Perceived Service Availability Research Articles

Expanding Geographical Access to Cancer Care in Botswana: Current Status and Future Prospects.

The growing cancer burden in Botswana has been linked to aging, lifestyle factors, and high HIV infection prevalence. The government has designated four geographically distributed hospitals as public oncology centers (POCs). A needs assessment was undertaken to ascertain the characteristics of cancer care at these centers. A multisite cross-sectional survey study of cancer care was conducted with oncology staff at Princess Marina Hospital (PMH), Nyangabgwe Referral Hospital (NRH), Sekgoma Memorial Hospital (SMH), and Letsholathebe II Memorial Hospital (LMH) from February to April 2021. At each POC, a focal person (experienced nurse working in oncology) identified relevant oncology staff and confirmed service availability. Only PMH and NRH had a broad array of diagnostic, surgical, and treatment services. In addition, PMH was the only center with a a dedicated inpatient oncology service, a multidisciplinary committee to review patients, and a palliative care team. To support the only national cancer screening program, for cervical cancer, all POCs offered Pap tests. Mammography, available at PMH and NRH, was used solely for diagnosis. Patients from POCs requiring radiation therapy were referred to Gaborone Private Hospital at government expense. For perceived service availability, 51 staff, mainly oncologists, physicians, and nurses, were surveyed (66% based at PMH). Perceptions of services revealed a few concerns, for example, numerous staff considered hysterectomies for cervical cancer available when they were only performed at PMH. Despite Botswana's efforts to increase the proximity of cancer services to patients, there are marked gaps, particularly at the two district-level POCs, SMH and LMH. In the future, SMH and LMH could provide selected services for specific prevalent cancers on-site, as well as follow-up and palliative care.

Examining correlates of police officers’ attitudes towards seeking mental health support: A scoping review

Police officers are often unwilling to seek psychological support when needed. This scoping review explored research into the correlates of police help-seeking attitudes. Searches returned 1754 initial results, with 21 quantitative, peer-reviewed studies retained (published 1995–2022 across six countries; of moderate quality). The most consistent positive associates of police help-seeking attitudes were past help-seeking, perceived service availability, and having a mental health diagnosis. Current PTSD symptoms were the most consistent negative associate. However, of the 102 correlates identified, most were under-researched and/or had inconsistent findings. The operationalisation of terms also varied greatly. High-quality replication of current research is now needed.

Implementatiton of Evaluation Registration Outpatient Computerized Hospital Using a Web-based Technology Accepted Model System

The Information of health system is combination of devices and procedures used for manage information cycle from data collection to providing feedback infomation, for support the implementation of appropriate actions in planning, implementation and monitoring of health system performance. Outpatient registration is the main service received at an outpatient registration. Technologi Accepted Model System created using the PHP programming language and mysql database. The WEB-based Technology Acceptance Model (TAM) is in the form of all evaluation models that can determine the readiness of officers to accept a system. Application of the Web-based Technology Accepted Model System in Evaluating officer acceptance of the computerized Outpatient Registration information system at a hospital in Boyolali, Central Java, Indonesia. The Technology Accepted Model in this study used 5 variables where the results of the implementation of the Technology Accepted Model System showed that the analysis of customer satisfaction with outpatient application systems on the Perceived ease of use dimension obtained satisfied results of (64.8%), on the Perceived usefulness dimension the results obtained satisfied by (63.3%), on the Attitude toward using dimension obtained satisfactory results of (64%), on the Behavioral intention to use dimension obtained appropriate results of (69%), on the Perceived service availability dimension obtained very satisfied results as large as (69 ,3%). Conclusions from the dimensions of Perceived ease of use, Perceived usefulness, Attitude toward using. Behavioral intention to use, and Perceived service availability indicate that officers are satisfied with the Outpatient Registration Application System at Hospitals

Application of an HIV Prevention Cascade to Identify Gaps in Increasing Coverage of Voluntary Medical Male Circumcision Services in 42 Rural Zambian Communities

