Factors Influencing Younger Users’ Continued Adoption of e-Health: A Study on Hospital Public Platform in a Large Public Hospital in China (Preprint)

2021 ◽  
Author(s):  
Ruan Yuan ◽  
Xie Qian ◽  
Wu Caibo

BACKGROUND With the rapid development of the internet, hospital public platform (HPP) has been designed for the use in top state-owned public hospitals since 2009 to provide patients with appointment registrations, test result inquiry, online payment, online consultation and other services. This study was conducted to measure continued adoption and to identify factors that influence patients’ continued adoption of HPP. OBJECTIVE This study was conducted to measure continued adoption and to identify factors that influence patients’ continued adoption of HPP. METHODS Expectancy Confirmation Theory (ECM-ISC) and Theory of Planned Behavior (TPB) was used to assess the users’ continued adoption of HPP. A questionnaire was distributed to patients in Beijing Friendship Hospital, which measured constructs, including perceived usefulness, expectation confirmation, satisfaction, continuance intention, subject norm, perceived behavior control and adoption behavior. Structural equation modeling (SEM) was performed to test the theoretical model. RESULTS The expectation confirmation significantly affected perceived usefulness, and satisfaction significantly affected continuance intention, while perceived usefulness had no significant effect on satisfaction and continuance intention. The subjective norm and perceived behavior control had significant influence on continuance intention. Perceived trust significantly affected satisfaction and continuance intention. The expectation confirmation had no significant impact on satisfaction, but it could affect satisfaction indirectly through perceived trust. Habit had a significant influence on adoption behavior and had a significant moderate effect between continuance intention and adoption behavior. CONCLUSIONS The findings of this study provide an applied guideline for the successful application of e-health systems in public hospitals in cities. It also creates an opportunity for e-health service providers to have a better understanding of their patients, which may have far-reaching and positive implications for China’s ongoing reforms.

2019 ◽  
Vol 5 (4) ◽  
pp. 891-918
Author(s):  
Laily Dwi Arsyianti ◽  
Adelia Adelia

Many cashless payment tools have been introduced to Indonesia market in the form of cards to electronic money. Sharia compliance-credit card is one of traditional electronic payment tools that are provided by only two Islamic finance institutions among many in Indonesia. The increase of Sharia compliance-credit card transactions from time to time may lead banks to be exposed to non-performing risk. Customers’ behaviors are varying in utilizing Sharia compliance-credit card, and their behavior may cause unpredicted results on card’s performance. Therefore, the purposes of this study are: 1) To identify the behavior of Sharia compliance-credit card’s users and 2) To analyze the factors influencing the behavior of Sharia compliance-credit card’s users. Primary data is gathered through distributing questionnaires with a total sample of 170 respondents. The data is analyzed by employing Structural Equation Modeling. This research shows that gender, age, and education influence perceived behavior control; and, expenditure influences subjective norms. Customers’ attitudes, subjective norms, and perceived behavior control are proven to influence customer intentions, where customers’ intentions, perceived behavior control, and income influence customers’ behavior towards using Sharia compliance-credit card. For further sustainable inclusive growth, the issuers should pay attention on education for specific audiences.


2020 ◽  
Vol 5 (1) ◽  
pp. 83-91
Author(s):  
Arya Samudra Mahardhika ◽  
Tuti Zakiyah

The main objective of this research was to empirically examine the interests of millennial investors in investing in stocks using the theory of planned behavior approach consisting of Attitude toward Behavior, Subjective Norms, and Perceived Behavior Control as predictors of Intention, and Actual Behavior as a consequence of Intention. In addition, this research added risk tolerance variable as a development. This research is based on the low investment interest of the Indonesian people when compared to the total population of Indonesia. Respondents in this study are investors who are in accordance with predetermined criteria, who have already invested in stock and are aged between 20-35 years in Kebumen Regency. Data collection in this study was carried out by distributing questionnaires to the respondents. The hypothesis in this research was tested using Structural Equation Modeling (SEM) through WarpPLS software version 6.0. The results of hypothesis testing in this research empirically prove that Attitude toward Behavior, Subjective Norms, and Perceived Behavior Control are predictors of Intention. In addition, this research also proves that Intention has a positive effect on millennial investors' actual behavior in investing in stocks


ACCRUALS ◽  
2018 ◽  
Vol 2 (1) ◽  
pp. 28-40
Author(s):  
Nurhamidah Nurhamidah ◽  
Asep Kurniawan ◽  
Indah Umiyati

This study aims to examine and analyze the model of technology user behavior on the acceptance of an information system on e-samsat Application system. With sample number 100 respondents with sampling using incidental sampling technique. Hypothesis testing used is Structural Equation Modeling (SEM). Based on the results say that Perceived Ease of Use variable has a positive and significant effect on Perceived of Usefulness and Trust. The Perceived of Usefulness variable has a positive and significant effect on Attitude and Behavior  Intention. Trust variables have a positive and significant influence on Perceived of Usefulness, Perceived Behavior Control, Attitude, Perceived of Risk and Subjective Norm. Perceived Behavior Control and Attitude variables have positive and significant effect on Behavior Intention.


