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1.
Digit Health ; 10: 20552076241257050, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38854922

RESUMEN

Background: The Malaysian healthcare system is under strain due to an aging population, the rising prevalence of chronic diseases, and heavy workloads among physicians. As costs and requirements continue to rise, telemedicine is critical for bridging gaps in supply and demand. However, there are limited studies on telemedicine adoption among Malaysian physicians. Furthermore, the existing literature on telemedicine adoption does not contain a comprehensive framework that integrates the multidimensional social influence, and technological, clinical, and individual factors. Objective: This research investigates the adoption of telemedicine among Malaysian physicians. It draws from the Technology Acceptance Model (TAM) and Kelman's Social Influence Theory. Methods: A survey was conducted among 230 participants in hospitals located in Kuala Lumpur and Selangor. The data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Results: The study identified crucial factors influencing telemedicine adoption, including informational influences, rewards, perceived ease of use, and usefulness. Meanwhile, the Importance-performance Map Analysis (IPMA) identified perceived ease of use as the most important factor for physicians, but the highest performance was patient's records. Conclusions: The proposed integrated model enhances the understanding of telemedicine adoption and highlights the differential effects of individual, technological, clinical, and multidimensional social influence factors from the physicians' perspective. The findings can guide future studies and influence implementation strategies for telemedicine promotion in the Malaysian healthcare context. Hospitals should prioritize user-friendly technology and information provision, while telemedicine providers should enhance the accessibility of patient records to facilitate telemedicine adoption. Policymakers should consider supporting training programs that will boost physicians' confidence in effectively utilizing telemedicine.

2.
BMC Med Educ ; 24(1): 86, 2024 Jan 24.
Artículo en Inglés | MEDLINE | ID: mdl-38267919

RESUMEN

BACKGROUND: Rain Classroom was one of the most popular online learning platforms in Chinese higher education during the pandemic. However, there is little research on user intention under the guidance of technology acceptance and unified theory (UTAUT). OBJECTIVE: This research aims to determine factors influencing students' behavioural intention to use Rain Classroom. METHODS: In this cross-sectional and correlational investigation, 1138 medical students from five medical universities in Guangxi Province, China, made up the sample. This study added self-efficacy (SE), motivation (MO), stress (ST), and anxiety (AN) to the UTAUT framework. This study modified the framework by excluding actual usage variables and focusing only on intention determinants. SPSS-26 and AMOS-26 were used to analyze the data. The structural equation modelling technique was chosen to confirm the hypotheses. RESULTS: Except for facilitating conditions (FC), all proposed factors, including performance expectancy (PE), effort expectancy (EE), social influence (SI), self-efficacy (SE), motivation (MO), anxiety (AN), and stress (ST), had a significant effect on students' behavioural intentions to use Rain Classroom. CONCLUSIONS: The research revealed that the proposed model, which was based on the UTAUT, is excellent at identifying the variables that influence students' behavioural intentions in the Rain Classroom. Higher education institutions can plan and implement productive classrooms.


Asunto(s)
Intención , Estudiantes de Medicina , Humanos , China , Estudios Transversales
3.
Heliyon ; 9(10): e20827, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37916123

RESUMEN

Purpose: This study investigates the factors associated with the elderly's intention to use OGS. Building on the Technology Acceptance Model, we propose several elderly-specific and functional-ageing constructs related to the perceived ease of use and usefulness of OGS. Methods: The questionnaire was distributed physically and digitally to non-OGS users aged above 60, living in the Klang Valley, Malaysia, using a non-probability sampling approach. A total of 302 data were analysed using PLS structural equation modelling. Results: The findings indicate that perceived ease of use, functional ability, life-course events, and digital literacy are associated with the elderly's perception of OGS's usefulness, while life-course events, digital literacy, technology anxiety, and facilitating conditions are associated with the perceived ease of use. Conclusion: This study contributes to the OGS literature by addressing ageing complexities with OGS adoption among the elderly population, thereby offering insights for marketers and the government to tailor services and provide relevant support.

4.
Heliyon ; 9(5): e15761, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-37205990

RESUMEN

This study aims to investigate the souvenir-person-place bonding for sustaining cultural heritage. Previous studies acknowledge souvenirs could represent a place; however, how people perceive souvenirs as representative of the place still needs to be studied. This study comprehends the traditional craft by identifying the dimensions of place-based craft souvenirs and exploring the connections between souvenirs, craft, and place. A qualitative approach was employed. In-depth interviews, participant and non-participant observations were conducted in Jinan, China, a long-history city with many traditional crafts. Thirty documents were imported into ATLAS.ti software for analysis. The 'place-based craft souvenir', 'evaluation of souvenir', 'place meaning', and 'satisfaction' emerged as the four main themes of 'souvenir-person-place bonding'. These 'souvenir-people-place' bonding motivate individuals' understanding of traditional craft and place, contributing to the sustainability of the traditional craft.

5.
Heliyon ; 8(10): e10813, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36217478

RESUMEN

Given the global call for more non-GDP-based indicators of national well-being, this study proposes a model incorporating economic and psychological (happiness) indicators. Considering the subjective nature of happiness, happiness measurements should incorporate individuals' inner strengths and satisfaction with their external environment. Furthermore, although numerous studies have found that positive psychology approaches can improve happiness, they have yet to be incorporated into any happiness models. Hence, this study proposes an integrated happiness framework that covers objective economic and subjective happiness factors to measure well-being beyond GDP. The study tests the model using survey data from Malaysia as a case study. A total of 1,368 participants were recruited with probability proportional to size. The study discovered that Malaysians' inner strengths are rated higher than their external conditions. It seems Malaysians do not live in a way that cultivates their virtues. Overall, the study suggests that inner strength is crucial in shaping happiness (150 words).

6.
J Environ Manage ; 203(Pt 1): 603-611, 2017 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-28285804

RESUMEN

This study investigates the impact of the aggregate and individual dimensions of environmental performance (EP) on financial performance (FP), based on a dataset covering the travel and tourism industry (airlines, casinos, hotels, and restaurants) across different economic regions over the period 2003-2014. The results reveal that EP positively affects the FP in the hotel industry when aggregate EP is used. When individual dimensions of EP are considered, resource reduction is found to positively (negatively) affect the performance in the hotel (airline) industry, while product innovation positively affects the performance in the restaurant industry. Hence, the trade-off effect seems to be dominant in the airline industry, and the 'heterogeneous resources and reputation-building' hypothesis is evident in both the hotel and restaurant industries. In addition, in general, the findings support the positive moderating effect of slack resources on the relationship between the individual dimensions of EP and FP in the travel and tourism industry, and, hence, are supportive of the slack resources hypothesis. These effects, however, vary depending on the travel and tourism industry under investigation.


Asunto(s)
Ambiente , Industrias , Viaje , Humanos , Restaurantes
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