Increased coverage of voluntary medical male circumcision (VMMC) is needed in countries with high HIV prevalence. We applied an HIV-prevention cascade to identify gaps in male circumcision coverage in Zambia. We used survey data collected in 2013 and 2014/15 to describe circumcision coverage at each time-point, and prevalence of variables related to demandfor and supplyof VMMC. We explored whether circumcision coverage in 2014/15 was associated with demand and supply among uncircumcised men in 2013. Results show that circumcision coverage was 11.5% in 2013 and 18.0% in 2014/15. Levels of having heard of circumcision and agreeing with prevention benefits was similar at both time-points (79.8% vs 83.2%, and 49.7% vs 50.7%, respectively). In 2013, 39.3% of men perceived services to be available compared to 54.7% in 2014/15. Levels ofhaving heard of circumcision in 2013 was correlated with and higher perceived service availability associated with coverage in 2014/15. VMMC coverage was low in these study sites. Knowledge of prevention tools and of service availability are necessary to increase coverage but alone are insufficient.

Understanding mobile health service use: An investigation of routine and emergency use intentions

This study theorizes two information systems (IS) use behaviors associated with individuals’ behavioral intention of mobile health (mHealth) services. Emergency use refers to individuals’ use of IS in emergency situations. Routine use refers to individuals’ use of IS on a basis. We adopt motivation theory as our overarching theoretical lens through which we investigate the influence of individuals’ different motivation incentives on their emergency and routine use intentions of mHealth services. We also investigate the influences of technological and psychological antecedents on extrinsic and intrinsic motivations. Based on data collected from 241 participants, we find that perceived usefulness enhances people’s emergency and routine use intentions of mHealth services and that perceived enjoyment positively influences routine use intention. In addition, we find that perceived source credibility, perceived service availability, and perceived diagnosticity influence perceived usefulness (extrinsic motivation), whereas perceived autonomy, perceived competence, perceived relatedness, and curiosity affect perceived enjoyment (intrinsic motivation). This research offers insights for IS literature regarding mHealth emergency and routine use behaviors.

The effect of platform characteristics on the adoption of smart speakers: Empirical evidence in South Korea

The emerging market for smart speakers is growing rapidly. Unlike conventional information technology (IT) devices, smart speakers are becoming a major platform that access many types of information through a voice interface. This study examines the factors related to the adoption of smart speakers from the platform perspective. More specifically, our study investigated how the product related characteristics (e.g., functionality, design, brand, and price), platform related characteristics (e.g., perceived service availability, perceived network size, perceived complementarity) and privacy concerns affect the perceived value and intentions to adopt a smart speaker. The results indicate that platform related variables have a bigger impact on the customer adoption of the smart speaker, whereas product related variables, such as functionality, have less of an impact.

Investigation of physicians' awareness and use of mHealth apps: A mixed method study

ObjectiveThe study aims to understand physicians’ awareness of mobile health (mHealth) apps and their intentions to use these apps in medical practice. MethodMobile Health Technology Acceptance Model (M-TAM) was tested employing the sequential explanatory mixed method. An online survey and focus group interviews were conducted for data collection. Physicians were invited to participate in the survey. Structural Equation Modeling (SEM) was used in quantitative data analysis. Qualitative data were analyzed using coding, memo, and contextual analyses. Results151 physicians participated in the survey, representing a 15% response rate. The model was able to explain physicians’ intention to use mHealth apps by explaining 59% of the total variance. Performance Expectancy, Mobile Anxiety, Perceived Service Availability and Personal Innovativeness were major influencing factors of Behavioral Intention. Qualitative codes outlined that information gathering and communication purposes were the major enablers in mHealth app usage. In that regard, Communication and Consulting, Clinical Decision Making, Reference and Information Gathering, and Information Management are the most popular app categories. On the other hand, lack of knowledge and lack of investment were seen as the major barriers to mHealth app usage. ConclusionsUser perception and intentions are important factors in technology use. Thus, the preferences, expectations, and characteristics of physicians which were outlined in this research could be significant inputs for researchers, app developers, managers and policymakers.

