||BACKGROUND：Ageing phenomena is more obvious in our population structure due to declined birth rate and prolonged average life expectancy. More demand of health care is required due to increasing proportion of elderly population. As things progress, technological developments and the increasing popularity of Internet combined with information communications technology (ICT) and medical devices can provide more diversified health care services. The purpose of this study is to evaluate community resinents’ acceptance and change of health-care behaviors after telecare services provided in a community hospital.|
DESIGN：The study adopted cross-sectional and purposive sampling by using structured questionnaires to collect information. Sampling objects were community residents from rehabilitation outpatient department clinics of a community hospital with 49 valid samples. Reliability results of the questionnaires revealed: Cronbach’s alpha value of technology acceptance model scale and health self-care behavior scale were 0.87 and 0.92, respectively. The questionnaires included 4 sections: “basic patient information”, “technology acceptance model (TAM) scale”, “health self-management behavior scale”, and questionnaires about “willingness to pay and accessibility investigation”. The collected data was analyzed with descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation and regression analysis by using SAS Version 9.2 for Windows software.
RESULT：(1). Results of TAM questionnaires: People with male gender, higher educational status, regular and frequent disease follow-up showed significant higher attitude in “perceived ease of use”; People with higher educational status, ever heard of telecare system showed significant higher attitude in “perceived usefulness”. (2). Results of self health-management behavior questionnaires: People with regular disease follow-up behaved significantly better in all aspets. People with regular and frequent disease follow-up behaved significantly better in “health responsibility”, “carry out disease-related medical activities” and “exercise”. People with experience of using telecare system behaved significantly better in “carry out diseased-related medical activities” and “diet habits”. (3). “attitude toward using” was positively correlated with “behavioral intention to use”. (4). The regression coefficient was 0.323 between ”perceived usefulness” and “attitude toward using”; 0.506 between “perceives ease of use“ and “attitude toward using”；0.703 between “attitude toward using” and “behavioral intention to use”. (5). People with monthly disposable income over NTD $30000 were more likely to pay for home telecare system, and the majority of them wished to pay for less than NTD $100 per month. (6). To use this telecare system outside of home, the majority of community residents could accept a trip distance within 5-10 minutes of time.
CONCLUSION：Comminuty residents mostly showed positive attitudes toward community hospital-provided telecare system and beleived that telecare system can help promoting their health self-care behaviors. With constant staff member in charge of managing telecare device and providing advisory to users, community hospital-provided telecare system could be a possible way to promote and expand telecare service in the future.
Keywords：Telecare, Technology acceptance model, Health self-care, Willingness to pay, Accessibility