Online medical services utilization evaluated through the lens of socioecological theory and the information–motivation–behavioral skills model: evidence from China,Annals of the New York Academy of Sciences

当前位置： X-MOL 学术 › Ann. N. Y. Acad. Sci. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Online medical services utilization evaluated through the lens of socioecological theory and the information–motivation–behavioral skills model: evidence from China
Annals of the New York Academy of Sciences ( IF 4.1 ) Pub Date : 2021-05-13 , DOI: 10.1111/nyas.14609
Chi Zhang ₁ , Xue-Qing Peng ₂ , Yong-Zhi Jiang ₃ , Rui Liu ₃ , Zi-Xin Qi ₃ , Meng Zhou ₁ , Shi-Qi Zhao ₂ , Jin-Jin Ge ₂ , Hua You _{1,

2} , Zhi-Guang Li _{3,

4}

Affiliation

Online medical services (OMS) have become increasingly advantageous, but there are still several barriers to utilization among patients. This study aims to explore the factors influencing OMS utilization (OMSU) for patients in micro-, meso-, and macrosystems based on socioecological theory (SET) and from the perspective of the information–motivation–behavioral skills (IMB) model. We selected 1065 participants through multistage stratified cluster random sampling in Jiangsu, China. In microsystems, information and behavioral skills were positively associated with intention (β = 0.84; β = 3.21) and actual utilization (OR = 1.69; OR = 1.69). Education level (β = 0.83) and personal motivation (β = 1.68) were positively related to intention. Chronic diseases (OR = 2.03) had a positive relationship with actual use. In mesosystems, recommendations from people around the patients (β = 1.14; OR = 1.99), provision of OMS in the nearest primary medical facility (β = 0.98; OR = 3.60), and provision of instructional information by medical institutions (β = 1.01; OR = 1.65) were related to OMSU. The average monthly household income (β = 0.54) was related to intention. Patients who had information about the OMSU experiences of people around them (OR = 1.73) correlated with actual utilization. In macrosystems, the social medical insurance type (OR = 0.66) was associated with OMSU. This study supports the applicability of the SET and IMB model to interpret patients’ OMSU.

更新日期：2021-05-13

点击分享查看原文

点击收藏

阅读更多本刊最新论文本刊介绍/投稿指南11