Higher Willingness Research Articles

Patterns of willingness to share health data with key stakeholders in US consumers: a latent class analysis.

To identify distinct patterns in consumer willingness to share health data with various stakeholders and analyze characteristics across consumer groups. Data from the Rock Health Digital Health Consumer Adoption Survey from 2018, 2019, 2020, and 2022 were analyzed. This study comprised a Census-matched representative sample of U.S. adults. Latent class analysis (LCA) identified groups of respondents with similar data-sharing attitudes. Groups were compared by sociodemographics, health status, and digital health utilization. We identified three distinct LCA groups: (1) Wary (36.8%), (2) Discerning (47.9%), and (3) Permissive (15.3%). The Wary subgroup exhibited reluctance to share health data with any stakeholder, with predicted probabilities of willingness to share ranging from 0.07 for pharmaceutical companies to 0.34 for doctors/clinicians. The Permissive group showed a high willingness, with predicted probabilities greater than 0.75 for most stakeholders except technology companies and government organizations. The Discerning group was selective, willing to share with healthcare-related entities and family (predicted probabilities >0.62), but reluctant to share with other stakeholders (predicted probabilities <0.29). Individual characteristics were associated with LCA group membership. Findings highlight a persistent trust in traditional healthcare providers. However, the varying willingness to share with non-traditional stakeholders suggests that while some consumers are open to sharing, others remain hesitant and selective. Data privacy policies and practices need to recognize and respond to multifaceted and stakeholder-specific attitudes. LCA reveals significant heterogeneity in health data-sharing attitudes among U.S. consumers, providing insights to inform the development of data privacy policies.

Willingness and determinants of elder care modes among elderly individuals: insights from underdeveloped regions in Western China.

The aim of the present study was to investigate the willingness of elderly individuals regarding their choice of elderly care modes in underdeveloped regions of Western China and to identify the key factors influencing the willingness. We distributed a total of 20 000 questionnaires using the multistage stratified cluster random sampling method, and successfully collected 19 460 of them. After conducting quality checks, we deemed 19 040 questionnaires valid for analysis. The survey covered seven cities, 24 counties, and 255 villages in Gansu Province. We conducted statistical analyses, including univariate χ2 test, Kruskal-Wallis test and multivariate logistic regression, to assess the willingness of elderly individuals regarding care modes and the factors influencing these choices. Among the 19 040 valid responses, 88.55% preferred home care, 5.01% opted for community care, 5.01% chose institutional care, 1.08% preferred mutual care, and 0.36% selected smart care. Elderly individuals who have a lower level of education, residence within a 15-minute walking distance to the nearest health care facility, and believe that elder care should rely on themselves or their children, etc. exhibit a higher willingness for choosing the home care mode (P < 0.05). Elderly individuals who believe that elderly care should be reliant on their children, and possess a greater knowledge for the combination of medical and elderly care, etc. exhibit a stronger willingness for choosing the community care (P < 0.05). Elderly individuals with lower educational level and lack endowment insurance, etc. exhibit a higher willingness for choosing the mutual care (P < 0.05). Elderly individuals who are not afflicted with chronic illnesses and reside within a 15-minute distance from the nearest medical centre exhibit a higher willingness for choosing the smart care mode (P < 0.05). In underdeveloped regions in China, home care continues to be the predominant choice among elderly individuals. However, the growing demand for diverse elderly care modes warrants attention. Multiple factors influence the willingness of elderly individuals when selecting care modes. This study offers valuable insights for policymakers, enabling government departments to implement targeted strategies and interventions to meet the diverse service needs of the elderly population effectively.

