Study On Influencing Factors Of Residents’ Intention To Use E-health Card

Objective:The popularization of e-health card can promote the sharing of health information and has broad application and development prospects in improving the convenience and quality of medical treatment for residents.Based on the existing intention to use theory model and the UTAUT model(the same model of technology acceptance and use),this study combined the Perceived Risk theory and Health Self-efficacy theory to determine the factors that affect residents’ intention to use e-health card,and constructed the model framework of influencing factors of residents’ intention to use ehealth card.This study provided a basis for effectively motivating residents to use ehealth card widely,and provided references for better popularization,promotion and improvement of service level of e-health card.Methods:Based on the review and analysis of the relevant theoretical models of the intention to use e-health card in the technical field,the relevant factors that may affect the intention to use e-health card are summarized and put forward,and the model framework is constructed.The research data were obtained through questionnaire survey,and the data were processed and analyzed by EXCEL and IBM SPSS24.0software.After relevant statistical description,the rank sum test was used to verify whether demographic characteristics had an effect on usage intention.Correlation analysis was used to verify whether there was a correlation between performance expectancy,effort expectancy,facilitating conditions,social influence,perceived risk,technology anxiety,self-efficacy and residents’ intention to use.The influence of the above variables on residents’ usage intention was further verified by multiple linear regression analysis.Results:1.A total of 554 questionnaires were collected in this study,of which 546 were valid,with effective recovery rate of 98.60%.Among the 546 respondents,432(79.12%)knew the e-health card and 415(76.01%)knew the e-health card of Jilin Province.Among all the residents who know the e-health card of Jilin Province,362(87.23%)have used the e-health card of Jilin Province.2.The rank sum test showed that,gender,age,educational level,annual household income,marital status and time spent using smart phones are the factors that affect the intention of residents to use e-health card(P<0.05).Male residents showed a higher willingness to use.Residents aged 18-35 showed a higher willingness to use.The higher the educational level and the higher the annual income of the residents,the higher the intention to use.Unmarried residents are more willing to use.Residents who use smart phones for a long time showed a higher willingness to use e-health card than those who use smart phones for a short time.Residents with different gender,age,educational level,annual household income and time spent using smart phones had statistically significant differences in the intention to use five specific functions of e-health card:registration appointment,online consultation,electronic report inquiry,health records and other health services(P<0.05).3.Correlation analysis results showed that performance expectancy,effort expectancy,facilitating conditions,social influence,perceived risk,technology anxiety,self-efficacy were correlated with the intention to use(P<0.05).In terms of the specific functions of the e-health card,The seven antecedent variables were correlated with the intention to use the five specific functions(P<0.05).4.Multiple linear regression analysis results show that,residents’ willingness to use e-health cards was statistically significant in terms of performance expectation,effort expectation,convenience,community influence,perceived risk,technology anxiety and self-efficacy(P<0.05).As for the specific functions of the e-health card,performance expectancy had significant influence on the intention to use the five functions of e-health card.Effort expectancy Influences residents’ willingness to use the functions of online consultation,electronic report inquiry.Facilitating conditions affects residents’ willingness to use health records and other health service functions.Social influence affected residents’ willingness to use registration appointments,online consultations and other health service functions.Self-efficacy affected residents’ willingness to use online consultation,electronic reports,health records and other health service functions.Perceived risk and technology anxiety were two negative factors affecting residents’ use of e-health card.In addition,age,annual household income and time spent using smart phones were also the factors that affect residents’ intention to use the specific functions of the e-health card.Conclusions:Generally speaking,residents’ cognition and utilization rate of e-health card in Jilin Province are relatively high,and the development prospect of e-health card is optimistic.The willingness to use e-health cards was affected by performance expectancy,effort expectancy,facilitating conditions,social influence,perceived risk,technology anxiety,self-efficacy.In the future,the popularization and development of e-health card can be started from the influencing factors of residents’ willingness to use,and targeted optimization and improvement can be carried out to improve the utilization rate of residents.Therefore,based on this study,the following suggestions are provided for the promotion and development of e-health card in Jilin Province: In the process of e-health card promotion,find the key entry point.Continuously strengthen the e-health card platform operation and maintenance management,improve the information guarantee mechanism.Continue to deepen the upgrading of the e-health card application program,and constantly enrich the facilitating conditions and benefit of the e-health card.