An adaptation of the theory of interpersonal behaviour to the study of telemedicine adoption by physicians
Abstract
Physicians' acceptance of telemedicine constitutes a prerequisite for its diffusion on a national scale. Based upon the Theory of Interpersonal Behavior, this study was aimed at assessing the predictors of physicians' intention to use telemedicine in their clinical practice. All of the physicians involved in the RQTE, the extended provincial telemedicine network of Quebec (Canada) were mailed a questionnaire to identify the psychosocial determinants of their intention to adopt telemedicine. Confirmatory factor analysis (CFA) was performed to assess the measurement model and structural equation modelling (SEM) was applied to test the theoretical model. The adapted theoretical model explained 81% (P<0.001) of variance in physicians' intention to use telehealth. The main predictors of intentions were a composite normative factor, comprising personal as well as social norms (beta=1.08; P<0.001) and self identity (beta=-0.33; P<0.001). Thus, physicians who perceived professional and social responsibilities regarding adoption of telehealth in their clinical practice had stronger intention to use this technology. However, it is likely that personal identity had a suppression effect in the regression equation, indicating that physicians' intention to use telemedicine was better predicted if their self-perception as telemedicine users was considered. These results have several implications at the theoretical and practical levels that are discussed in this paper.
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Few studies have done beliefs elicitation work with respect to health IT, and none to the authors' knowledge have revised TAM based on such work.
“Few have done this kind of beliefs elicitation work with respect to health IT [70, 72, 76, 96, 102], and none to our knowledge have revised TAM based on such work.”
From The Technology Acceptance Model: Its past and its future in health care (2010) · cites this paper as [76]
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- Authors
- Gagnon, M.-P., Godin, G., Gagné, C., Fortin, J.-P., Lamothe, L., Reinharz, D., & Cloutier, A.
- Affiliations
- Université Laval (CA)
- Université de Montréal (CA)
- Corresponding author
- Gagnon, Marie-Pierre
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2003-09
- Volume
- 71
- Issue
- 2-3
- Pages
- 103-115
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W2095058980
- Cited by
- 304
- References
- 33
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 12 · 2023: 21 · 2022: 18 · 2021: 8 · 2020: 10 · 2019: 13 · 2018: 11 · 2017: 18 · 2016: 14 · 2015: 12 · 2014: 21 · 2013: 18 · 2012: 24
- FWCI
- 7.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- telehealth adoption, physicians, intention to use, social norms, personal norms, self-identity, technology acceptance, telemedicine
- MeSH terms
- Adult, Attitude of Health Personnel, Attitude to Computers, Diffusion of Innovation, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Models, Theoretical, Physicians, Psychometrics, Quebec, Surveys and Questionnaires, Self Concept, Telemedicine, Intention
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