Abstract

BackgroundImproving the quality of patient care through the use of mobile devices is one of the hot topics in the health care field. In unwanted situations like an accident, ambulances and rescuers often require a certain amount of time to arrive at the scene. Providing immediate cardiopulmonary resuscitation (CPR) to patients might improve survival.ObjectiveThe primary objective of this study was to evaluate the feasibility of an emergency and mutual-aid app model in Taiwan and to provide a reference for government policy.MethodsA structured questionnaire was developed as a research tool. All questionnaires were designed according to the technology acceptance model, and a Likert scale was used to measure the degree of agreement or disagreement. Moreover, in-depth interviews were conducted with six experts from medical, legal, and mobile app departments. Each expert was interviewed once to discuss feasible countermeasures and suggestions. Statistical Package for the Social Sciences (SPSS version 19; IBM Corp, Armonk, New York) was used to perform all statistical analyses, including descriptive statistics, independent sample t-tests, variance analysis, and Pearson correlation analysis.ResultsWe conducted this study between October 20, 2017, and November 10, 2017, at the Taipei Medical University Hospital. Questionnaires were distributed to medical personnel, visiting guests, family members, and volunteers. A total of 113 valid questionnaires were finally obtained after the exclusion of incomplete questionnaires. Cronbach α values for self-efficacy (perceived ease of use), use attitude (perceived usefulness), and use willingness and frequency were above .85, meeting the criterion of greater than .70. We observed that the reliability of each subquestion was acceptable and the values for use attitude (perceive usefulness) and use willingness and frequency were more than .90.ConclusionsThe findings suggest that perceived ease of use and perceived usefulness of the app model affect use willingness. However, perceived usefulness had an intermediary influence on use willingness. Experts in law, medical, and technology fields consider that an emergency and mutual-aid model can be implemented in Taiwan. Along with the development of an emergency and mutual-aid app model, we recommend an increase in the number of automated external defibrillators per region and promotion of correct knowledge about CPR in order to decrease morbidity and mortality.

Highlights

  • Internet technology has been gaining momentum in all areas, including health care, and it is showing no signs of slowing down anytime soon

  • As a basis for subsequent verification questionnaires and statistical analysis and to verify the research structure and hypothesis, this study proposed the following four hypotheses: (1) perceived ease of use and perceived usefulness are significantly positively correlated; (2) perceived usefulness is significantly positively correlated with use willingness and frequency; (3) perceived ease of use is significantly positively correlated with use willingness and frequency; and (4) perceived usefulness has a mediating effect on perceived ease of use and use willingness

  • The findings of this study indicate that the three technology acceptance model (TAM) facets support the findings of various studies about the impact of the three facets on the adoption of various forms of technology [28,29,30,31] and the tendency of people to use location-based emergency apps or any other health care apps [32,33,34]

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Summary

Introduction

Internet technology has been gaining momentum in all areas, including health care, and it is showing no signs of slowing down anytime soon. Improving the quality of patient care through the use of mobile devices is one of the hot topics in the health care field. Objective: The primary objective of this study was to evaluate the feasibility of an emergency and mutual-aid app model in Taiwan and to provide a reference for government policy. Conclusions: The findings suggest that perceived ease of use and perceived usefulness of the app model affect use willingness. Medical, and technology fields consider that an emergency and mutual-aid model can be implemented in Taiwan. Along with the development of an emergency and mutual-aid app model, we recommend an increase in the number of automated external defibrillators per region and promotion of correct knowledge about CPR in order to decrease morbidity and mortality

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