VAF=37.2%; <i>P</i>=.03), and role ambiguity (VAF=12.2%; <i>P</i><.001) on behavioral intentions to use internet hospitals. In addition, this study found that the sex, age, professional title, and use experience of medical practitioners significantly moderated the aforementioned influencing mechanisms. </sec> <sec> <title>CONCLUSIONS</title> This study investigated the factors that facilitate or hinder medical practitioners’ resistance to change and their behavioral intentions to use internet hospitals. The findings suggest that policy makers avoid the resistance and further promote the adoption of internet hospitals by ensuring performance expectancy and social influence and eliminating work overload and role ambiguity. </sec>" @default.
- W4385416360 created "2023-08-01" @default.
- W4385416360 creator A5002061127 @default.
- W4385416360 creator A5047084765 @default.
- W4385416360 creator A5055121235 @default.
- W4385416360 creator A5072411449 @default.
- W4385416360 creator A5078179323 @default.
- W4385416360 creator A5089740697 @default.
- W4385416360 creator A5092573102 @default.
- W4385416360 date "2023-02-18" @default.
- W4385416360 modified "2023-10-16" @default.
- W4385416360 title "Investigating Factors Influencing Medical Practitioners’ Resistance to and Adoption of Internet Hospitals in China: Mixed Methods Study (Preprint)" @default.
- W4385416360 cites W115183765 @default.
- W4385416360 cites W1592478671 @default.
- W4385416360 cites W1979687792 @default.
- W4385416360 cites W1981681056 @default.
- W4385416360 cites W1985813320 @default.
- W4385416360 cites W2000421091 @default.
- W4385416360 cites W2011064952 @default.
- W4385416360 cites W2042468027 @default.
- W4385416360 cites W2100379340 @default.
- W4385416360 cites W2114653294 @default.
- W4385416360 cites W2115663720 @default.
- W4385416360 cites W2159287888 @default.
- W4385416360 cites W2160375265 @default.
- W4385416360 cites W2161497363 @default.
- W4385416360 cites W2161541479 @default.
- W4385416360 cites W2161551996 @default.
- W4385416360 cites W2166886466 @default.
- W4385416360 cites W2292089685 @default.
- W4385416360 cites W2464772757 @default.
- W4385416360 cites W2586873575 @default.
- W4385416360 cites W2604570606 @default.
- W4385416360 cites W2605055336 @default.
- W4385416360 cites W2616820489 @default.
- W4385416360 cites W2625429357 @default.
- W4385416360 cites W2674152997 @default.
- W4385416360 cites W2730652832 @default.
- W4385416360 cites W2782418504 @default.
- W4385416360 cites W2791915030 @default.
- W4385416360 cites W2798887421 @default.
- W4385416360 cites W2803980442 @default.
- W4385416360 cites W2811463693 @default.
- W4385416360 cites W2895055439 @default.
- W4385416360 cites W2972546070 @default.
- W4385416360 cites W2986300837 @default.
- W4385416360 cites W2995107837 @default.
- W4385416360 cites W2997063266 @default.
- W4385416360 cites W3014694051 @default.
- W4385416360 cites W3015215643 @default.
- W4385416360 cites W3021180990 @default.
- W4385416360 cites W3021948815 @default.
- W4385416360 cites W3042790596 @default.
- W4385416360 cites W3045235614 @default.
- W4385416360 cites W3046162954 @default.
- W4385416360 cites W3047482694 @default.
- W4385416360 cites W3081981648 @default.
- W4385416360 cites W3090733400 @default.
- W4385416360 cites W3108934293 @default.
- W4385416360 cites W3125449341 @default.
- W4385416360 cites W3125976894 @default.
- W4385416360 cites W3135653013 @default.
- W4385416360 cites W3164063885 @default.
- W4385416360 cites W3190568484 @default.
- W4385416360 cites W3195995092 @default.
- W4385416360 cites W3198596472 @default.
- W4385416360 cites W3201635504 @default.
- W4385416360 cites W3207446564 @default.
- W4385416360 cites W3209216317 @default.
- W4385416360 cites W4200526530 @default.
- W4385416360 cites W4205288560 @default.
- W4385416360 cites W4224716463 @default.
- W4385416360 cites W4226517232 @default.
- W4385416360 cites W4248161867 @default.
- W4385416360 cites W4284965683 @default.
- W4385416360 cites W4294796656 @default.
- W4385416360 cites W4309171843 @default.
- W4385416360 cites W4367590697 @default.
- W4385416360 doi "https://doi.org/10.2196/preprints.46621" @default.
- W4385416360 hasPublicationYear "2023" @default.
- W4385416360 type Work @default.
- W4385416360 citedByCount "0" @default.
- W4385416360 crossrefType "posted-content" @default.
- W4385416360 hasAuthorship W4385416360A5002061127 @default.
- W4385416360 hasAuthorship W4385416360A5047084765 @default.
- W4385416360 hasAuthorship W4385416360A5055121235 @default.
- W4385416360 hasAuthorship W4385416360A5072411449 @default.
- W4385416360 hasAuthorship W4385416360A5078179323 @default.
- W4385416360 hasAuthorship W4385416360A5089740697 @default.
- W4385416360 hasAuthorship W4385416360A5092573102 @default.
- W4385416360 hasConcept C110875604 @default.
- W4385416360 hasConcept C136764020 @default.
- W4385416360 hasConcept C14224292 @default.
- W4385416360 hasConcept C144024400 @default.
- W4385416360 hasConcept C15744967 @default.
- W4385416360 hasConcept C171250308 @default.
- W4385416360 hasConcept C177212765 @default.
- W4385416360 hasConcept C18903297 @default.
- W4385416360 hasConcept C190248442 @default.
- W4385416360 hasConcept C192562407 @default.