Telemedicine Adoption Among Health Care Professionals in Israeli Geriatric Medical Centers: Moderated Mediation Cross-Sectional Questionnaire Study.

چکیده اصلی

BACKGROUND: Telemedicine adoption among health care professionals is hindered by resistance to change (RTC), comprising routine-seeking, emotional reactivity, short-term focus, and cognitive rigidity, which interacts with perceived ease of use (PEU) and anxiety within the Technology Acceptance Model framework. OBJECTIVE: This study aimed to test a moderated mediation model in which PEU mediates the association between RTC, assessed both overall and by dimension, and intention to use telemedicine, while telemedicine-related anxiety moderates the association between PEU and intention to use. Participants were recruited from 4 governmental geriatric medical centers in Israel. METHODS: A cross-sectional study was conducted among 377 health care professionals from 4 Israeli governmental geriatric medical centers. Telemedicine use in the participating centers was limited, optional, and consisted mainly of remote patient monitoring. Data collection was conducted between March and June 2024. Data were collected using validated self-administered questionnaires measuring telemedicine-related anxiety, RTC with 4 dimensions (routine seeking, emotional reactivity, short-term focus, and cognitive rigidity), PEU, and intention to use telemedicine. Statistical analyses were performed using SPSS (version 28) and PROCESS Model 14 for moderated mediation analysis. RESULTS: The moderated mediation analysis revealed that RTC was negatively associated with the intention to use telemedicine through the lower PEU, with this indirect pathway being attenuated but not eliminated by high telemedicine-related anxiety. The overall indirect effect remained negative and statistically significant across all anxiety levels. CONCLUSIONS: Health care professionals' RTC reduced their intention to use telemedicine by lowering PEU, with telemedicine-related anxiety moderating but never eliminating this relationship. These findings suggest that telemedicine implementation in geriatric settings should consider both RTC and PEU. The positive indirect association observed for cognitive rigidity was unexpected and should be replicated before specific practical recommendations are made.

ترجمه فارسی چکیده

پس‌زمینه: پذیرش تله‌درمانی میان متخصصان سلامت با مقاومت در برابر تغییر (RTC) که شامل جستجوی روتین، واکنش احساسی، تمرکز کوتاه‌مدت و تثبیت شناختی است، موانع ایجاد می‌کند. این عامل با درک آسانی استفاده (PEU) و اضطراب در چارچوب مدل پذیرش فناوری تعامل دارد. هدف: این مطالعه هدف آزمون یک مدل میانجی‌گری تعدیل‌شده را داشت که در آن PEU میان رابطه RTC و نیت استفاده از تله‌درمانی و اضطراب مرتبط با تله‌درمانی میانجی‌گری می‌کند. روش‌ها: این مطالعه مقطعی در میان ۳۷۷ متخصص سلامت از ۴ مرکز دولتی اسرائیلی انجام شد. داده‌ها بین مارس و ژوئن ۲۰۲۴ جمع‌آوری شدند. یافته‌ها: تحلیل نشان داد RTC با نیت استفاده از تله‌درمانی به صورت منفی از طریق PEU پایین‌تر مرتبط است و این مسیر غیرمستقیم با اضطراب بالا تعدیل می‌شود اما حذف نمی‌گردد. نتیجه‌گیری: RTC متخصصان سلامت نیت استفاده از تله‌درمانی را از طریق کاهش PEU کاهش می‌دهد و اضطراب مرتبط با تله‌درمانی این رابطه را تعدیل می‌کند.

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