BACKGROUND The objective of this research is to examine, conceptualize, and empirically validate a model of mobile health (mHealth) impacts on physicians' perceived quality of care delivery (PQoC). METHODS Observational quasi-experimental one group posttest-only design was implemented through the empirical testing of the conceptual model with nine hypotheses related to the association of task and technology characteristics, self-efficacy, m-health utilization, task-technology fit (TTF), and their relationships with PQoC. Primary data was collected over a four-month period from acute care physicians in The Ottawa Hospital, Ontario, Canada. The self-reported data was collected by employing a survey and distributed through the internal hospital channels to physicians who adopted iPads for their daily activities. RESULTS Physicians' PQoC was found to be positively affected by the level of mHealth utilization and TTF, while the magnitude of the TTF direct effect was two times stronger than utilization. Additionally, self-efficacy has the highest direct and total effect on mHealth utilization; in the formation of TTF, technological characteristics dominate followed by task characteristics. CONCLUSION To date, the impact of utilized mHealth on PQoC has neither been richly theorized nor explored in depth. We address this gap in existing literature. Realizing how an organization can improve TTF will lead to better PQoC.

中文翻译：

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MHealth和护理质量：概念模型和验证。

背景技术这项研究的目的是检查，概念化和凭经验验证移动健康（mHealth）对医生感知的护理质量（PQoC）的影响模型。方法通过对概念模型的实证测试，采用与任务和技术特征，自我效能感，移动健康利用，任务技术适合度（TTF）关联的九种假设，对观察组进行了准实验性的仅后测试设计。 ，以及它们与PQoC的关系。在四个月的时间内从加拿大安大略省渥太华医院的急诊医生那里收集了主要数据。自我报告的数据是通过调查收集的，并通过内部医院渠道分发给使用iPad进行日常活动的医生。结果医师 发现PQoC受到mHealth利用率和TTF的积极影响，而TTF直接效应的强度是利用率的两倍。此外，自我效能对移动医疗的利用率具有最高的直接和全面影响。在TTF的形成中，技术特征占主导地位，其次是任务特征。结论迄今为止，尚未充分利用理论上的mHealth对PQoC的影响，也未对其进行深入探讨。我们解决了现有文献中的这一空白。意识到组织如何改进TTF，将带来更好的PQoC。在TTF的形成中，技术特征占主导地位，其次是任务特征。结论迄今为止，尚未充分利用理论上的mHealth对PQoC的影响，也未对其进行深入探讨。我们解决了现有文献中的这一空白。意识到组织如何改进TTF，将带来更好的PQoC。在TTF的形成中，技术特征占主导地位，其次是任务特征。结论迄今为止，尚未充分利用理论上的mHealth对PQoC的影响，也未对其进行深入探讨。我们解决了现有文献中的这一空白。意识到组织如何改进TTF，将带来更好的PQoC。