Abstract
The Mobile Chronic Disease Management Service (MCDMS) is an emerging medical service for chronic disease prevention and treatment, but limited attention has been paid to the factors that affect users’ intention to adopt the service. Based on the unified theory of acceptance and use of technology 2 and the protection motivation theory, the authors built an MCDMS adoption model. The authors also verified the differentiating age effect on the service adoption intention from experiential distance perspective of the construal level theory. Empirical results showed that the young group focused more on the impact of effort expectancy, whereas the elderly group focused more on performance expectancy, imitating others, and perceived severity. Furthermore, the young group, however, focused more on the impact of perceived vulnerability, and offline medical habits showed no significant influence on either group’s intention to adopt, which were not consistent with the original hypotheses. The findings can aid MCDMS providers in selecting marketing strategies targeted toward different age groups.
Highlights
According to the Progress of Disease Prevention and Control in China (2015), released by the National Health and Family Commission of the People’s Republic of China, medical expenses for chronic diseases already represent nearly 70% of total medical costs in China
Coping appraisals were excluded in our research model because response efficacy in Protection motivation theory (PMT) is similar to performance expectancy in UTAUT2, whereas self-efficacy in PMT can be regarded as perceived behavioral control in theory of planned behavior (TPB)
According to Hair, Risher, Sarstedt, and Ringle (2019) suggestions, when the analysis is concerned with testing a theoretical framework from a prediction perspective and the research objective is to better understand increasing complexity by exploring theoretical extensions of established theories, partial least squares (PLS) is more appropriate
Summary
According to the Progress of Disease Prevention and Control in China (2015), released by the National Health and Family Commission of the People’s Republic of China, medical expenses for chronic diseases already represent nearly 70% of total medical costs in China. With the rapid development of information technology, the level of medical service informatization has increased (Shiau, Siau, Yu, & Guo, 2021). This has facilitated the development of the Mobile Chronic Disease Management Service (MCDMS) (Dou et al, 2017), which provides an opportunity to deal with this medical challenge.
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