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Investigating Factors Impelling the Adoption of e-Health: A Perspective of African Expats in China

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  • Imran Khan
  • Guo Xitong
  • Zeeshan Ahmad
  • Fakhar Shahzad

Abstract

The purpose of the study was to analyze the factors affecting the acceptance and adoption of e-Health applications among African expats in China from the patient’s perspective. This research used extended technology acceptance model (TAM) with the addition of privacy and trust. The survey method with the structured questionnaire was used to collect data from more than 300 African expats in three Tier 1 cities of China. Hypotheses were tested using partial least squares (PLS) method, a structural equation modeling (SEM) based statistical technique. The results show that perceived usefulness, perceived ease of use (PEU), and privacy have significant effects on intention to use (INT) e-Health technologies. Moreover, PEU endorses positive impact on perceived usefulness. The results also revealed that gender was partially associated with the acceptance and use of e-Health technologies. However, surprisingly, trust had an insignificant effect on INT of e-Health. The results of the current research provide the foundation for the development of policies and strategies for the enhancement of e-Health services to African expats in China. Moreover, the acceptance model of current study can be modified easily because of its generic approach for the investigation of adoption of e-Health services among other developing countries’ expats in China.

Suggested Citation

  • Imran Khan & Guo Xitong & Zeeshan Ahmad & Fakhar Shahzad, 2019. "Investigating Factors Impelling the Adoption of e-Health: A Perspective of African Expats in China," SAGE Open, , vol. 9(3), pages 21582440198, July.
    • Handle: RePEc:sae:sagope:v:9:y:2019:i:3:p:2158244019865803
    DOI: 10.1177/2158244019865803
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    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    2. Zwaan, Laura & Thijs, Abel & Wagner, Cordula & Timmermans, Daniëlle R.M., 2013. "Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea," Social Science & Medicine, Elsevier, vol. 91(C), pages 32-38.
    3. Hiroshi Ono & Madeline Zavodny, 2003. "Gender and the Internet," Social Science Quarterly, Southwestern Social Science Association, vol. 84(1), pages 111-121, March.
    4. Ozawa, Sachiko & Sripad, Pooja, 2013. "How do you measure trust in the health system? A systematic review of the literature," Social Science & Medicine, Elsevier, vol. 91(C), pages 10-14.
    5. Allin, Sara & Grignon, Michel & Le Grand, Julian, 2010. "Subjective unmet need and utilization of health care services in Canada: What are the equity implications?," Social Science & Medicine, Elsevier, vol. 70(3), pages 465-472, February.
    6. Frank M. Bass, 1969. "A New Product Growth for Model Consumer Durables," Management Science, INFORMS, vol. 15(5), pages 215-227, January.
    7. Bandura, Albert, 1991. "Social cognitive theory of self-regulation," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 248-287, December.
    8. Allen S. Lee, 1991. "Integrating Positivist and Interpretive Approaches to Organizational Research," Organization Science, INFORMS, vol. 2(4), pages 342-365, November.
    9. Barbara J. Orser & Allan Riding, 2018. "The influence of gender on the adoption of technology among SMEs," International Journal of Entrepreneurship and Small Business, Inderscience Enterprises Ltd, vol. 33(4), pages 514-531.
    10. Duarte, Paulo & Pinho, José Carlos, 2019. "A mixed methods UTAUT2-based approach to assess mobile health adoption," Journal of Business Research, Elsevier, vol. 102(C), pages 140-150.
    11. Jie Zhao & Suping Fang & Peiquan Jin, 2018. "Modeling and Quantifying User Acceptance of Personalized Business Modes Based on TAM, Trust and Attitude," Sustainability, MDPI, vol. 10(2), pages 1-26, January.
    12. Cotten, Shelia R & Gupta, Sipi S, 2004. "Characteristics of online and offline health information seekers and factors that discriminate between them," Social Science & Medicine, Elsevier, vol. 59(9), pages 1795-1806, November.
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    3. Renata Walczak & Magdalena Kludacz-Alessandri & Liliana Hawrysz, 2022. "Use of Telemedicine Technology among General Practitioners during COVID-19: A Modified Technology Acceptance Model Study in Poland," IJERPH, MDPI, vol. 19(17), pages 1-18, September.
    4. Waleed Mansi G Alshammari & Fahad Maiyah M Alshammari & Faiz Mayah M Alshammry, 2021. "Factors Influencing the Adoption of E-Health Management among Saudi Citizens with Moderating Role of E-Health Literacy," Information Management and Business Review, AMH International, vol. 13(3), pages 47-61.

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