보건진료소 만성질환 원격의료서비스의 질과 접근성이 환자만족도, 치료순응도, 재이용 의도에 미치는 영향
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Objectives : The purpose of this study was to investigate the causal relationships among quality of care, accessibility, patient satisfaction, compliance, and intention to reuse of telehealth service in the rural underserved area. Methods : The subjects were patients who were experienced telehealth services for chronic diseases (hypertension and/or diabetes) in 24 primary healthcare posts in Gangwon province. Data were collected by telephone survey questionnaire for 8 days from July 18th 2006 to July 25th from 172 hypertension patients. The causal relationships among variables were examined by structural equation modeling(SEM). Results : It was found that the quality and accessibility of telehealth service positively affects to patient satisfaction, compliance, and patient intention to reuse, and affects to patient intention to reuse through patient satisfaction. Patient satisfaction was revealed as a mediating variable from quality of the service and accessibility to intention to reuse. However, patients' compliance, influenced by quality of care and accessibility, does not affect patients' intention to reuse significantly. Conclusions : Telehealth service will contribute to enhancing management and care of chronic disease patients in the rural underserved areas. Therefore, the improvement of accessibility to qualified healthcare services through telehealth system will contribute to enhancing management and care of chronic disease patients in the underserved area. Key Words: Chronic disease, Telehealth, Quality of care, Accessibility, Patient satisfaction, Compliance, Intention to reuse
Abstract
Objectives : The purpose of this study was to investigate the causal relationships among quality of care, accessibility, patient satisfaction, compliance, and intention to reuse of telehealth service in the rural underserved area. Methods : The subjects were patients who were experienced telehealth services for chronic diseases (hypertension and/or diabetes) in 24 primary healthcare posts in Gangwon province. Data were collected by telephone survey questionnaire for 8 days from July 18th 2006 to July 25th from 172 hypertension patients. The causal relationships among variables were examined by structural equation modeling(SEM). Results : It was found that the quality and accessibility of telehealth service positively affects to patient satisfaction, compliance, and patient intention to reuse, and affects to patient intention to reuse through patient satisfaction. Patient satisfaction was revealed as a mediating variable from quality of the service and accessibility to intention to reuse. However, patients' compliance, influenced by quality of care and accessibility, does not affect patients' intention to reuse significantly. Conclusions : Telehealth service will contribute to enhancing management and care of chronic disease patients in the rural underserved areas. Therefore, the improvement of accessibility to qualified healthcare services through telehealth system will contribute to enhancing management and care of chronic disease patients in the underserved area. Key Words: Chronic disease, Telehealth, Quality of care, Accessibility, Patient satisfaction, Compliance, Intention to reuse
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