题名

遠距健康照護消費行為之實證研究

并列篇名

An Empirical Study on the Purchasing Behavior for Telehealthcare Systems in Taiwan

DOI

10.3966/207321472017060902001

作者

黃維民(Wei-Min Huang)；高棋凱(Chi-Kai Kao)；蘇雅涵(Ya-Han Su)

关键词

遠距健康照護 ； 計畫行為理論 ； 知覺財務控制 ； 健康意識 ； 購買意圖 ； Telehealthcare ； Theory of Planned Behavior (TPB) ； Perceived Financial Control ； Health Consciousness ； Purchase Intention

期刊名称

商略學報

卷期/出版年月

9卷2期（2017 / 06 / 01）

页次

67 - 88

内容语文

繁體中文
中文摘要

在面臨政府預算緊縮、現有照護模式難以負荷節節高升的健康與社會照護需求下，使得遠距健康照護被視為解決未來健康照護需求的重要策略。綜觀國內外文獻，研究多著重於技術面及使用意圖的探討，有關購買意圖之研究仍相當缺乏。本研究以計畫行為理論為基礎，納入影響科技產品購買意願之有用性、易用性、健康意識及知覺財務控制，以瞭解哪些因素會影響遠距健康照護的購買意願。本研究以遠距健康照護服務之單位會員為對象進行問卷發放，收集到176 份有效問卷，並以SmartPLS 去驗證各變數間的假設及解釋能力。研究結果發現，影響消費者購買遠距健康照護的因素有態度及知覺財務控制等變項，而態度會受到知覺有用性、知覺易用性以及健康意識所影響，進而再影響到購買意圖。
英文摘要