2021 ◽  
Vol 12 ◽  
Author(s):  
Yuan Chen ◽  
Bey-Fen Lee ◽  
Yen-Cheng Lu

Global climate change arouses people’s attention to environmental protection and, therefore, changes consumption habits. Food overconsumption not only produces extra waste but also pollutes the environment. Therefore, it is important to understand the factors that motivate people to eat green, an eco-friendly way to consume food. To keep the body in good shape, the fitnessers concern more about diet than the general people. This study explored intrinsic motivations, such as social recognition, environmental ethics, curiosity, joy of purchase, perceived usefulness, subjective norm, and perceived behavior control as constructs that affect fitnesser’s green eating intention. All constructs except curiosity have significant impacts on behavior intention. The results demonstrate that social recognition and environmental ethics have significant effects on curiosity, joy of purchase, perceived usefulness, subjective norm, and perceived behavior control. The mediation effects between social recognition and behavior intention are not supported. The mediators between environmental ethics and behavior intention are joy of purchase, perceived usefulness, subjective norm, and perceived behavior control.


SAGE Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 215824402110252
Author(s):  
Paula Vicente ◽  
Catarina Marques ◽  
Elizabeth Reis

Environmental quality is one of the major concerns in contemporary societies. The main goal of this research is to investigate citizens’ willingness to pay for environmental quality and whether this propensity differs in line with education level. Structural equation modeling is used to explore the associations between several constructs; specifically, a multigroup analysis is conducted to assess the invariance of two educational level segments. Results suggest that willingness to pay more for environmental quality is positively associated with perceived behavior control and environmental activism. Pro-environmental behavior does not impact willingness to pay for environmental quality but is positively related to perceived behavior control and environmental activism. The relationships between constructs hold true for both groups of education. Implications for public policy and marketing actions are addressed.


2021 ◽  
Vol 13 (22) ◽  
pp. 12536
Author(s):  
Wei Gu ◽  
Ying Xu ◽  
Zengjun Sun

Massive open online course (MOOC) is an innovative educational model that has attracted widespread attention in recent years. Despite a growing number of registered users, many have given up continuously using MOOC platforms after the first-time user experience; thus, a high dropout rate has severely hindered the sustainable development of MOOC platforms. To address the problem, this study started with the quality factors of MOOC platforms and the confirmation of user expectations by integrating the D&M ISS model and the expectation confirmation model into one, with the goal of identifying the factors that affect users’ continuance intention to use MOOC platforms. In this study, online questionnaires were distributed to Chinese users with experience in using MOOC platforms, and a total of 550 valid samples were recovered. In addition, the theoretical model was tested using structural equation modeling (SEM). The research results showed that there are three critical antecedents affecting the confirmation of user expectations for a MOOC platform, including information quality, system quality, and service quality, of which service quality has the greatest impact on users’ expectation confirmation. If user expectations for an MOOC platform are positively confirmed, the perceived usefulness of the platform as well as the satisfaction with it will effectively be improved. Moreover, perceived usefulness has been proven to be a critical factor affecting users’ continuance intention to use MOOC platforms, which is followed by user satisfaction. Compared to the original ECM, the integrated research model has delivered significantly improved explanatory power for users’ continuance intention. Hence, this study makes up for the insufficiency of ECM in explaining the factors affecting users’ expectation confirmation and provides theoretical support for MOOC platform developers.


2020 ◽  
Vol 11 (2) ◽  
pp. 183-210
Author(s):  
Fuad Hasyim ◽  
Muhammad Al-Farido Awwal ◽  
Nur Hidayah Al Amin

