The Technology Acceptance Model and Telemedicine: Predicting Health Care Providers’ Intention to Use Telemedicine

The Technology Acceptance Model and Telemedicine: Predicting Health Care Providers’ Intention to Use Telemedicine

Author: 
Mary Elizabeth Prouty Horne
Program of study: 
D.H.A.
Abstract: 
The emergence of telemedicine is in response to extending health care to remote regions or providing specialty services in various settings. This quantitative research study focused on factors such as perceived ease of use, perceived usefulness and attitudes of providers towards telemedicine, and how they influence their acceptance or reluctance to the use of this mode of health care delivery. The data were then used to develop a multiple regression equation that models the prediction of users versus nonusers of telemedicine. The population of this study included 46 health care workers in Alaska. Specifically, paramedics, nurses, physicians, and advanced practice practitioners (nurse practitioners and physician assistants) that work in Alaska were included in this evaluation. According to the Pearson correlation results, there were significant relationships among perceived usefulness, perceived ease of use and intention to use. Interestingly, there were no statistically significant correlation noted between provider attitude toward using telemedicine and intention to use. The multiple regression model statistically significantly predicted Intention to Use, F (3, 42) = 8.383, p < .0005, adjusted R2 = 0.330. All three variables combined together added statistically significantly to the prediction, p < .05.
Dedication: 
This has been a longer journey than initially expected in combination with a host of other life events; getting married, buying a house, having two daughters and changing jobs. I barely recognize the person that I was at the start of my studies. The personal and professional change has been exciting, profound and life changing and I would like to take a moment to acknowledge some of the people who have helped me on this rewarding path in life. First, I would like to express my gratitude to my amazing husband, Charles, for your unfailing love and support. I may have started this journey before ours truly began, but I would not have reached the finish line if it was not for your continuous encouragement along the way. You had faith in me even when I did not believe in myself. This has honestly been the hardest marathon we have run together but I am incredibly blessed and extremely appreciative to have you by my side. To my parents, Dan and Holly Prouty, I am forever indebted for all of your love and support. It is impossible to adequately thank you for everything you have done, from loving me unconditionally to your unwavering support throughout my educational pursuits. Thank you for instilling in me at a very young age the belief that anything is possible with faith, hard work and determination. Various writers and motivational speakers have been credited for the popular quote, “Shoot for the moon. Even if you miss, you’ll land among the stars.” When I first heard this I was inspired, but then realized I did not want to just land among the stars. My daddy told me as a little girl that God put the moon in the sky for me and that was where I wanted to reach. I did it Daddy! I finally touched the moon! To my beautiful daughters, Madeline Elizabeth and Sarah Margaret Grace, may you always know how much I love you. You might be young, but you have both taught me so much already. This journey has not been one I have taken alone. It has indeed impacted our entire family as we navigated this uncharted territory. At the age of 2, while I was cleaning her room, with pen and paper in her hand, my sweet Madeline told me to give her some “quiet time” because she was working on her “dissatation.” She may not have known exactly what a dissertation was but she knew it was important. This opened my eyes to the realization that our children see and understand much more than we give them credit. My promise to you both is that I will always strive to be a positive role model and be the best version of me I can be for you. I would like to remember all of my loved ones who have gone on to a better life and cannot physically be here with me today, especially my grandparents with whom I was very fortunate to have close relationships. Grandpa Redlinger, I have always been inspired by your intellectual pursuits and felt you with me during this journey. I know this degree would have made you proud and I wish you could be here to share in this special accomplishment. My maternal grandmother, Dearma, I hear your words echo in my head from time to time; “You are more than just a pretty face. You are smart and very special. Don’t ever forget that.” I haven’t forgotten Dearma. My paternal grandparents, Nanny and Granddaddy Prouty, I will never forget your faces beaming with pride at all of my graduation ceremonies; high school, undergraduate, and my master’s degree program. I am sure if you were here today you would have the same smile and outpouring of love as you did then. Your memories and life lessons are all close in my heart and always will be. Even though you are no longer with us physically, I would like to think you are all watching and celebrating with me in heaven.
Acknowledgements: 
There have been many people who have walked alongside me during the last seven years. They have guided me, placed opportunities in front of me and showed me doors that might be helpful to open. I would like to thank each and every one of them. I would especially like to thank Dr. Katherine Iaconetti. Without your encouragement and guidance over the last few years, the road would have seemed a very lonely place. You have been there to share in the ups and downs of life with me and remained the one constant at the University of Phoenix during this dissertation process. I would also like to thank the other two members of my dissertation committee, Dr. Elisabeth Weinbaum and Dr. Peter Zografos. Although we have not been working together long, your insight and wisdom has been invaluable to my writing efforts and completing the dissertation process.