Telehealthcare has been an important strategy to solve the growing healthcare needs in recent years, as the government's welfare budget constraints and the health and social care needs continues to grow. According to literatures, several studies suggested that the public has high satisfaction and acceptance toward this technology. However, the purchase intention is not high because the service costs. Since most of the previous telehealthcare researches focused on the technical side or the use intention, studies on purchase intentions are relatively lacking. Hence, there is a need to identify the factors that affect the purchase intention of adopting telehealthcare. This study aims to design a model of the factors affecting the consumers' purchase intention of telehealthcare. The proposed model is based on the theory of planned behavior and includes perceived usefulness, perceived ease of use and health consciousness. Data was collected from 176 consumers among a questionnaire distributed through telehealthcare centers. SPSS and SmartPLS were employed as data analysis tools to confirm our hypotheses and test against the research model. The findings of the study reveal that attitude and perceived financial control can be critical predictors of purchase intention. The results also suggest that consumers' attitude toward purchases can be influenced by perceived usefulness, perceived ease of use and health consciousness.
主题分类 基礎與應用科學 > 資訊科學
社會科學 > 經濟學
社會科學 > 管理學
参考文献
  1. 吳忠宏、蘇珮玲(2005)。職前教師參與生態旅遊活動之行為意圖研究。臺中教育大學學報：教育類，19(2)，73-97。
    連結：
  2. 林彣珊、許應哲、黃馨儀(2009)。消費者採用網路平臺傳播購後訊息意圖之研究。商管科技季刊，10(2)，197-223。
    連結：
  3. 黃玉枝、趙海倫、傅一帆(2012)。影響民眾購買遠距健康照護商品意願之因素探討。國立虎尾科技大學學報，30(4)，7-17。
    連結：
  4. 審計部全球資訊網，2014。遠距健康照護資訊發布， 取自: http://www.audit.gov.tw/m/405-1000-1733,c197.php
  5. Technology Strategy Board, 2011. DALLAS–Delivering Assisted Living Lifestyles at Scale: Autho, retrieved from http://webarchive.nationalarchives.gov.uk/2013022 1185318/http://www.innovateuk.org/_assets/0511/s bri_comp_dallas.pdf
  6. 行政院衛生福利部，2014。103 年衛生福利部新聞，9月。取自: http://www.mohw.gov.tw/CHT/Ministry/DM2_P.aspx?f_list_no=7andfod_list_no=4980anddoc_no=4 6542。
  7. 衛生福利部護理及健康照護司，2014。遠距健康照護服務計畫說明，取自: http://mohw.telecare.com.tw/WebPages/Sidebar1/ProjectArea.aspx
  8. 行政院衛生福利部，2011。遠距健康照護服務承做機構計畫，取自:http://telecare.com.tw/Upload%5CActivity%5Cact9002.pdf
  9. 工業技術研究院—產業經濟與趨勢研究中心 IEK， 2014。淺談亞太地區遠距健康照護市場機會， 取自; http://ieknet.iek.org.tw/BookView.do?domain=5an drptidno=879996235
  10. Ajzen, I.(1991).The theory of planned behavior.Organizational Behavior and Human Decision Processes,50,179-211.
  11. Ajzen, I.,Fishbein, M.(1980).Understanding Attitudes and Predicting Social Behavior.Englewood Cliffs, NJ:Prentice-Hall.
  12. Ajzen, I.,Madden, T.J.(1986).Prediction of goal-directed behaviour: Attitudes, intentions and perceived behavioural control.Journal of experimental Social Psychology,22,453-474.
  13. Akematsu, Y.,Tsuji, M.(2013).Evaluation of e-Health by PSM (Propensity Score Matching) Method.Proceedings of the Fifth International Conference on eHealth, Telemedicine, and Social Medicine,Nice:
  14. Armitage, C. J.,Conner, M.(2001).Efficacy of the theory of planned behavior: A meta-analytic review.British Journal of Social Psychology,40,471-499.
  15. Arvola, A.,Vassallo, M.,Dean, M.,Lampila, P.,Saba, A.,Lähteenmäki, L.(2008).Predicting intentions to purchase organic food: The role of affective and moral attitudes in the Theory of Planned Behaviour.Appetite,50,443-454.
  16. Asua, J.,Orruño, E.,Reviriego, E.,Gagnon, M. P.(2012).Healthcare professional acceptance of telemonitoring for chronic care patients in primary care.BMC medical informatics and decision making,12(1),139.
  17. Bayer, S.,Barlow, J.,Curry, R.(2007).Assessing the impact of a care innovation: telecare.System Dynamics Review,23(1),61-80.
  18. Beale, S.,Sanderson, D.,Kruger, J.(2009).Evaluation of the Telecare Development Programme: Final Report.
  19. Becker, M.H.,Maiman, L.A.,Kirscht, J.P.,Haefner, D.P.,Drachman, R.H.(1977).The health belief model and prediction of dietary compliance: a field experiment.Journal of Health and Social Behaviour,18(4),348-366.
  20. Blackman, T.(2013).Care robots for the supermarket shelf: a product gap in assistive technologies.Ageing and society,33(5),763-781.
  21. Boakye, K. G.,McGinnis, T.,Prybutok, V. R.(2014).Q-TAM: a quality technology acceptance model for technology operations managers.Operations Management Research,7(1-2),13-23.
