| Objectives:Hierarchical medical system is one of the measures to solve the problem of difficulty and high cost of getting medical service fundamentally,and the service of General Practitioner is the key link to promote the hierarchical medical system.With the development of information technology involved in the health care industry,mobile health is widely used in medical industry because of ease and convenience.Mobile service of General Practitioner,which is to make the service transformed to the network,adopts the mode of"community medical service + network" to provide registration,inquiry,referral,follow-up,health records and other services.It is much closer to meet health needs of residents and easier to make health interaction with residents.Through the adoption intention analysis of mobile service,the thesis aimed to achieve the following goals.(1)Data of Knowledge-Attitude-Behavior(KAP)of service of General Practitioner and the adoption intention of mobile service of General Practitioner could be obtained based on field and online questionnaire survey.(2)According to the data of KAP and intention analysis,the study tested and verified the influenced of factors on the adaption intention,such as Perceived Usefulness,Perceived ease of use,Initial Trust,Subjective Norm,Perceived Risk and Change Resistance.Meanwhile,to explore the influences on controlled variables,such as age,gender,level of education and health condition.(3)Strategies and suggestions were put forward from the government,society and the development of mobile service of General Practitioner,in order to provide a reference for Guangzhou and Guangdong Province to promote service of General Practitioner and hierarchical medical system.Methods:The study reviewed status and trends of General Practitioner system and mobile,analyzed models and theories of users' intention of mobile technology and outlined the model framework of mobile service of General Practitioner.The investigation of KAP of service of General Practitioner and the adoption intention of mobile service of General Practitioner was conducted through online and offline questionnaires.SPSS19.0 and Excel were used to analyze the survey data with the methods of descriptive statistics,reliability and validity test,variance analysis,correlation analysis and multiple regression analysis.Finally,according to the results of data analysis,the model hypotheses were verified and suggestions were put forward to promote the development of mobile service of General Practitioner.Results:The main results are as follows:(1)Propaganda effect of service of General Practitioner is not obvious and awareness of service of General Practitioner is not high,which there were 66.7%people chose do not understand or even totally do not understand General Practitioner system.(2)Residents' recognition of General Practitioner system needs to be improved,which there were 61.8%residents chose A-grade hospitals or district general hospital as the preferred health the management or treatment place while there were only 28.3%residents chose community health service centers or General Practitioner service.(3)Mobile wise medical is growing in popularity.The options of approaches to obtain General Practitioner service were door-to-door service(71.4%),WeChat or APP mobile services(56.5%),medical institutions(47%),telephone consultation(35.6%).(4)Age showed a significant influence on adoption intention,which young people expressed higher adoption intention then the old.(5)Perceived usefulness,perceived ease of use and social norms showed positive impact on users' adoption intention.Perceived usefulness is the most significant influencing factor with correlation coefficient of 0.705,while perceived ease of use,initial trust,subjective norm had positive effects on perceived usefulness.(6)The assumption that change resistance and perceived risk had negative impact on adoption intention was denied.Conclusions:With continuous promotion of General Practitioner system and the growing popularity of mobile wise medical,the prospects for the development of mobile service of General Practitioner become brighter.However,the mobile service of General Practitioner has not been popularized well due to the low awareness and recognition of General Practitioner system,as well as its novelty.Therefore,from the the government level,the hierarchical medical system and General Practitioner system need to be accelerated firstly,improving the policy support and system construction;policies and regulations and legal protection of mobile health need to be strengthened to enhance public trust in mobile medical secondly and the construction of talent general practitioners should be paid more attention which could increase residents'recognition on General Practitioner system thirdly.From the social level,firstly,the community health service should be upgraded to create high-quality General Practitioner.Secondly,channels of propaganda of General Practitioner service need to be more developed to create a good social atmosphere of community health service.Thirdly,social capital should be more encouraged to run for General Practitioner clinics to construct a diversified medical pattern.For suggestions on development of mobile service of General Practitioner,the first step is to pinpoint the location of target population,aiming at improving users' adoption intention on the mobile service.Secondly,playing the advantages of mobile technology to increase perceived usefulness and perceived ease of use.Thirdly,information security and sharing level need to be promoted to optimize regional distribution of health resources. |
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