Cited by 38Telemedicine and Telehealth ImplementationHealth, Technology, Consumer BehaviorEconomic and Environmental Valuation

Service Design Attributes Affecting Diabetic Patient Preferences of Telemedicine in South Korea

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Park, Hayoung, Chon, YuCheong, Lee, Jongsu, Choi, Ie-Jung, Yoon, Kun-Ho·2011·Telemedicine and e-Health

Abstract

Objective: Attempts to introduce telemedicine in South Korea have failed mostly, leaving critical questions for service developers and providers about whether patients would be willing to pay for the service and how the service should be designed to encourage patient buy-in. In this study, we explore patients' valuations and preferences for each attribute of telemedicine service for diabetes management and evaluate patient willingness to pay for specific service attributes. Materials and Methods: We conducted a conjoint survey to collect data on patients' stated preferences among telemedicine service alternatives. The alternatives for diabetes-related service differed in 10 attributes, including those related to price, type of service provider, and service scope. To estimate the relative importance of attributes, patients' willingness to pay for each attribute, and their probable choice of specific alternatives, we used a rank-ordered logit model. A total of 118 respondents participated in the survey. Results: All 10 attributes significantly affected patients' valuations and preferences, and demographic and disease characteristics, such as existence of complications and comorbidities, significantly affected patients' valuations of the attributes. Price was the most important attribute, followed by comprehensive scope of service, the availability of mobile phone-based delivery, and large general-hospital provided services. Conclusions: The study findings have significant implications for adoption policy and strategy of telemedicine in diabetes management care. Further, the methodology presented in this study can be used to draw knowledge needed to formulate effective policy for adoption of the necessary technology and for the design of services that attract potential beneficiaries.

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Crossref · 10.1089/tmj.2010.0201

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  • In telemedicine, trust has been found to be an important antecedent of patient acceptance, patients' and healthy persons' thoughts on the usefulness of a personal health record, and physicians' intention to use a telemedicine service.

    “This is also the case for telemedicine, where trust has been found to be an important antecedent of patient acceptance [4], patients’ and healthy persons’ thoughts on the usefulness of a personal health record [5], and physicians’ intention to use a telemedicine service [6].”

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Authors
Park, H., Chon, Y., Lee, J., Choi, I.-J., & Yoon, K.-H.
Affiliations
  • Seoul National University (KR)
  • Korea Institute of Science & Technology Evaluation and Planning (KR)
  • The Catholic University of Korea Seoul St. Mary's Hospital (KR)
Corresponding author
Park, Hayoung
Venue
Telemedicine and e-Health
Published
2011-07
Volume
17
Issue
6
Pages
442-451
ISSN
  • 1530-5627 (ISSN-L)
  • 1556-3669
OpenAlex
W1977278590
Cited by
38
References
42
Citations by year
2025: 4 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 3 · 2019: 1 · 2018: 6 · 2016: 5 · 2015: 2 · 2014: 3 · 2013: 3 · 2012: 1
FWCI
2.20
Type
journal article
Language
en
Open access
Locations
  • Telemedicine Journal and e-Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Seoul National University Bundang Hospital
  • Seoul National University
  • Ministry of Knowledge Economy
  • Seoul St. Mary's Hospital, Catholic University of Korea
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Health Professions › Health Information Management › Health, Technology, Consumer Behavior
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Environmental Valuation
Keywords
telemedicine, diabetes management, patient preferences, willingness to pay, price, comorbidities, technology adoption policy, South Korea
MeSH terms
Diabetes Mellitus, Female, Financing, Personal, Humans, Male, Surveys and Questionnaires, Sex Factors, Socioeconomic Factors, Telemedicine, Republic of Korea, Patient Preference

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