Dynamic Evolutionary Game of Knowledge-Sharing Willingness Among Enterprises in Cluster Innovation Network: Considering the Network Structure

Knowledge-sharing behavior based on cluster innovation network has become the primary way for enterprises to achieve sustainable innovation. The willingness of enterprises to share knowledge is a dynamic evolutionary game, supplemented by their periodic evaluations of changes in the network structure and strategic optimization based on game payoffs. An evolutionary game model is constructed to determine which network structure enables enterprises to attain the highest willingness to share knowledge. The results show the following: (1) The scale-free network exhibits the most significant influence on enhancing enterprises’ willingness to share knowledge, followed by small-world, random, and regular networks. In addition, the scale-free network demonstrates the slowest rate of evolutionary equilibrium. (2) The more apparent the agglomeration and community structure within a network, the greater the likelihood that enterprises will adopt knowledge-sharing strategy. (3) Compared to the network structure with smaller communities, larger communities can enhance enterprises’ willingness. However, larger communities cannot be substituted by an equivalent number of smaller communities, even if they contain the same number of enterprises. The network evolutionary mechanism will be clarified, contributing to the optimization of network structure and the promotion of knowledge-sharing collaboration among enterprises, which facilitates cluster innovation.

Research and analysis of new energy vehicle business model based on social demand

Introduction: New energy vehicles (NEVs) refer to automobiles powered by alternative energy sources to reduce reliance on fossil fuels and mitigate environmental impacts. They represent a sustainable transportation solution, aligning with global efforts to promote energy efficiency in the automotive sector. Aim: The purpose of this research is to investigate the influence of social demand on the business model of NEVs. Through a comprehensive analysis of consumer preferences and market dynamics, the research aims to identify strategies for driving the sustainable growth of the NEV industry in respond to societal demands. Research methodology: We conduct a questionnaire survey on 2415 individuals and evaluated that questionnaire data by multifactor analysis of variance to examine individual consumer characteristics. We employed NOVA to evaluate the differences in market penetration factors. Additionally, a regression analysis model is utilized to examine accessibility element’s effects on the consumer’s intensions to buy, addressing categorical and ordered data requirements effectively. Research findings: This research demonstrates that middle-aged and adolescent demographics show the highest willingness to purchase NEV’s, particularly emphasizing technological advancements. Consumer preferences vary based on focus like NEV type, model and brand, necessitating tailored marketing strategies. Conclusion: Improving perception levels and addressing charging convenience and innovative features are vital for enhancing market penetration and sustainable business growth in the NEV industry.

Health professionals’ willingness to share responsibility and strengthen interprofessional collaboration: a cross-sectional survey

BackgroundDoctors’ unwillingness to share responsibility acts as a major barrier to interprofessional collaboration (IPC). Educating both doctors and allied health professionals in taking on or relinquishing responsibility could enhance IPC. Yet there is no evidence that these educational efforts increase IPC willingness. This study aims to (1) compare the willingness to take on or relinquish responsibility for decision-making in patient care and their willingness to strengthen IPC between members of five main health professions, and (2) investigate associations between the willingness to take on or relinquish responsibility and the willingness to strengthen IPC.MethodsWe conducted a cross-sectional survey targeting pharmacists, doctors, medical practice assistants, nurses, and physiotherapists in Switzerland. Group differences were assessed, and associations were examined using multivariable logistic regression analyses.ResultsOverall, 3670 health professionals participated. Members of all allied health professions were highly willing to take on more responsibility for decision-making for patient care (ranging from 74.3% to 86.5%). Medical practice assistants (52.3%) and nurses (46.8%) were highly willing to relinquish responsibility, less so pharmacists (34.2%) and physiotherapists (37.8%); doctors were torn between high (49.2%) and neither high nor low willingness (38%). Members of all professions were highly willing to strengthen IPC (ranging from 76.4 to 91.2%). We found a strong, statistically significant relationship between willingness to take on more responsibility and willingness to strengthen IPC (OR = 5.30, p < .001). The relationship between willingness to relinquish responsibility and willingness to strengthen IPC was smaller (OR = 3.30, p < .001).ConclusionIncreasing the health professionals’ willingness to take on responsibility is crucial to strengthen IPC. Increasing the willingness to relinquish responsibility would likely be less effective. Actions required include educational and political efforts to transfer responsibility to allied health professionals and to enable health professionals to decide when it is appropriate to take on or relinquish responsibility. Given the willingness of many health professionals to strengthen IPC, substantial potential in practice is evident.

