Determinants of Physicians’ Intention to Use Clinical Practice Guidelines on Antimicrobial at Tertiary General Hospitals in China

2020 ◽  
Author(s):  
Qingwen Deng ◽  
Wenbin Liu

Abstract Background: Inappropriate use of antimicrobial has resulted in some great public health concerns, such as antimicrobial resistance (AMR). Although the effects of clinical guidelines in standardizing clinical practice, controlling costs and reducing medical risks have been proved, the CPGs on antimicrobial hasn’t been widely applied in China yet. Furthermore, the influencing mechanism for the intention to the use of CPGs on antimicrobial remains largely unknown. Methods: By summarizing the relevant literature, the research model and self-administered questionnaire were developed. A national cross-sectional survey was conducted among physicians at tertiary general hospitals in the eastern, central, and western parts of China. Results: A total of 644 valid questionnaires were collected. The results of reliability and validity analysis showed the questionnaire was acceptable. The analyses of structural equation modeling (SEM) showed the proposed model fitted the data well with favorable values of fit indices. SEM results also revealed that seven determinants influence the intention to the use of CPGs on antimicrobial, including attitude (ATT), subjective norm (SN), perceived risk (PR), relative advantage (RA), ease of use (EOU), top management support (TMS) and organization & implementation (OI). Conclusions: The findings of this study revealed the significance of multifaceted factors to enhance the intention to use CPGs on antimicrobial. These findings will not only contribute to the development of targeted intervention strategies on promoting the use of CPGs on antimicrobial, but also provide insights for future studies about physicians’ adoption behaviors on certain health services or products.

Author(s):  
Qingwen Deng ◽  
Zhichao Zeng ◽  
Yuhang Zheng ◽  
Junhong Lu ◽  
Wenbin Liu

Abstract Background With inappropriate use of antimicrobials becoming a great public health concern globally, the issue of applying clinical practice guidelines (CPGs) to regulate the rational use of antimicrobials has attracted increasing attention. Taking tertiary general hospitals in China for example, this study aimed to identify factors to investigate the comprehensive influencing mechanism for physicians’ intention to use CPGs on antimicrobials. Methods Based on the integration of Theory of Planned Behavior (TPB), Technology Acceptance Model (TAM), and Technology-Organization-Environment framework (TOE), a questionnaire survey was conducted covering potential determinants of affecting physicians’ intentions to use CPGs on antimicrobials at the individual level (attitude, subjective norms and perceived risk), technical level (relative advantage and ease of use), and organizational level (top management support and organizational implementation). Data were collected from 644 physicians in tertiary general hospitals in eastern, central and western China, which were obtained by multi-stage random sampling. The structural equation modeling (SEM) was used to link three-level factors with physicians’ behavioral intentions. Results The majority of the participants (94.57%) showed a positive tendency toward intention to use CPGs on antimicrobials. The reliability and validity analysis showed the questionnaire developed from the theoretical model was acceptable. SEM results revealed physicians’ intentions to use CPGs on antimicrobials was associated with attitude (β = 0.166, p < 0.05), subjective norms (β = 0.244, p < 0.05), perceived risk (β = − 0.113, p < 0.05), relative advantage (β = 0.307, p < 0.01), top management support (β = 0.200, p < 0.05) and organizational implementation (β = 0.176, p < 0.05). Besides, subjective norms, perceived risk, relative advantage, ease of use, and top management support showed their mediating effects from large to small on the intentions, which were 0.215, 0.140, 0.103, 0.088, − 0.020, respectively. Conclusions This study revealed the significance of multifaceted factors to enhance the intention to use CPGs on antimicrobials. These findings will not only contribute to the development of targeted intervention strategies on promoting the use of CPGs on antimicrobials, but also provide insights for future studies about physicians’ adoption behaviors on certain health services or products.


2014 ◽  
Vol 10 (3) ◽  
pp. 19-31 ◽  
Author(s):  
Norazah Mohd Suki ◽  
T. Ramayah ◽  
Au Soo Nee ◽  
Norbayah Mohd Suki

Awareness of the importance to install anti-spyware software in one's computer has increased in this digital world. This research aims to investigate the relationship between relative advantage, moral compatibility, ease of use, subjective norms, image, computing capacity, perceived cost, and trialability, and the consumer intention to use the anti-spyware software. Data was coded and analyzed in the Statistical Package for Social Science (SPSS) computerized software version 21 and analyzed by means of Exploratory Factor Analysis (EFA). Next, Structural Equation Modeling (SEM) technique via Analysis of Moment Structure (AMOS) computer program version 21 was used for data analysis in order to achieve the research objective. Results validated the hypotheses and revealed that five vital factors: Ease of use, relative advantage, image, perceived cost, and moral compatibility influenced consumer intention to use the anti-spyware software. The ease of use dimension has the greatest impact on consumer intention to use the anti-spyware software. The developers of the anti-virus software or the software development companies should specifically target the right target groups, in terms of its market segmentation, targeting, and positioning, to boost up consumer awareness and deployment of the anti-spyware software. This research brings implication in terms of it does help the researchers and IT professionals to understand factors that influence consumer intention to use anti-spyware software.