Abstract: ZISWAF is an Islamic-led fundraising instrument aimed at wealth distribution. The existence of technological developments allows the adaptation of payments with all its acceleration. This study aims to determine the digital payment strategy to maximize ZISWAF’s revenue potential in Indonesia. This study uses the TAM, and TPB modification approaches. The methodology used is structural equation modeling (SEM) with a partial least square (PLS) approach. The sample used is the Y generation as a representation of the millennial generation. The results showed that all the variables forming the TAM theory (perceived usefulness, perceived ease of use, attitude) and all the variables creating the TPB theory (subjective norms and perceived behavior control) significantly affect the Intention (INT) of individuals pay for online ZISWAF (sig. 0.05, α=5%). Furthermore, attitude is a mediating variable in a partial/ quasi modification model that links perceived usefulness (PU), perceived ease of use (PEoU) to Intention (INT) (VAF=49.87%).Abstrak: ZISWAF adalah instrumen pengumpulan dana yang dipelopori Islam dengan tujuan untuk distribusi kekayaan. Adanya perkembangan teknologi memungkinkan adaptasi pembayaran dengan segala akselerasinya. Penelitian ini bertujuan untuk mengetahui strategi pembayaran digital untuk memaksimumkan potensi pendapatan ZISWAF di Indonesia. Penelitian ini menggunakan pendekatan modfikasi TAM dan TPB. Metodologi yang digunakan adalah structural equation modeling (SEM) dengan pendekatan partial least square (PLS). Sampel yang digunakan merupakan generasi Y sebagai representasi generasi milenial. Hasil menunjukkan seluruh variabel pembentuk teori TAM yakni perceived usefulness (PU), perceived ease of use (PEoU) dan attitude (ATT) dan seluruh variabel pembentuk teori TPB yakni subjective norms (SN) dan perceived behavior control (PBC) berpengaruh terhadap intention (INT) individu dalam membayar ZISWAF secara online (sig. 0.05, α=5%).  Attitude (ATT) merupakan variabel pemediasi dalam model modifikasi yang bersifat partial/ quasy yang menghubungkan perceived usefulness (PU), perceived ease of use (PEoU) terhadap intention (INT) (VAF=49.87%)


2021 ◽  
Vol 17 ◽  
pp. 332-341
Author(s):  
Toan Le Duc ◽  
Phu Nguyen Huu ◽  
Loan Pham Thi Be ◽  
Hung Phan Tran Minh

Vietnam has the concrete socio – eco characteristics as low General Domestic Product (GDP) per capita, not high people’s education level, undeveloped information infrastructure and long – standing consumers’ habit of cash, etc…However, given its enormous market opportunities and intensified competition, Vietnam is mentioned as a fast – growing emerging market offering great chances to advance practices in accepting developed services. The study’s aim is to find factors affecting to customer’s intention in using internet banking of Vietnamese, which results propose recommendations to managers of motivating customer intension as well as improving internet banking services. The study integrates the technology acceptance model and theory of planned behavior with an additional construct called customer service to be suitable with conditions of Vietnam. The findings support that the intention to adopt internet banking in Vietnam emerging economy are predicted by 6 factors, namely perceived ease to use, perceived usefulness, customer service, customer satisfaction, subjective norm and perceived behavior control, wherein subjective norm, perceived behavior control and customer satisfaction were the strong – influencing indicators of adopting internet banking. The study’s results show that the proposed model has a good explanatory power and confirms its robustness in predicting customers' intentions to adopt Internet banking. The study broadens and deepens understandings of factors contributing to the development of internet banking, especially for an emerging country such as Vietnam.


Author(s):  
Jiayi Liu ◽  
Zhikai Peng ◽  
Xiaoxi Cai ◽  
You Peng ◽  
Jiang Li ◽  
...  

This study addresses students’ perceptions of using urban green spaces (UGSs) after the easing of COVID-19 lockdown in China. We questioned whether they are still mindful of the risks from the outdoor gathering, or conversely, starting to learn the restoration benefits from the green spaces. Online self-reported surveys were distributed to the Chinese students aging from 14 to 30 who study in Hunan and Jiangsu Provinces, China. We finally obtained 608 complete and valid questionnaire forms from all participants. Their intentions of visiting UGSs were investigated based on the extended theory of planned behavior model. Structural equation modeling was employed to test the hypothesized psychological model. The results have shown good estimation performance on risk perception and perceived knowledge to explain the variances in their attitudes, social norms, and perceived behavior control. Among these three endogenous variables, the perceived behavior control owns the greatest and positive influence on the behavioral intention, inferring that controllability is crucial for students to make decisions of visiting green spaces in a post-pandemic context.


2021 ◽  
pp. 0887302X2098652
Author(s):  
Song-yi Youn ◽  
Jung Eun Lee ◽  
Jung Ha-Brookshire

The purpose of this study is to understand fashion consumers’ channel switching to online stores during the COVID-19. We proposed an extended theory of planned behavior by incorporating protection motivation theory. The results showed that consumer assessments of perceived severity and altruistic fear of COVID-19 and response efficacy and self-efficacy of channel switching increased their beliefs (i.e., attitude, perceived behavior control, subjective norm) and intentions to switch shopping channels to online. We also found that the age (young vs. old) moderated the effects of response efficacy and self-efficacy on perceived behavior control, perceived severity on subjective norm, perceived behavior control on channel switching intentions, and channel switching intention on actual switching behavior. The findings provide fashion retailers and the society with a better understanding about fashion consumers’ shopping channel switching under the pandemic.


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