Sustainable Protein Sources: Functional Analysis of Tenebrio molitor Hydrolysates and Attitudes of Consumers in Poland and Spain Toward Insect-Based Foods.

This study explores the potential of Tenebrio molitor protein hydrolysates as functional food ingredients, evaluating their bioactivity and consumer acceptance of the incorporation of edible insects into food across Poland and Spain. By aligning technical advancements with consumer preferences, this research bridges the gap between laboratory innovation and market feasibility, contributing to the development of sustainable functional foods. The study optimized the process of enzyme hydrolysis using serine protease from Cucurbita ficifolia, thereby enhancing DPPH scavenging capacity increased from 3.15 ± 0.53 to 8.17 ± 0.62 µM Trolox/mL and ABTS decolorization capacity increased from 4.29 ± 0.01 to 10.29 ± 0.01 µM Trolox/mL after 5 h of hydrolysis. Consumer surveys incorporating the Food Neophobia, Insect Phobia, and Entomophagy Scales revealed demographic and cultural influences on entomophagy acceptance. Among respondents, 27.1% in Poland and 25.7% in Spain had previously consumed insect-based products, while Polish participants showed a higher willingness to adopt insect-enriched foods. The study confirmed that hydrolysis enhances the antioxidant activity of T. molitor protein hydrolysates and that demographic and cultural factors significantly influence consumer acceptance of insect-based foods.

Preferences for public health insurance coverage of new anticancer drugs: a discrete choice experiment among non-small cell lung cancer patients in China

BackgroundEnsuring equal access to affordable, high-quality, and satisfied healthcare for cancer patients is a challenge worldwide. Our study aimed to investigate preferences for public health insurance coverage of new anticancer drugs among non-small cell lung cancer (NSCLC) patients in China.MethodsWe identified six attributes of new anticancer drugs and adopted a Bayesian-efficient design to generate choice scenarios for a discrete choice experiment (DCE). The one-on-one, face-to-face DCE was conducted in four cities in Jiangsu Province. The mixed logit regression model was used to estimate patient-reported preferences for each attribute. The interaction model was used to investigate preference heterogeneity.ResultsData from 486 patients were available for analysis. The most valuable attribute was the out-of-pocket cost if reimbursed (RI = 32.25%), followed by extension of overall survival (RI = 15.99%), and low incidence of serious side effects (RI = 14.45%). Patients had the highest willingness to pay for the comparative 9-month’ extension of overall survival. Patients with advanced NSCLC were more likely to expect new anticancer drugs could improve HRQoL (p < 0.01) and require fewer out-of-pocket costs (p < 0.01). Older patients and patients with low income cared more about the out-of-pocket costs (p < 0.001).ConclusionHealth insurance policymakers need to consider the affordability, comparative survival benefits, comparative safety, and comparative patient-reported outcomes of new anticancer drugs. The findings also highlight the need to ensure affordability for older patients, low-income patients, and patients with advanced cancer.

Consumer response to fuel economy in the face of global fuel crises

One crucial determinant of the overall cost of national fuel efficiency rules is how consumers evaluate trade-offs between the initial cost of vehicles with better fuel economy and the anticipated savings in fuel expenses. Vehicle selection modeling is a useful tool for evaluating variations in customer preferences when it comes to purchasing vehicles. Additionally, it explores the impact of these changes on consumer surplus and compliance costs. The study employs a particular selection test under comparison test conditions to investigate its impact on the visual representation of fuel economy data. The fuel economy data is displayed distinctly for each of the six factors: average monetary savings/spending over four years compared to a car in the same class, miles per gallon, fuel costs over six years, yearly fuel prices, the complete government-mandated fuel efficiency label, and the total fuel cost throughout the lifetime of the vehicle. A nationally representative sample of 950 prospective car purchasers in Ghana was randomly allocated to a single situation throughout the country. The study determined that the data presented had a direct impact on how consumers assess fuel efficiency. When comparing other criteria such as annual fuel cost, five-year fuel cost, and spending/saving comparisons, the study found a significantly higher willingness to pay value for participating in the scenario that included fuel economy labels. The value was adjusted based on participant statistics. Participants of advanced age and those who anticipated a somewhat reduced expenditure for their forthcoming automobile attributed greater significance to fuel efficiency. This research investigates potential reasons for the disparities between consumer willingness to pay for fuel efficiency and the offerings of automakers, despite the limited available data to assess the relative importance of these various theories.

