Date of Conferral

2022

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Nicole A. McGuire

Abstract

Despite the increased role of telemedicine services, physicians’ intention to adopt telemedicine for the long term remains disproportionately low; further, little research has focused on the factors behind these intentions. The purpose of this study was to determine and compare the effects of two causal factors: previous experience of physicians in telemedicine and company telemedicine training, on physicians’ intention to adopt telemedicine. The Davis’s technology acceptance model was used as a theoretical framework for this study, which included analytical data of health care regulatory organizations, medical professional alliances, and secondary statistical data of a marketing company with experience in conducting surveys in health care. The findings of Kruskal–Wallis tests on effects of those factors were statistically significant with p < .05 for both, with large effect sizes (E2 = .66 for the factor of experience and E2 = .71 for the factor of training). Comparative analysis (via Mann–Whitney test) of the effects of the two factors revealed that company telemedicine training had a significantly greater impact on the outcome variable (p < .05) with a medium effect size (r = .42). Thus, the study findings demonstrated that company telemedicine training is an important positive factor for physicians’ adoption of telemedicine. The most important implication of this study’s findings for positive social change could be the reduction of inequalities in access to healthcare services by offering telemedicine to numerous population groups with limited mobility due to their health status, age, remote location, and the COVID-19 pandemic.

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