What Drives People’s Behavioral Intention Toward Telemedicine? An Emerging Economy Perspective

Abstract

Because healthcare systems in developing nations are underfunded and unequal, practitioners must understand how telemedicine may be widely introduced and sustained. Unfortunately, telemedicine adoption receives less attention and there is limited knowledge regarding the interfering influence of patient engagement, satisfaction, and individual innovativeness. Consequentially, the current study seeks to investigate the factors that influence patients’ behavioral intentions toward telemedicine, while acknowledging engagement and satisfaction as mediators and personal innovativeness as a moderator. A questionnaire instrument was used to reach telemedicine users in Bangladesh, and finally, 305 samples were curated and explored applying structural equation modeling in AMOS software. The empirical results show that information quality, performance expectancy, engagement, and satisfaction are strong stimulators of behavioral intention toward telemedicine, whereas functionality, information quality, and performance expectancy drive satisfaction and engagement. One of the worthy findings of this study is that engagement and satisfaction play a significant mediating function, while personal innovativeness plays a moderating role, in influencing behavioral intention toward telemedicine. Confirming engagement and satisfaction as mediators and innovativeness as a moderator adds originality to this research, and overall will help to reduce healthcare bias prejudice among marginalized people in developing countries like Bangladesh.

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“…Therefore, active citizen engagement affects the nexus between service quality and satisfaction. Citizen participation moderates service qualitysatisfaction relations [15,48,65,84]. Thus, the fourth and fifth hypotheses are;…”

“…A Mediator greatly influences the causal relationship between dependent and independent variables and shows the facts of that relationship and how and why they are related [1,85]. In defining the relationship among the constructs, Specific Satisfaction (SPES) works as a mediator; on the contrary, Accumulative Satisfaction (ACCS) mediates the relationship between Specific Satisfaction and continuous intention to use e-services [77,28,84,86,87]. Thus, this study offers the following hypotheses;…”

“…Biswas and Roy [15] examined UDCs and contended that information quality contributes positively to both overall and specific user satisfaction. Ming et al [77] and Hossain et al [84] similarly assert that citizen satisfaction hinges on the quality of information provided. These studies suggest that the quality and accessibility of information have a substantial impact on people's satisfaction levels and their inclination to utilize digital centers.…”

“…The overall physical infrastructure and its seamless operation are observed to capture people's attention towards the service center, fostering a mutually beneficial scenario where individuals utilize facilities optimally. Hossain et al [84] and Ferdous et al [51] posit that user satisfaction with a service is contingent upon the quality of infrastructure and internal systems. Alam [50] also corroborates the positive correlation between system quality and user satisfaction,…”

“…Quantitative method here ensures the statistical significance of the variables and their impacts on each other mentioned in the hypotheses presented in the Fig 1 . Using a convenience sampling technique, the service receivers of PDC in Bangladesh were invited to participate in the survey to collect primary data for this study. In quantitative research, convenience sampling technique provides easy access to the sources and is cost-effective and available [84,[88][89][90].…”