Residents' willingness and awareness to participate in internet+nursing service in China: A meta-analysis.

The internet + nursing service is an important initiative for implementing the strategy of healthy China and actively responding to the aging of the population. However, the current literature on residents' awareness and willingness to participate is insufficient and presents large variations and limitations. Therefore, this study aims to systematically evaluate the awareness and willingness of Chinese residents to participate in internet + nursing service to comprehensively understand the level of awareness and acceptance of this emerging service model among Chinese residents and to provide strong support for relevant policy formulation and service optimization. The PubMed, Embase, Cochrane Library, Web of Science, CNKI, WanFang Data, SinoMed, and VIP databases were electronically searched to collect cross-sectional studies related to the awareness and willingness of Chinese residents to participate in internet + nursing service from inception to January 2024. Two reviewers independently screened the literature, extracted the data, and assessed the risk of bias of the included studies. A total of 27 cross-sectional studies involving 11,761 subjects were included. The results of the meta-analysis showed that the percentage of Chinese residents willing to participate in internet + nursing service was 76.3% (95% CI [71.2%, 81.3%]). The results of the subgroup analysis showed that residents who lived in Western regions (82.1%), had employee medical insurance (85.9%), were suffering from other diseases (89.2%), were under the age of 60 (87.8%), were not married (78.9%), and had an undergraduate degree or above (85.5%) had a relatively high willingness to participate in internet + nursing service. The rate of awareness of internet + nursing service among Chinese residents was 48.6% (95% CI [24.1%, 73.2%]), which shows a downwards trend over time (67.4% in 2019, 56.1% in 2020, and 45.1% in 2021). The willingness to participate in internet + nursing service among Chinese residents is high, but the awareness rate is low. It is necessary to improve the awareness and willingness of Chinese residents to use internet + nursing service through various channels and aspects of publicity and promotion to achieve the goal of innovating the health service model, accurately connecting with the diverse health needs of people, and actively responding to the aging population.

Exploring the mindset of kidney transplant recipients regarding COVID-19 vaccination: An insightful survey analysis.

Kidney transplant (KT) recipients are at risk of severe disease and high mortality from COVID-19, and vaccination offers some degree of protection. In this study, KT recipients' and controls' attitudes towards COVID-19 vaccination were examined. In this cross-sectional survey-based study, the willingness and hesitancy towards COVID-19 vaccines in KT recipients and a control group from the general population were assessed via questionnaire. Vaccine hesitancy was described as either not being fully vaccinated or vaccine refusal. A total of 154 KT recipients and 172 controls completed the questionnaire. The rate of those who had received at least 1 dose of COVID-19 vaccine was similar in the two study groups (92.4 vs. 92.9%, p = 0.88). The proportion of those fully vaccinated against COVID-19 was significantly lower in the KT recipients (58.7 vs. 70.4% p = 0.033). Only 11 (7.1%) of the KT recipients refused the COVID-19 vaccination. There was no significant difference between the groups in terms of vaccine refusal and vaccine hesitancy rates. Concerns about vaccine-related adverse events were common in both groups (63.6 vs. 53.8%; p = 0.488). Although participants showed a high willingness towards COVID-19 vaccination, the number of KT recipients who were fully vaccinated appears to be lower than controls. Concerns about vaccine-related adverse events were the main reason for avoiding vaccination. Healthcare personnel, particularly nephrologists and public health experts, must take a proactive role in addressing vaccine hesitancy and ensuring that patients receive the required protection against COVID-19.

Understanding of Clinical Trials Among Patients With Cancer and Their Relatives.