  22. Böhm, M.,Fuchs, S.,Pfliegl, R.,Kölbl, R.(2009).Driver behavior and user acceptance of cooperative systems based on infrastructure-to-vehicle communication.Transportation Research Record: Journal of the Transportation Research Board,2129(6),136-144.
  23. Burnkrant, R. E.,Page, T. J., Jr(1988).The structure and antecedents of the normative and attitudinal components of Fishbein's theory of reasoned action.Journal of Experimental Social Psychology,24(1),66-87.
  24. Callan, A.,O'Shea, E.(2015).Willingness to pay for telecare programmes to support independent living: Results from a contingent valuation study.Social Science and Medicine,124,94-102.
  25. Caprara, G. V.,Barbaranelli, C.,Guido, G.(2000).The prospect model: How to analyze and forecast the influence of brand and product personality on determinants of purchase intention.Psicometria Metodologia,7,113-128.
  26. Caprara, G. V.,Barbaranelli, C.,Guido, G.(1998).Empirical investigations of determinants of purchase intention according to the theory of planned behavior.Ricerche di Psicologia,22(22),147-168.
  27. Cheng, S. I.,Fu, H. H.,Tu, L. C.(2011).Examining customer purchase intentions for counterfeit products based on a modified theory of planned behavior.International Journal of Humanities and Social Science,1(10),278-284.
  28. Chiou, J. S.(1998).The effects of attitude, subjective norm, and perceived behavioral control on consumers' purchase intentions: The moderating effects of product knowledge and attention to social comparison information.Proceedings of the National Science Council, Republic of China. Part B, Life sciences,9(2),298-308.
  29. Chiu, W.,Lee, K. Y.,Won, D.(2014).Consumer behavior toward counterfeit sporting goods.Social Behavior and Personality: an international journal,42(4),615-624.
  30. Davis, F. D., Jr(1986).Cambridge, MA, USA,Massachusetts Institute of Technology.
  31. Davis, F.D.(1989).Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology.MIS Quarterly,13(3),319-339.
  32. De Cannière, M. H.,De Pelsmacker, P.,Geuens, M.(2009).Relationship quality and the theory of planned behavior models of behavioral intentions and purchase behavior.Journal of Business Research,62(1),82-92.
  33. Dhillon, J. S.,Wunsche, B. C.,Lutteroth, C.(2013).Accessible telehealth-Leveraging consumer-level technologies and social networking functionalities for senior care.Proceedings of the 6th International Conference on Human System Interactions (HSI)
  34. Eagly, A. H.,Chaiken, S.(1993).The Psychology of Attitudes.Fort Worth, TX:Harcourt Brace Jovanovich College Publishers.
  35. Gasiorowska, A.(2014).The relationship between objective and subjective wealth is moderated by financial control and mediated by money anxiety.Journal of Economic Psychology,43,64-74.
  36. Gould, S. J.(1988).Consumer attitudes toward health and health care: A differential perspective.Journal of Consumer Affairs,22(1),96-118.
  37. Grube, J. W.,Morgan, M.,McGree, S. T.(1986).Attitudes and normative beliefs as predictors of smoking intentions and behaviours: A test of three models.British Journal of Social Psychology,25(2),81-93.
  38. Hodges, N.N.,Watchravesringkan, K.,Kim, Y.(2010).Exploring consumers' adoption of highly technological fashion products: The role of extrinsic and intrinsic motivational factors.Journal of Fashion Marketing and Management,14(2),263-281.
  39. Hoyle, Rich(Ed.)(1999).Statistical Strategies for Small Sample Research.Thousand Oaks, CA:Sage Publications.
  40. Hsu, C.L.,Lu, H.G.(2007).Consumer behavior in online game communities: A motivational factor perspective.Computers in Human Behavior,23(3),1642-1659.
  41. Huang, J. C.(2013).Innovative health care delivery system- A questionnaire survey to evaluate the influence of behavioral factors on individuals' acceptance of telecare.Computers in biology and medicine,43(4),281-286.
  42. Jayanti, R. K.,Burns, A. C.(1998).The antecedents of preventive health care behavior: An empirical study.Journal of the Academy of Marketing Science,26(1),6-15.
  43. Julie, P.,Khai, T.,Karen, C.,Brian, H.,Sarah, M.,Krisan, P.,Richard, E.S.(2010).Home Telehealth for Chronic Obstructive Pulmonary Disease: a Systematic Review and Meta-analysis.Journal of Telemedicine and Telecare,16(3),120-127.
  44. Kim, E.,Ham, S.,Yang, I. S.,Choi, J. G.(2013).The roles of attitude, subjective norm, and perceived behavioral control in the formation of consumers' behavioral intentions to read menu labels in the restaurant industry.International Journal of Hospitality Management,35,203-213.
  45. Kim, H. W.,Chan, H. C.,Gupta, S.(2007).Value-based adoption of mobile internet: an empirical investigation.Decision Support Systems,43(1),111-126.