Understanding the perception towards using mHealth applications in practice

The objective of this study was to investigate physicians’ perceptions to use mobile health applications in practice, and to identify influencing factors to use the technology. An mHealth technology acceptance model was proposed (M-TAM), and a cross-sectional survey was implemented using structured questionnaire to collect data. Online tools were used for inviting participants (physicians) and data collection from Turkey. The data was analyzed using Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM). A total of 128 physicians participated in the survey. The model explained the perception of physicians towards mHealth application use by 51% of total variance. The influential factors were identified as Effort Expectancy, Mobile Anxiety, Perceived Service Availability and Technical Training and Support. The study provided a new model to the literature of health information technology. Findings of the research contributed by unveiling latent constructs and their influence on physicians’ perceptions towards a new healthcare technology: mHealth applications.

Understanding public users' adoption of mobile health service

With the rapid development of mobile communication technology, the increase in the usage rate of mobile phones, recent advances in healthcare technology and current concerns arising over public health, mobile health has been attracting increasing attention. Although previous studies on the adoption of mobile services are quite extensive, few focus on public users’ adoption of Mobile Health Service (MHS). In this study, we examine the determinants of user adoption of mobile health service based on the Technology Acceptance Model (TAM) and Health Belief Model (HBM). We find that perceived usefulness and benefits, perceived barriers and external cues positively affect user attitude toward MHS. Likewise, perceived service availability significantly influences the perceived ease of use as well as perceived usefulness and benefits, which with attitude directly enhances intention. We also find that the usage purpose of MHS has moderating effects. Finally, implications for mobile health marketing are discussed.

A Study on the Intention to Adopt Third Generation (3G) Wireless Service on a Small Community with Unique Culture

Most of the prior studies conducted in mobile commerce and wireless service adoption are using the technology acceptance model as their theoretical foundation and are conducted in metropolis. To gain a better understanding on whether the findings of these adoption studies can be generalized in other regions, and in particular, those communities with a small population and have a unique cultural background, the author revisits the third generation (3G) wireless adoption service issue using data collected from Guam. The result shows that the people on Guam have a different 3G wireless service adoption behavior compared with the people from Hong Kong. It is noted that perceived enjoyment plays a mediator role between the impacts of perceived service availability and social influence on the adoption intention. This result helps researchers and practitioners to gain insight for conducting adoption study for communities with a different cultural background, where their information and communication technology infrastructures are rapidly developing.

Community Service Use by Older Adults: The Roles of Sociocultural Factors in Rural–Urban Differences

ABSTRACT This study examined the influence of sociocultural factors in explaining the rural–urban differences in home and community-based service (HCBS) use among older adults. Survey data of 228 older adults living in Alabama were analyzed. Sociocultural factors included participants’ perceptions of service availability, attitudes toward seeking formal help, informal support, and religious behaviors. Rural older adults were less likely to use HCBS than their urban counterparts (p < .05). An interaction effect between perceived service availability and church attendance was found. These findings suggest a need for collaborations between community aging services with religious organizations to ensure existing programs are accessible to older adults living in rural areas. Future research based upon large probability samples is needed to shed more light on the relation between church attendance and service use.

The adoption of mobile healthcare by hospital's professionals: An integrative perspective

The adoption rate of mobile healthcare is relatively low in the hospital. In practice, a study of how healthcare professionals adopt mobile services to support their work is imperative. An integration of TAM and TPB, concerning both technological and organizational aspects, is important for understanding the adoption of mobile healthcare. However, mobile healthcare is a wireless device which is often used in a voluntary motive. Service provisions for pervasive and timely usage and individual psychological states are critical in determining its use. Accordingly, perceived service availability (PSA) and personal innovativeness in IT (PIIT) may be the important drivers to be included in TAM and TPB. This study thus proposed such a research framework from a broader and integrative perspective. The empirical examination showed high predictive power for adoption intention and the influential role of these important variables.