Driving the implementation of hospital examination reservation system through hospital management

作者全名："Wang, Qi; Ma, Yingjie; Mao, Jian; Song, Jingyan; Xiao, Mingzhao; Zhao, Qinghua; Yuan, Fang; Hu, Lei"

作者地址："[Wang, Qi; Mao, Jian; Hu, Lei] Chongqing Med Univ, Affiliated Hosp 1, Informat Ctr, Chongqing, Peoples R China; [Ma, Yingjie] Third Mil Med Univ, Daping Hosp, Dept Med Res, Chongqing, Peoples R China; [Ma, Yingjie; Yuan, Fang] Yidu Cloud Beijing Technol Co Ltd, Med Dept, Beijing, Peoples R China; [Song, Jingyan; Zhao, Qinghua] Chongqing Med Univ, Affiliated Hosp 1, Dept Nursing, Chongqing, Peoples R China; [Xiao, Mingzhao] Chongqing Med Univ, Affiliated Hosp 1, Dept Urol, Chongqing, Peoples R China; [Yuan, Fang] Chongqing Med Univ, Sch Publ Hlth & Management, Dept Epidemiol & Hlth Stat, Chongqing, Peoples R China"

通信作者："Hu, L (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Informat Ctr, Chongqing, Peoples R China.; Ma, YJ (通讯作者)，Third Mil Med Univ, Daping Hosp, Dept Med Res, Chongqing, Peoples R China.; Ma, YJ (通讯作者)，Yidu Cloud Beijing Technol Co Ltd, Med Dept, Beijing, Peoples R China."

来源：BMC HEALTH SERVICES RESEARCH

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001139139900004

JCR分区：Q2

影响因子：2.8

年份：2024

卷号：24

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：UTAUT2; Hospital examination reservation system; Hospital management; Behavioral intention; Habit; Innovation

摘要："Background Hospital Examination Reservation System (HERS) was designed for reducing appointment examination waiting time and enhancing patients' medical satisfaction in China, but implementing HERS would encounter many difficulties. This study would investigate the factors that influence patients' utilization of HERS through UTAUT2, and provide valuable insights for hospital managements to drive the effective implementation of HERS. It is helpful for improving patients' medical satisfaction. Methods We conducted a survey through the Sojump platform, targeting patients were who have already used HERS. We collected questionnaire information related to factors behavior intention, performance expectancy, and effort expectancy. Subsequently, we employed a structural equation model to analyze the factors influencing patients' utilization of HERS. Results A total of 394 valid questionnaires were collected. Habit was the main direct positive factor influencing the behavioral intention of HERS (beta = 0.593; 95%CI: 0.072, 1.944; P = 0.002), followed by patient innovation (beta = 0.269; 95%CI: 0.002, 0.443; P < 0.001), effort expectancy (beta = 0.239; 95%CI: -0.022, 0.478; P = 0.048). Patient innovation and facilitating conditions also have an indirect effect on behavioral intention. Perceived privacy exposure has a significantly negative effect on behavioral intention (beta=-0.138; 95%CI: -0.225, -0.047; P < 0.001). The above variables explained 56.7% of the variation in behavioral intention. Conclusions When HERS is implemented in hospitals, managements should arrange volunteers to guide patients to bring up the habit and solve the using difficulties, and managements could invite patients with high innovation to recommend HERS to others, what's more, it is a valid way to retain the old form of appointment to pass the transition period to the new system. HERS utilization and patients' medical satisfaction will be enhanced through the guidance of hospital management means."

基金机构：Chongqing Medical University

基金资助正文：The authors would like to thank the editors and the reviewers for providing valuable comments.