Service Design Attributes Affecting Diabetic Patient Preferences of Telemedicine in South Korea
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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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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].”
From Trust in telemedicine portals for rehabilitation care: an exploratory focus group study with patients and healthcare professionals (2015) · cites this paper as [4]
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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
- Publisher
- SAGE Publications
- Published
- 2011-07
- Volume
- 17
- Issue
- 6
- Pages
- 442-451
- ISSN
- 1530-5627 (ISSN-L)
- 1556-3669
- PMC
- PMC3137874
- 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
- hybrid
- doi.org
- Licence
- 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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