Faculty of Civil Engineering, Mechanics and Petrochemistry, Warsaw University of Technology, 09-400 Plock, Poland.
College of Economics and Social Sciences, Warsaw University of Technology, 09-400 Plock, Poland.
Int J Environ Res Public Health. 2022 Sep 1;19(17):10937. doi: 10.3390/ijerph191710937.
During the COVID-19 pandemic, telehealth became a popular solution for the remote provision of primary care by General Practitioners (GPs) in Poland. This study aimed to assess the GPs' acceptance of telehealth during the COVID-19 pandemic in Poland and to explain the factors that drive GPs' need to implement a telehealth system in primary care using the modified Technology Acceptance Model (TAM). In Poland, 361 GPs from a representative sample of 361 clinics drawn from 21,500 outpatient institutions in Poland participated in the empirical study. Structural equation modelling (SEM) was used to evaluate the causal relationships that were formulated in the proposed model. Research has shown that Polish GPs reported a positive perception and high acceptance of the telehealth system during the COVID-19 pandemic. Overall, the results show that the social factors (image, decision autonomy, perception of patient interaction) significantly positively influence the technological factors (perceived ease of use and perceived usefulness) that influence the need to implement a telehealth system. The proposed socio-technological model can serve as a theoretical basis for future research and offer empirical predictions for practitioners and researchers in health departments, governments, and primary care settings.
在 COVID-19 大流行期间,远程医疗成为波兰全科医生(GP)远程提供初级保健的热门解决方案。本研究旨在评估波兰全科医生在 COVID-19 大流行期间对远程医疗的接受程度,并使用修改后的技术接受模型(TAM)解释推动全科医生在初级保健中实施远程医疗系统的需求的因素。在波兰,来自波兰 21500 家门诊机构中抽取的 361 家诊所的代表性样本中的 361 名全科医生参加了这项实证研究。结构方程模型(SEM)用于评估在提出的模型中制定的因果关系。研究表明,波兰全科医生在 COVID-19 大流行期间报告了对远程医疗系统的积极看法和高度接受。总体而言,结果表明,社会因素(形象、决策自主权、对患者互动的感知)显著积极地影响技术因素(感知易用性和感知有用性),从而影响实施远程医疗系统的需求。所提出的社会技术模型可以作为未来研究的理论基础,并为卫生部门、政府和初级保健机构的从业者和研究人员提供经验预测。