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Please use this identifier to cite or link to this item: http://hdl.handle.net/1820/6574
Title: Adoptie van eHealth binnen GGZ Nederland Onderzoek naar de veranderingsbereidheid van Zorgproessionals
Authors: Helvoirt
Keywords: Keywords: eHealth, mental healthcare, healthcare professionals, willingness to change, TAM-model, perceived usefulness, perceived usability, AMO theory, capability, motivation, opportunity, DINAMO-model, attitude, subjective norm and behavioral control.
Issue Date: 16-Oct-2014
Publisher: Open Universiteit Nederland
Abstract: ADOPTION OF EHEALTH WITHIN DUTCH ASSOCIATION OF MENTAL HEALTH AND ADDICTION CARE Research for the willingness to change of healthcare professionals Abstract Purpose: The goal in this case study is to understand the different factors that are responsible for whether or not healthcare professionals are willing to accept to work with eHealth technologies. These factors are: perceived usefulness, perceived usability, capability, motivation, opportunity, attitude, subjective norm and behavioral control. Background: With the increase in aging population, labor shortage and aged related diseases in the Netherlands, there is a greater need for healthcare and care staff. To be able to respond to this greater need, healthcare organizations should invest more in innovation. One of these innovations is eHealth. eHealth covers the use of new information- and communication technologies, particularly Internet technology, to support health and healthcare, or to improve them. eHealth could solve a number of problems, such as cost reduction to treatments, and provide benefits as it creates opportunities for more efficiency. Clients will have more insight and control over their own treatment, it increases treatment effectiveness, improves transparency, treatments can be arranged to be customized and 'blended' (it has the benefits of online treatments and face-to-face treatment combined in one). At this moment there are attempts to put eHealth into to practice for the support of healthcare in several ways, but it appears that only a small group of healthcare professionals uses eHealth. In early July 2014, the Dutch Minister for Health sent a letter to the chairman of the Second Chamber in which she pleaded for scaling up the use of eHealth within the Dutch healthcare. According to the Minister the technologies and applications are present, but there is yet not enough focus on these online treatments. Health insurance companies also experience the slow progress that is being made with the usage of eHealth, although it exists since 1999. Therefore a number of health insurance companies want to push the use of eHealth. But why is it so difficult to insert the use of eHealth? The evidence of why healthcare professionals are having doubts is still lacking. This evidence however is substantial, because acceptation by healthcare professionals is crucial for the success of eHealth and its acceleration in use. Method: This case study had a cross-sectional design and was conducted amongst healthcare professionals within the Dutch mental healthcare. The data for this study was required by use of a questionnaire. A factor analysis was conducted to examine the factors that hinder (or encourage) the willingness to change of healthcare professionals. The factor analysis showed that some items have strong correlations and are difficult to distinguish. Because of this correlation between the items, the 'stepwise regression' was used as an estimation method. Otherwise it wouldn't be possible to separate the influence of the explanatory variable from each other. Next, by use of a multiple regression analysis, the hypothesis of this study was tested. Results/conclusion: The results of this study show that perceived usefulness and perceived usability of the TAM-model, have a significant positive influence on the willingness to change of healthcare professionals. Perceived usefulness has a stronger influence than perceived usability. In addition, the results show that only the opportunity of the AMO-model has a significant influence on the willingness to change. There is no significant effect found for motivation or capability. Finally, attitude and subjective norm have no significant influence on the willingness to change of the DINAMO-model. The variable behavioral control has a significant negative influence on the willingness to change. It is to be concluded that perceived usefulness, perceived usability and opportunity fulfill an important part in enhancing the willingness to change of healthcare professionals to use eHealth applications. And that behavioral control diminishes the willingness to change of healthcare professionals to use eHealth applications. Keywords: eHealth, mental healthcare, healthcare professionals, willingness to change, TAM-model, perceived usefulness, perceived usability, AMO theory, capability, motivation, opportunity, DINAMO-model, attitude, subjective norm and behavioral control
URI: http://hdl.handle.net/1820/6574
Appears in Collections:MSc Management Science

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