Cited by 305Telemedicine and Telehealth ImplementationTechnology Adoption and User BehaviourTechnology Use by Older Adults

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An adaptation of the theory of interpersonal behaviour to the study of telemedicine adoption by physicians

Gagnon, Marie-Pierre, Godin, Gaston, Gagné, Camille, Fortin, Jean-Paul, Lamothe, Lise, Reinharz, Daniel, Cloutier, Alain·2003·International Journal of Medical Informatics

DOI 10.1016/s1386-5056(03)00094-7

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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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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
ORCID: Gagnon, Marie-Pierre
Godin, Gaston
Fortin, Jean-Paul
Lamothe, Lise
Reinharz, Daniel
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)
DOI: 10.1016/s1386-5056(03)00094-7
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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
Health Sciences › Medicine › Geriatrics and Gerontology › 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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An adaptation of the theory of interpersonal behaviour to the study of telemedicine adoption by physicians

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