Investigating patients’ intention to continue using teleconsultation to anticipate postcrisis momentum: survey study
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Abstract
Background: The COVID-19 crisis has drastically changed care delivery with teleconsultation platforms experiencing substantial spikes in demand, helping patients and care providers avoid infections and maintain health care services. Beyond the current pandemic, teleconsultation is considered a significant opportunity to address persistent health system challenges, including accessibility, continuity, and cost of care, while ensuring quality. Objective: This study aims at identifying the determinants of patients’ intention to continue using a teleconsultation platform. It extends prior research on information technology use continuance intention and teleconsultation services. Methods: Data was collected in November 2018 and May 2019 with Canadian patients who had access to a teleconsultation platform. Measures included patients’ intention to continue their use; teleconsultation usefulness; teleconsultation quality; patients’ trust toward the digital platform, its provider. and health care professionals; and confirmation of patients’ expectations toward teleconsultation. We used structural equation modeling employing the partial least squares component-based technique to test our research model and hypotheses. Results: We analyzed a sample of 178 participants who had used teleconsultation services. Our findings revealed that confirmation of expectations had the greatest influence on continuance intention (total effects=0.722; P<.001), followed by usefulness (total effects=0.587; P<.001) and quality (total effects=0.511; P<.001). Usefulness (β=.60; P<.001) and quality (β=.34; P=.01) had direct effects on the dependent variable. The confirmation of expectations had direct effects both on usefulness (β=.56; P<.001) and quality (β=.75; P<.001) in addition to having an indirect effect on usefulness (indirect effects=0.282; P<.001). Last, quality directly influenced usefulness (β=.34; P=.002) and trust (β=.88; P<.001). Trust does not play a role in the context under study. Conclusions: Teleconsultation is central to care going forward, and it represents a significant lever for an improved, digital delivery of health care in the future. We believe that our findings will help drive long-term teleconsultation adoption and use, including in the aftermath of the current COVID-19 crisis, so that general care improvement and greater preparedness for exceptional situations can be achieved.
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The heightened interest in telehealth and AI education at t1 could be attributed to the rise of telemedicine during the COVID-19 pandemic and the increasing prominence of generative AI tools such as ChatGPT.
“The heightened interest in telehealth and AI education at t1 could be attributed to the rise of telemedicine during the COVID-19 pandemic [39] and the increasing prominence of generative AI tools such as ChatGPT [40].”
From Evolving Medical Students’ Digital Health Perceptions and Intentions: Insights From a Prepandemic and Postpandemic Survey Study (2025) · cites this paper as [39]
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- Authors
- Grenier Ouimet, A., Wagner, G., Raymond, L., & Pare, G.
- Affiliations
- HEC Montréal (CA)
- Université du Québec à Trois-Rivières (CA)
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2020-11-26
- Volume
- 22
- Issue
- 11
- Pages
- e22081
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC7695543
- OpenAlex
- W3096220191
- Cited by
- 34
- References
- 60
- Citations by year
- 2026: 2 · 2025: 12 · 2024: 5 · 2023: 4 · 2022: 8 · 2021: 3
- FWCI
- 2.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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 › Health Professions › Health Information Management › Health, Technology, Consumer Behavior
- Keywords
- teleconsultation, continuance intention, telehealth adoption, perceived usefulness, perceived quality, COVID-19 pandemic, health system preparedness
- MeSH terms
- COVID-19, SARS-CoV-2, Adolescent, Adult, Humans, Middle Aged, Patients, Remote Consultation, Intention, Young Adult, Pandemics
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