  46. Kim, J. B.(2012).An empirical study on consumer first purchase intention in online shopping: integrating initial trust and TAM.Electronic Commerce Research,12(2),125-150.
  47. Koufaris, K.(2002).Applying the technology acceptance model and flow theory to online consumer behavior.Information systems research,13(2),205-223.
  48. Kraft, F. B.,Goodell, P. W.(1993).Identifying the health conscious consumer.Marketing Health Services,3,18-25.
  49. Kuhl, J.(Ed.),Bechmann, J.(Ed.)(1985).Action-Control: From Cognition to Behavior.Heidelberg, NY:Springer.
  50. Liu, C. F.,Tsai, Y. C.,Jang, F. L.(2013).Patients' acceptance towards a web-based personal health record system: An empirical study in Taiwan.International journal of environmental research and public health,10(10),5191-5208.
  51. Lockie, S.,Lyons, K.,Lawrence, G.,Mummery, K.(2002).Eating green: motivations behind organic food consumption in Australia.Sociologia Ruralis,42(1),23-40.
  52. López-Mosquera, N.,García, T.,Barrena, R.(2014).An extension of the Theory of Planned Behavior to predict willingness to pay for the conservation of an urban park.Journal of environmental management,135,91-99.
  53. Meland, E.,Haugland, S.,Breidablik, H. J.(2007).Body image and perceived health in adolescence.Health Education Research,22(3),342-350.
  54. Melinda, M.K.,Richard, W.,John, W.,Leonard, C.G.(2011).A systematic review of studies concerning observer agreement during medical specialist diagnosis using videoconferencing.Journal of Telemedicine and Telecare,17(7),350-357.
  55. Michaelidou, N.,Hassan, L. M.(2010).Modeling the factors affecting rural consumers' purchase of organic and free-range produce: A case study of consumers' from the Island of Arran in Scotland, UK.Food Policy,35(2),130-139.
  56. Michaelidou, N.,Hassan, L.M.(2008).The role of health consciousness, food safety concern and ethical identity on attitudes and intentions towards organic produce.International Journal of Consumer Studies,32(2),163-170.
  57. Najaftorkaman, M.,Ghapanchi, A. H.,Talaei-Khoei, A.(2014).Analysis of Research in Adoption of Person-Centred Healthcare Systems: The Case of Online Personal Health Record.Proceeding of the ACIS Australasian Conference on Information Systems,Auckland:
  58. Newsom, J.T.,McFarland, B.H.,Kaplan, M.S.,Huguet, N.,Zani, B.(2005).The health consciousness myth: implications of the near independence of major health behaviours in the North American population.Social Science and Medicine,60(2),433-437.
  59. Normandeau, S.,Wins, I.,Jutras, S.,Hanigan, D.(1998).A description of 5-to 12-year old children's conception of health within the context of their daily life.Psychology and Health,13(5),883-896.
  60. Notani, A. S.(1997).Perceptions of affordability: Their role in predicting purchase intent and purchase.Journal of Economic Psychology,18(5),525-546.
  61. Nunnally, J.C.(1978).Psychometric theory.New York, NY:Mcgraw-Hill.
  62. Oh, H.,Hsu, C. H.(2001).Volitional degrees of gambling behaviors.Annals of Tourism Research,28(3),618-637.
  63. Paul, J.,Modi, A.,Patel, J.(2016).Predicting green product consumption using theory of planned behavior and reasoned action.Journal of retailing and consumer services,29,123-134.
  64. Perugini, M.,Bagozzi, R. P.(2001).The role of desires and anticipated emotions in goal-directed behaviours: Broadening and deepening the theory of planned behavior.British Journal of Social Psychology,40(1),79-98.
  65. Piqueras-Fiszman, B.,Ares, G.,Alcaide-Marzal, J.,Diego-Mas, J. A.(2011).Comparing older and younger users' perceptions of mobile phones and watches using CATA questions and preference mapping on the design characteristics.Journal of Sensory Studies,26(1),1-12.
  66. Plank, R.E.,Gould, S.J.(1990).Health consciousness, scientific orientation and wellness; An examination of the determinants of wellness attitudes and behaviours.Health Marketing Quarterly,7(3),65-83.
  67. Polit, D. F.,Beck, C. T.,Owen, S. V.(2007).Is the CVI an acceptable indicator of content validity? Appraisal and recommendations.Research in nursing & health,30(4),459-467.
  68. Randall, D. M.,Gibson, A. M.(1990).Methodology in business ethical Research: A review and critical assessment.Journal of Business Research,9,457-471.
  69. Robinson, R.,Smith, C.(2002).Psychosocial and demographic variables associated with consumer intention to purchase sustainably produced foods as defined by the Midwest Food Alliance.Journal of Nutrition Education and Behavior,34,316-325.