Clinical trials are vital for advancing cancer treatments and improving patient outcomes. Understanding the factors that influence participants' decision-making is critical for enhancing trial recruitment. To evaluate the attitudes of patients with cancer and their relatives toward clinical trial participation, identifying key barriers and motivators that affect their willingness to engage in such trials. This cross-sectional survey study was conducted between April 2020 and April 2021. Face-to-face questionnaires were administered by physicians across 6 tertiary hospital medical oncology departments in Turkey. Adults with cancer and their relatives were recruited. Data were analyzed from April to December 2021. Participants' knowledge, perceptions, and motivations regarding clinical trial participation were assessed through a structured questionnaire. Participants' demographic information, their willingness to participate in clinical trials, their perceptions about the clinical trial participation, and the facilitators and barriers to participation. A total of 978 participants were surveyed, with a median (range) age of 52 (18-82) years; 485 (49.6%) were male and 479 (49.0%) female. Of these, 578 (59.1%) were patients with cancer and 382 (39.1%) family members. Prior clinical trial experience was reported by 174 participants (17.8%), and 428 (43.8%) expressed a willingness to participate in clinical trials. Participants well-informed about clinical trials showed higher willingness (50 of 87 [57.5%] very willing) compared with those with no knowledge (27 of 303 [8.9%] very willing) (χ2 = 275.095; P < .001). Greater willingness was observed in participants from less developed cities compared with the most developed cities (88 of 321 [27.4%] vs 94 of 615 [15.3%]; χ2 = 21.093; P < .001), in individuals with a high school degree or greater compared with those with less than a high school degree (105 of 489 [21.5%] vs 76 of 452 [16.8%]; χ2 = 33.311; P < .001), in those with monthly incomes above compared with below the poverty line (81 of 409 [19.8%] vs 100 of 512 [19.5%]; χ2 = 16.145; P = .003), in those without prior cancer treatment compared with those with prior cancer treatment (125 of 591 [21.2%] vs 40 of 289 [13.8%]; χ2 = 13.801; P = .008), and in participants with prior trial experience compared with those without (74 of 166 [44.6%] vs 111 of 786 [14.1%]; χ2 = 87.771; P < .001). Participants were motivated by potential personal health benefits (604 [61.8%]) and access to new treatments (522 [53.4%]). The primary concerns included potential adverse effects (555 [56.7%]), feeling like a "test subject" (284 [29.0%]), and the risk of receiving a placebo (197 [20.1%]). In this survey study of patients with cancer and their relatives, significant gaps in knowledge and persistent concerns about clinical trial safety were highlighted, impacting participation. Addressing these concerns through targeted education and transparent communication is essential for improving participation rates and ensuring more inclusive cancer research.

Client satisfaction, safety, and insights from a three-season survey on influenza vaccinations delivered at community pharmacies in Germany.

To address the challenges posed by influenza, its associated complications, and economic burden, the World Health Organization recommends a vaccination rate exceeding 75% for populations at elevated risk of severe diseases. Presently, vaccination rates in Germany severely lag behind. To augment these rates, pilot projects have been initiated, allowing community pharmacists to administer vaccines. This study aimed to investigate the the acceptability of pharmacy-led influenza vaccinations among clients and pharmacists, clients' motivations to get vaccinated in community pharmacies, and the rate of adverse events during this process. Data were obtained through anonymous questionnaires from influenza vaccination pilot projects in various German regions between 2020 and 2023. The questionnaire consisted of two sections: one for the vaccinating pharmacist to record and document the vaccination process and one for the recipient, focusing on their experiences and views. In total 11,571 responses were evaluated. Notably, 44% of participants mentioned they would not have sought vaccination outside a pharmacy setting. This percentage was higher (65%) in those receiving their first influenza vaccination. Vaccinees reported high levels of satisfaction with the supplied information (88.5%) and vaccination procedure (93.8%). Furthermore, clients declared a high willingness to repeat the vaccination (93.9%) and the possibility of receiving other vaccinations in pharmacies (79.7%). Among all surveyees, only nine reported adverse reactions post pharmacy-administered vaccination, with none necessitating emergency intervention. Pharmacy-led influenza vaccinations were identified as safe, well-received by vaccinees and effective in increasing vaccination acceptability with the potential to enhance vaccination rates across diverse demographics in Germany.

