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The role of perceived e-health literacy in users’ continuance intention to use mobile healthcare applications: an exploratory empirical study in China

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  • Xi Zhang
  • Xiangda Yan
  • Xiongfei Cao
  • Yongqiang Sun
  • Hui Chen
  • Jinghuai She

Abstract

In recent years, mobile healthcare applications (MHAs) have boomed, providing several new kinds of health services and methods of information transmission. However, MHA vendors face a significant challenge in attracting users to adopt software continuously. Some recent studies recognized users’ perceived e-health literacy (PEHL) as a critical factor in continuance intention, but its influence was still unclear. In this paper, based on the elaboration likelihood model (ELM), we investigated how the users’ PEHL affects their continuance intention when adopting MHAs. We distributed convenience sample questionnaires by Wechat (similar to WhatsApp) in China, where hundreds of MHAs can be downloaded, and 273 valid samples were collected. The result shows that ELM works well in this model, with six of the eight hypotheses supported. The moderating effect of PEHL is largely significant for the peripheral route but not significant for the central route. The most interesting finding is that, with regard to continuance adoption, PEHL has a positive relationship with users’ satisfaction. Possible reasons are discussed, such as there could be a moderator on this relationship. Limitations, future studies and implications for theory, practice and policy are also given.

Suggested Citation

  • Xi Zhang & Xiangda Yan & Xiongfei Cao & Yongqiang Sun & Hui Chen & Jinghuai She, 2018. "The role of perceived e-health literacy in users’ continuance intention to use mobile healthcare applications: an exploratory empirical study in China," Information Technology for Development, Taylor & Francis Journals, vol. 24(2), pages 198-223, April.
    • Handle: RePEc:taf:titdxx:v:24:y:2018:i:2:p:198-223
    DOI: 10.1080/02681102.2017.1283286
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    2. Kovačić Matija & Mutavdžija Maja & Buntak Krešimir, 2022. "e-Health Application, Implementation and Challenges: A Literature Review," Business Systems Research, Sciendo, vol. 13(1), pages 1-18, June.
    3. Sakun Boon-itt, 2019. "Quality of health websites and their influence on perceived usefulness, trust and intention to use: an analysis from Thailand," Journal of Innovation and Entrepreneurship, Springer, vol. 8(1), pages 1-18, December.
    4. Betty Purwandari & Latifatul Khairiyah & Mardiana Purwaningsih & Achmad Nizar Hidayanto & Nur Fitriah Ayuning Budi & Kongkiti Phusavat, 2023. "Why do people donate online? A perspective from dual credibility transfer," International Review on Public and Nonprofit Marketing, Springer;International Association of Public and Non-Profit Marketing, vol. 20(2), pages 393-425, June.
    5. Leonie Kuen & Fiona Schürmann & Daniel Westmattelmann & Sophie Hartwig & Shay Tzafrir & Gerhard Schewe, 2023. "Trust transfer effects and associated risks in telemedicine adoption," Electronic Markets, Springer;IIM University of St. Gallen, vol. 33(1), pages 1-22, December.
    6. Fuyong Lu & Xintao Wang & Xian Huang, 2023. "Counseling for Health: How Psychological Distance Influences Continuance Intention towards Mobile Medical Consultation," IJERPH, MDPI, vol. 20(3), pages 1-21, January.
    7. Yan, Min & Filieri, Raffaele & Raguseo, Elisabetta & Gorton, Matthew, 2021. "Mobile apps for healthy living: Factors influencing continuance intention for health apps," Technological Forecasting and Social Change, Elsevier, vol. 166(C).
    8. Perez-Aranda, Javier & González Robles, Eva M. & Alarcón Urbistondo, Pilar, 2023. "Understanding antecedents of continuance and revisit intentions: The case of sport apps," Journal of Retailing and Consumer Services, Elsevier, vol. 72(C).
    9. Henner Gimpel & Tobias Manner-Romberg & Fabian Schmied & Till J. Winkler, 2021. "Understanding the evaluation of mHealth app features based on a cross-country Kano analysis," Electronic Markets, Springer;IIM University of St. Gallen, vol. 31(4), pages 765-794, December.
    10. Kim, Ki-Hun & Kim, Kwang-Jae & Lee, Dae-Ho & Kim, Min-Geun, 2019. "Identification of critical quality dimensions for continuance intention in mHealth services: Case study of onecare service," International Journal of Information Management, Elsevier, vol. 46(C), pages 187-197.
    11. Mengling Yan & Hongying Tan & Luxue Jia & Umair Akram, 2020. "The Antecedents of Poor Doctor-Patient Relationship in Mobile Consultation: A Perspective from Computer-Mediated Communication," IJERPH, MDPI, vol. 17(7), pages 1-16, April.

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