  70. Rostgaard, T.,Timonen, V.,Glendinning, C.(2012).Guest editorial: reforming home care in ageing societies.Health and Social Care in the Community,20(3),225-227.
  71. Sahni, A.(1994).Incorporating perceptions of financial control in purchase prediction: An empirical examination of the theory of planned behavior.Advances in Consumer Research,21,442-448.
  72. Schifferstein, H. N.,Ophuis, P. A. O.(1998).Health-related determinants of organic food consumption in the Netherlands.Food quality and Preference,9(3),119-133.
  73. Shimp, T. A.,Kavas, A.(1984).The theory of reasoned action applied to coupon usage.Journal of consumer research,795-809.
  74. Sintonen, S.,Immonen, M.(2013).Telecare services for aging people: Assessment of critical factors influencing the adoption intention.Computers in Human Behavior,29(4),1307-1317.
  75. Son, J.,Jin, B.,George, B.(2013).Consumers' purchase intention toward foreign brand goods.Management Decision,51(2),434-450.
  76. Sparks, P.,Guthrie, C. A.,Shepherd, R.(1997).The dimensional structure of the perceived behavioral control construct.Journal of Applied Social Psychology,443-454.
  77. Spaulding, R.,Stevens,Velasquez, S.E.(2011).Experience with Telehealth for Sleep Monitoring and Sleep Laboratory Management.Journal of Telemedicine and Telecare,17(7),346-349.
  78. Stavros, P. K.,Pollard, M.,East, R.,Tsogas, M. H.(1999).Green Marketing and Ajzen's Theory of Planned Behaviour: A Cross-Market Examination.Journal of Consumer Marketing,16(5),441-460.
  79. Su, S. P.,Tsai, C. H.,Hsu, W. L.(2013).Extending the TAM Model to Explore the Factors Affecting Intention to Use Telecare Systems.Journal of computers,8(2),525-532.
  80. Sudbury, L.,Simcock, P.(2009).Understanding older consumers through cognitive age and the list of values: A UK‐based perspective.Psychology and Marketing,26(1),22-38.
  81. Tarkiainen, A.,Sundqvist, S.(2005).Subjective norms, attitudes and intentions of Finnish consumers in buying organic produce.British Food Journal,107(11),808-822.
  82. Taylor, S.,Todd, P. A(1995).Decomposition and crossover effects in the theory of planned behavior: A study of consumer adoption intentions.International journal of Research in marketing,12(2),137-155.
  83. Teng, W.C.,Lu, H.P.(2009).Consumer adoption of PDA phones in Taiwan.International Journal of Mobile Communications,8,1-20.
  84. Tsai, C. H.(2014).Integrating Social Capital Theory, Social Cognitive Theory, and the Technology Acceptance Model to Explore a Behavioral Model of Telehealth Systems.International journal of environmental research and public health,11(5),4905-4925.
  85. Turner, K. J.,McGee-Lennon, M. R.(2013).Advances in telecare over the past 10 years.Smart Homecare Technology and Telehealth,1,21-34.
  86. Venkatesh, V.,Brown, S. A.(2001).A longitudinal investigation of personal computers in homes: adoption determinants and emerging challenges.MIS Quarterly,25(1),71-102.
  87. Vishwanath, A.,Goldhaber, G. M.(2003).An examination of the factors contributing to adoption decisions among late-diffused technology products.New Media and Society,5(4),547-572.
  88. Voon, J. P.,Ngui, K. S.,Agrawal, A.(2011).Determinants of willingness to purchase organic food: An exploratory study using structural equation modeling.International Food and Agribusiness Management Review,14(2),103-120.
  89. Waltz, C.F.,Bausell, R.B.(1981).Nursing research: Design, statistics, and computer analysis.Philadelphia, PA:F. A. Davis.
  90. Wang, J. Y.,Tsai, C. H.,Wang, S. W.(2013).Using telecare system to construct medication safety mechanisms.Journal of Chemical and Pharmaceutical Research,5(11),1-5.
  91. Wen, L. Y. M.,Li, S. H.(2013).A study on the relationship amidst health consciousness, ecological affect, and purchase intention of green production.The International Journal of Organizational Innovation,5(4),124-137.
  92. 卓詩鎔、饒婉儀(2016)。以計畫行為理論分析影響消費者使用旅館環保服務之行為意向。文化事業與管理研究，14，67-81。
  93. 周淑娟(2008)。碩士論文(碩士論文)。國立臺灣大學醫療機構管理研究所。
  94. 林金立(2010)。遠距照顧技術應用於長期照顧模式之探討。輔具之友，27，3-11。
  95. 施孟宏(2011)。碩士論文(碩士論文)。國立交通大學經營管理研究所。
  96. 唐于絢、吳淑蓉、江秀珠、蔡秋月(2014)。居家照顧個案接受遠距照護服務之改善方案。高雄護理雜誌，31(2)，22-34。
  97. 許貞、張世其、鄭心琳、沈真宇(2010)。消費者對油電混合車之使用態度及行為意圖之研究。臺灣銀行季刊，61(1)，272-294。
  98. 許哲瀚、唐憶淨(2008)。遠距居家照護的現況與未來。台灣老年醫學暨老年學雜誌，3(4)，34-47。
  99. 陳美如、李俊秀、余文瑞、何清幼、鄭惠美(2012)。應用科技接受模式探討高血壓個案對居家遠距健康照護服務滿意度與付費意願之關係。健康促進暨衛生教育雜誌，33，1-22。
被引用次数
  1. 黃維民,林嘉瑩(2020)。探討臺灣長期照顧資訊系統使用者滿意度與未來經營策略之研究。商略學報，12(1)，67-88。
  2. (2020)。以科技接受模式探討民眾採用雲端血壓量測資訊系統意願之研究。朝陽商管評論，18(1)，19-47。
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