Non-consumptive value of hilsa fishery restoration in West Bengal, India: An application of contingent valuation method.

The study focuses on the socio-cultural importance of hilsa fishery in West Bengal, which extends beyond mere sustenance, symbolising heritage, identity, and community spirit, particularly in South 24 Parganas district. As the state fish and a crucial livelihood source for many fishers, grave concerns have recently been flagged due to reduced catches and increased prices, highlighting the need for restoration. This study seeks to measure the non-consumptive value of hilsa fishery by involving 200 participants, 100 fishers and 100 consumers, utilising the Contingent Valuation Method (CVM) with a payment card. Tobit model, income and price elasticity analysis, Mann-Whitney U test, and Independent Student's t-test were applied. The yearly non-consumptive value for hilsa fishery restoration in South 24 Parganas spans from INR 42.75 crore to INR 104.54 crore (approximately US$ 5.13M to US$ 12.54M per annum). The presence of distance decay, evident from the negative relation of willingness to pay (WTP) with distance, invalidated statewide WTP aggregation. Extrapolating estimates to nine neighbouring hilsa-producing districts gave estimates ranging from INR 315.63 crore to INR 771.88 crore (approximately US$ 37.9 million to US$ 92.8 million). Results highlight statistical socio-economic differences between fishermen and consumers, signifying diverse perspectives. The Tobit model identifies common factors influencing WTP, including income earners, average family income, and respondents' involvement with NGOs, emphasising the role of socio-economic factors in shaping WTP. Both income and price elasticity of WTP were below one, indicating that economically weaker groups demonstrate a relatively higher willingness to pay for hilsa fish restoration, underscoring their reliance on this fishery for livelihoods. The study proposes that investment of a portion of the estimated non-consumptive value could significantly bolster hilsa restoration, benefiting economically weaker groups, improving overall livelihoods, and safeguarding the cultural heritage.

Взаимосвязь аддиктивных установок, склонности к поиску острых ощущений и психологических защит личности у наркозависимых осужденных

&lt;p style="text-align: justify;"&gt;The relevance of the chosen topic is due to the importance of studying addictive attitudes, a tendency to search for thrills and psychological defenses of personality in drug-addicted convicts, which are taken into account when compiling psychological characteristics in places of deprivation of liberty, and, further, are evaluated in dynamics when serving a criminal sentence by convicts. The empirical study was conducted on the basis of the FKU IK-1 of the Federal Penitentiary Service of Russia for the Udmurt Republic. 114 convicts with drug addiction and 108 convicts without drug addiction took part in it. The revealed differences characterize the sample of drug-addicted convicts as persons who still have a high need and willingness to use narcotic substances, even in conditions of serving a criminal sentence. Significant interrelations between additive attitudes, thrill seeking and psychological defenses indicate the existing risk of destructive behavior of convicts. The study of the stated indicators will allow penitentiary psychologists to make an adequate forecast of the behavior of drug-addicted convicts in a correctional institution.The prospects of the problem under study are the development of a psychocorrection program taking into account the identified indicators and its use in the professional activities of penitentiary psychologists.&lt;/p&gt;

Multiple Paths of Influencing Factors of College Students' Intention of Returning Home for Employment from the Perspective of Configuration: A fsQCA Approach☆

AbstractRural areas in China are undergoing significant transformations and development phases. This study employs fuzzy‐set qualitative comparative analysis (fsQCA) on quantitative data from a survey of 168 college students to investigate the configurations of factors leading to a high willingness to return to their hometowns for employment. The study focuses on their intentions to return as the dependent variable, with independent variables including rural sentiment, social compatibility, risk tolerance, family support, and life satisfaction. The findings reveal nine distinct pathways that meet the criteria of perfect consistency (1.0) and demonstrate high explanatory power (coverage of 89.19%). These pathways are categorized into four types based on underlying motivations: emotion‐oriented, value‐oriented, responsibility‐oriented, and social‐oriented. The results offer theoretical and practical insights into encouraging talent return in rural China, emphasizing the importance of a multifaceted approach that incorporates emotional, social, and familial considerations. The study's findings are contextualized within the Chinese socioeconomic environment, offering valuable insights into rural–urban dynamics in China. These findings could also be applied to other countries and regions with similar urban–rural dynamics and immigration patterns.