2018 ◽  
Vol 3 (No. 1 Apr 2018) ◽  
pp. 27-38
Author(s):  
Ida Ayu Agung Faradynawati

FinTech rises as a faster, easier, and cheaper alternative to conventional financial products and services in Indonesia. The largest FinTech sub-segment in Indonesia is payment systems, representing over 30% of overall FinTech startup community. Consumer confidence and trust are essential to acquire and retain users and increase transaction volumes for FinTech companies. Therefore, in the expectation that a better understanding of factors that shape consumer behavior can promote the development of FinTech payment system, the goal of this research was to examine consumer perceived risks and trust in FinTech payment systems in Indonesia. The data generated from 175 respondents were analyzed using the Structural Equation Modeling (SEM). Using trust as the mediating variable, this research concludes that there is a significant relationship between perceived risk and intention to use Fintech payments. Perceived ease of use is also found to be the antecedent of trust. In addition to that, this study also suggests that consumer trust and intention have positive impacts on a good evaluation of FinTech payment with objective opinions on the future of FinTech payment.


Author(s):  
Markus Salo ◽  
Thomas Olsson ◽  
Markus Makkonen ◽  
Lauri Frank

Mobile augmented reality (AR) based applications enable digital content to be connected with the user’s real world surroundings. To begin with, the current types of consumer-level applications are introduced. The main purpose of the chapter is to study the adoption and perceived strengths and weaknesses of mobile AR-based applications by analyzing quantitative and qualitative responses of 90 actual users. Diffusion of innovations (DOI) theory is adopted with structural equation modeling (SEM) to investigate the intention to use such applications. Perceived strengths and weaknesses, mentioned by the users, are analyzed by qualitative coding. Results indicate that the constructs of diffusion of innovations theory are able to explain 67.7% of variance for the intention to use AR-based applications. Relative advantage, ease of use, and observability are significant factors determining use intentions. The strengths and weaknesses of applications are related to content, features, ease of use, technology and hardware, enjoyment, and concept.


Author(s):  
Sompoch Tongnamtiang ◽  
Adisorn Leelasantitham

This study examined the factors that influence consumers’ acceptance and use of self-service technology by integrating a ground theory model such as the technology acceptance model and the theory of innovation adoption. The variables that affect consumers’ attitudes and intentions were investigated; this included perceived usefulness, perceived ease of use, relative advantage, complexity and knowledge. Further, the variables from the resistance theory, which consist of usage barriers and ability, were investigated. Interviews and surveys were conducted with two business operators that provide TVM services; eight hundred online and offline consumers who experienced the TVMs were selected as a sample. The research model of this study was developed, and the correlations between the variables analyzed, using structural equation modeling. Our results confirm that the factors such as relative advantage, knowledge, perceived usefulness and perceived ease of use positively affected the attitude and intention toward using the TVM; factors such as usage barriers and complexity negatively impacted the intention to use the top-up machine. These results can be used as baseline data for developing or designing self-service technology. Entrepreneurs should consider these factors to make technology continue to be recognized and persisted in the use of technology.  


SAGE Open ◽  
2016 ◽  
Vol 6 (4) ◽  
pp. 215824401667539 ◽  
Author(s):  
Chanchai Phonthanukitithaworn ◽  
Carmine Sellitto ◽  
Michelle W. L. Fong

Previous studies of mobile payment (m-payment) services have primarily focused on a single group of adopters. This study identifies the factors that influence an individual’s intention to use m-payment services and compares groups of current users (adopters) with potential users (non-adopters). A research model that reflects the behavioral intention to use m-payment services is developed and empirically tested using structural equation modeling on a data set consisting of 529 potential users and 256 current users of m-payment services in Thailand. The results show that the factors that influence current users’ intentions to use m-payment services are compatibility, subjective norms, perceived trust, and perceived cost. Subjective norms, compatibility, ease of use, and perceived risk influenced potential users’ intentions to use m-payment. Subjective norms and perceived risk had a stronger influence on potential users, while perceived cost had a stronger influence on current users, in terms of their intentions to use m-payment services. Discussions, limitations, and recommendations for future research are addressed.


