Factors Influencing Rural End-Users' Acceptance of e-Health in Developing Countries: A study on Portable Health Clinic in Bangladesh

Nazmul Hossain, Fumihiko Yokota, Nazneen Sultana, Ashir Ahmed

研究成果: ジャーナルへの寄稿記事

4 引用 (Scopus)

抄録

Background: Existing studies regarding e-health are mostly focused on information technology design and implementation, system architecture and infrastructure, and its importance in public health with ancillaries and barriers to mass adoption. However, not enough studies have been conducted to assess the end-users' reaction and acceptance behavior toward e-health, especially from the perspective of rural communities in developing countries. Objective: The objective of this study is to explore the factors that influence rural end users' acceptance of e-health in Bangladesh. Methods: Data were collected between June and July 2016 through a field survey with structured questionnaire form 292 randomly selected rural respondents from Bheramara subdistrict, Bangladesh. Technology Acceptance Model was adopted as the research framework. Logistic regression analysis was performed to test the theoretical model. Results: The study found social reference as the most significantly influential variable (Coef. = 2.28, odds ratio [OR] = 9.73, p < 0.01) followed by advertisement (Coef. = 1.94, OR = 6.94, p < 0.01); attitude toward the system (Coef. = 1.52, OR = 4.56, p < 0.01); access to cellphone (Coef. = 1.37, OR = 3.92, p < 0.05), and perceived system effectiveness (Coef. = 0.74, OR = 2.10, p < 0.01). Among demographic variables, age, gender, and education were found significant while we did not find any significant impact of respondents' monthly family expenditure on their e-health acceptance behavior. The model explains 54.70% deviance (R 2 = 0.5470) in the response variable with its constructs. The "Hosmer-Lemeshow" goodness-of-fit score (0.539) is also above the standard threshold (0.05), which indicates that the data fit well with the model. Conclusion: The study provides guidelines for the successful adoption of e-health among rural communities in developing countries. This also creates an opportunity for e-health technology developers and service providers to have a better understanding of their end users.

元の言語英語
ページ(範囲)221-229
ページ数9
ジャーナルTelemedicine and e-Health
25
発行部数3
DOI
出版物ステータス出版済み - 3 2019

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Bangladesh
Developing Countries
Odds Ratio
Health
Rural Population
Technology
Biomedical Technology
Health Expenditures
Health Services
Theoretical Models
Public Health
Logistic Models
Regression Analysis
Demography
Guidelines
Education
Surveys and Questionnaires
Research

All Science Journal Classification (ASJC) codes

  • Health Informatics
  • Health Information Management

これを引用

Factors Influencing Rural End-Users' Acceptance of e-Health in Developing Countries : A study on Portable Health Clinic in Bangladesh. / Hossain, Nazmul; Yokota, Fumihiko; Sultana, Nazneen; Ahmed, Ashir.

:: Telemedicine and e-Health, 巻 25, 番号 3, 03.2019, p. 221-229.

研究成果: ジャーナルへの寄稿記事

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