Investigating Accountants’ Perceptions and Adoption Intentions Towards Artificial Intelligence in Malaysian Public Sector Accounting

Purpose: The current study aims to investigate the awareness and potential readiness among accountants in Malaysian governmental departments to adopt artificial intelligence (AI) in anticipation of the implementation of an AI-embedded accounting system. Design/ Methodology/ Approach: A quantitative online survey was employed to assess the awareness and potential readiness for AI adoption among Malaysian governmental accountants. The unified theory of acceptance and use of technology (UTAUT2), which is a well-established framework in technology acceptance research, guided the conceptualisation of adoption readiness. Findings: The results demonstrated that accountants had a moderate level of AI awareness as compared to their previous knowledge. Nonetheless, most respondents expressed a high willingness to adopt AI in daily tasks, while only minimal job security concerns regarding the substitution by AI were expressed. The UTAUT2 revealed that only performance expectancy emerged as a significant predictor of AI usage intention, which posited that Malaysian public sector accountants primarily focused on the perceived benefits when considering adopting AI. Comparatively, other factors, such as effort expectancy and facilitating conditions, played a less prominent role. Research Limitations/ Implications: The limitations included a relatively low response rate and the sole focus on UTAUT2, which did not incorporate other potential factors explored in different research frameworks. Practical Implications: Training that emphasises real-world benefits for accountants can assist in bridging the gap between willingness and AI usage in Malaysian public sector accounting, apart from prioritising functionalities that can improve existing workflows. Resultantly, higher accountant confidence and AI adoption are achieved. Originality/ Value: The findings contributed valuable insights pertinent to the current Malaysian governmental efforts in promoting AI adoption across various sectors. Keywords: Malaysian public sector accounting, AI adoption, accounting information systems, UTAUT2

Evaluating maternal death surveillance and response system in Sunyani Municipality of Bono region in Ghana from 2017-2021

IntroductionMaternal death rates in Ghana have decreased overall but remain high in rural areas. The Maternal Death Surveillance and Response System (MDSR) aims to eliminate preventable maternal deaths effectively. However, its effectiveness is less pronounced at district and subdistrict levels than at national and regional levels. Despite the requirement for periodic evaluation, there is a lack of evidence supporting these assessments. This study focuses on evaluating the MDSR in Sunyani Municipal.MethodsThe evaluation was conducted using a cross-sectional design, using both qualitative and quantitative approaches. Data from the District Health Information Management Systems (DHIMS) and the maternal death line list from January 2017 to December 2021 on maternal deaths were reviewed. Stakeholders, including health professionals, were interviewed. The means, proportions, and other statistical measures were calculated using Epi Info Version 7. Qualitative data underwent content analysis, and the results were visually presented in tables and flowcharts to illustrate the flow of surveillance information.ResultsMost respondents were female, constituting 51.4% (19/37), with midwives comprising the largest group at 32.4% (12/37). Approximately 75.7% (28/37) were able to explain how the surveillance data has been used for public health action. The notification and reporting process was clear to 85% (17/20) of respondents. Although 94.6% (35/37) expressed willingness to notify and participate in audits at facility and community levels, the audits remained facility-based. All facilities consistently reported maternal deaths, but data storage equipment was lacking. Approximately 80% (20/25) of forms were reported within 24 h, and 88% (22/25) were investigated within seven days. Only 68% (17/25) of forms were filled out correctly, with no municipal and facility-level line list. All reported deaths came from healthcare facilities, with no community-reported maternal deaths.ConclusionsThe MDSR system in Sunyani Municipal demonstrates high awareness and willingness to participate among healthcare providers but faces challenges in data accuracy and community engagement. Death audits remain facility-based, and the lack of community-reported maternal deaths and municipal-level line lists indicates gaps in comprehensive reporting and data management. To improve the system, it is recommended that community case searches be enhanced for better reporting and to address data management issues by ensuring proper data quality assessment.