2020 ◽  
Vol 11 (1) ◽  
pp. 1-19
Author(s):  
Ika Febrilia ◽  
Shela Puspita Pratiwi ◽  
Irianto Djatikusumo

Penelitian ini bertujuan untuk menguji pengaruh: a) self-efficacy terhadap perceived ease of use; b) self-efficacy terhadap perceived usefulness; c) perceived risk terhadap perceived usefulness; d) perceived risk terhadap intention to use; e) perceived usefulness terhadap intention to use; f) perceived ease of use terhadap intention to use; g) perceived ease of use terhadap perceived usefulness; untuk produk dompet digital pada mahasiswa di FE UNJ. Pengumpulan data dilakukan dengan menggunakan metode survei, yaitu dengan membagikan kuesioner. Setelah data terkumpul akan dilakukan pengujian terhadap validitas dan reliabilitas instrumen, yang dilanjutkan dengan uji hipotesis menggunakan SEM (Structural Equation Modeling) dengan bantuan program Amos 20.0. Hasil penelitian menunjukkan adanya pengaruh yang positif dan signifikan: a) self-efficacy terhadap perceived ease of use, b) perceived risk terhadap perceived usefulness, c) perceived risk terhadap intention to use, serta d) perceived ease of use terhadap perceived usefulness. Kata kunci: self-efficacy, perceived risk, perceived usefulness, perceived ease of use, intention to use, mahasiswa, FE UNJ


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Eugene Okyere-Kwakye ◽  
Khalil Md Nor

Purpose Electronic library (E-library) is a form of computer mediated system that uses electronic media, such as Web/internet devices and distributes resources to improve on the quality of teaching and learning. Students’ use of e-library for learning is essential and as such the government has invested hugely into its subscription for several university libraries in Ghana. However, most university students feel reluctant to use the e-library resources for their studies. The purpose of this paper is therefore to examine the factors that influence students’ intention to use e-library resources for their studies. Design/methodology/approach Questionnaire was used to collect data from 200 students from one Technical University in Ghana. Structural equation modeling (SmartPLS) was used to analyze the data. Findings The study found that accessibility, attitude, perceived ease of use, perceived usefulness and relevance to studies have positive significant effect on students’ attitude to use e-library. In addition, self-efficacy, subjective norm and attitude have positive significant influence on students’ intention to use e-library. Research limitations/implications Although the sample frame used for this study may be unique, but the total amount of data collected was limited to providing the general representative of the Ghanaian students in one particular university. Other researchers may consider collecting data from other universities to extend the sample frame for a larger sample size of students. Practical implications Academic administrators need to organize training and workshops on how to use the e-library portal for their search and other didactic assignments. Most importantly, students should be given IT or internet tutorials as foundation for the use of the e-library portal. Social implications Universities have to provide internet access such as hotspot and network routers at the labs, classrooms and other vantage points. It is believed that with these in place, adequate access to the internet would promote students’ engagement on the e-library facility. Originality/value The study examines the factors that influence students’ intention to use e-library resources for their studies in Ghana.


Author(s):  
Isnaeni Agustin Widhiaswara ◽  
Harry Soesanto

This study aims to analyze the effect of perceived usefulness, perceived of ease of use, perceived risk , trust and purchasing decisions for GoFood in the city of Semarang. Respondents in this study are consumers who make food purchases through GoFood. Data collected through Google Form containing questionnaires filled out by 125 respondents. The analytical method used is Structural Equation Modeling (SEM) analysis carried out with the AMOS program. The results of hypothesis testing with SEM show that: 1. Perceived usefulness has a significant effect on trust, 2. Perceived of ease of use has a significant effect on trust, 3. Perceived risk has a significant effect on trust, 4. Trust has a significant effect on purchasing decisions, 5. Perceived usefulness has a significant effect on purchasing decisions, 6. Perceived of ease of use has a significant effect on purchasing desicion, 7. Perceived risk has a significant effect on purchasing decisions.


2019 ◽  
Vol 3 (2) ◽  
pp. 94
Author(s):  
Sulaiman Sulaiman ◽  
Zainal Abidin ◽  
Suharno Suharno

Tujuan penelitian ini mengetahui pengaruh behavioral intention (BI) terhadap transportasi online grab bike dengan menggunakan variabel trust, perceived ease of use (PEOU), perceived risk (PR) dan perceived usefulness (PU). Sebanyak 161 orang menjadi responden dalam penelitian ini dengan cara mengisi kuesioner. Data yang diperoleh kemudian dianalisis menggunakan alat analisis Structural Equation Modeling (SEM) dengan menggunakan software analysis of moment structure (AMOS). Setelah dilakukan penelitian diperoleh hasil bahwa PR berpengaruh signifikan terhadap trust, PEOU  berpengaruh signifikan terhadap trust, PU berpengaruh signifikan terhadap trust. Begitu pula pengaruh PR signifikan terhadap behavioral intention, PEOU, PU signifikan terhadap behavioral intention, serta trust signifikan terhadap behavioral intention.


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