Users’ perceptions toward autonomous vehicles: case study in Alberta, Canada

ABSTRACT This study investigates perceptions and attitudes toward autonomous vehicles (AVs) using an online stated preference (SP) survey conducted in Alberta, Canada. It explores the effect of different sociodemographic, external, and psychological factors on users’ attitudes toward AVs. Additionally, factors contributing to people’s willingness to pay for AVs were evaluated. The results indicate that sociodemographic factors, external factors, and people’s perceptions significantly affect people’s willingness to pay for automation. Level 3 of automation is shown to have a positive effect on the drivers’ utility of driving for commuting and non-commuting trips, while other levels of automation were found negatively affecting the utility of driving. Men were generally more willing to pay for AVs, particularly for commuting trips, while weather conditions, especially icy roads, posed significant concerns about AV reliability. Middle-aged drivers exhibited the highest willingness to pay (WTP) for higher levels of automation, emphasizing the potential early adoption among this group.

An assessment of the knowledge, perception, and willingness to use telepharmacy services among the general public in Riyadh.

The studies concerning Saudis' perceptions and awareness of telepharmacy, as well as their readiness to use this service, are critical for policymakers to devise measures to increase the acceptability of telepharmacy. The present study aimed to assess their knowledge, perceptions, and willingness to use telepharmacy services in Riyadh. The present study was a cross-sectional survey conducted between March 2024 and June 2024. The data were obtained from the public via an online questionnaire built with Google Forms. The survey was filled out by 405 participants. Most of them were males (66.17%), and the ages of 56.78% of them were between 18 and 25 years. More than half of the participants had a bachelor's degree (66.17%). More than half of the respondents said that they had heard about telepharmacy (61.73%), but 80.74% of them hadn't used telepharmacy services before. Most of the respondents (78.52%) said that they like using telepharmacy services wherever possible, and 81.98% of them agreed that telepharmacy improves medication adherence. The findings of this study demonstrated a fair knowledge, positive perception, and high willingness to use telepharmacy among the general population in Riyadh. Interventions to increase knowledge of telepharmacy in Riyadh need to target less educated people.

Managing Stress and Somatization Symptoms Among Students in Demanding Academic Healthcare Environments.

Stress is a common concern among healthcare students, due to the demands of their coursework and the elevated expectations they face. Especially among dentistry and nursing students, the phenomenon, although well-documented, covers psychosocial and physiological dimensions, with somatization symptoms being less explored. These manifestations are crucial to identify discipline-specific stressors and health impacts that can lead to targeted interventions for both disciplines. This study investigates stress perceptions, somatization, and coping strategies among 271 nursing and dentistry students at the National and Kapodistrian University of Athens. An e-questionnaire was open for submissions during February and March 2024. Females reported higher stress somatization (M = 10.22, SD = 5.23) than males (M = 7.94, SD = 6.14; Cohen's d = 0.412, p < 0.05). The interpretation of stress as "restlessness and psychological pressure" was more prevalent in dentistry students compared to nursing students. Moreover, nursing students who perceived stress as the "inability to manage unexpected or difficult situations, insecurity, panic" were more likely to experience stress somatization symptoms, while for dentistry students, stress somatization was related to "pressure to meet daily obligations/long-term goals". Physical symptoms for all students included chest discomfort, digestive issues, and headaches/nausea. Also, dentistry students reported more teeth clenching or grinding than nursing students. Short-term coping strategies included emotional balance, managing stressors, situation analysis, and breathing techniques. Long-term strategies involved distraction and entertainment, physical exercise, and patience. A higher willingness to seek coaching support correlated with higher stress somatization among dental students. Nursing students favored psychological support, while dentistry students suggested curriculum revision and improved infrastructure. Females exhibited higher stress somatization levels, with themes of insecurity and physical symptoms. Nursing students reported higher somatization linked to insecurity, while dental students associated stress with daily obligations and goals. The study highlights the need for improved support systems, flexible academic procedures, and better communication to address stress in healthcare academia.