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Switching attitudes of Taiwanese middle-aged and elderly patients toward cloud healthcare services: An exploratory study

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  • Lai, Jung-Yu
  • Wang, Juite

Abstract

As Taiwan society ages, the demand for the cloud healthcare services is rising, particularly among middle-aged and elderly patients, since it enables people to live independently and easily access healthcare services. However, the literature directly related to middle-aged and elderly patients’ attitudes toward cloud healthcare services is scant. This study develops an extended push-pull-mooring-habit (PPMH) model in order to better understand the switching intentions of middle-aged and elderly patients toward the cloud healthcare service. The results show that push effects such as low satisfaction/commitment, mooring effects such as low privacy/security, low trust, high switching costs, and habit effects along with pull effects, such as personalized care, ubiquitous care and responsiveness, all have significant effects on individual intention to switch to cloud healthcare services. Our findings will aid cloud healthcare service providers, marketers, and government health officials in understanding the intention of middle-aged and elderly patients to switch to cloud healthcare services and in developing related theories, services, and regulations.

Suggested Citation

  • Lai, Jung-Yu & Wang, Juite, 2015. "Switching attitudes of Taiwanese middle-aged and elderly patients toward cloud healthcare services: An exploratory study," Technological Forecasting and Social Change, Elsevier, vol. 92(C), pages 155-167.
    • Handle: RePEc:eee:tefoso:v:92:y:2015:i:c:p:155-167
    DOI: 10.1016/j.techfore.2014.06.004
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    References listed on IDEAS

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    1. Kang-Hung Chang, 2009. "The healer or the druggist: effects of two health care policies in Taiwan on elderly patients’ choice between physician and pharmacist services," International Journal of Health Economics and Management, Springer, vol. 9(2), pages 137-152, June.
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    1. Peng Jing & Ye Zha & Kewen Pan & Ying Xue, 2023. "Investigating Multidimensional Factors Influencing Switching Intention on School Bus among Chinese Parents—A Push–Pull–Mooring Framework," Sustainability, MDPI, vol. 15(10), pages 1-24, May.
    2. Ramírez-Correa, Patricio & Grandón, Elizabeth E. & Rondán-Cataluña, F. Javier, 2020. "Users segmentation based on the Technological Readiness Adoption Index in emerging countries: The case of Chile," Technological Forecasting and Social Change, Elsevier, vol. 155(C).
    3. Frishammar, Johan & Essén, Anna & Bergström, Frida & Ekman, Tilda, 2023. "Digital health platforms for the elderly? Key adoption and usage barriers and ways to address them," Technological Forecasting and Social Change, Elsevier, vol. 189(C).
    4. Kuo, Ren-Zong, 2020. "Why do people switch mobile payment service platforms? An empirical study in Taiwan," Technology in Society, Elsevier, vol. 62(C).
    5. Hsieh, Pi-Jung, 2021. "Understanding medical consumers’ intentions to switch from cash payment to medical mobile payment: A perspective of technology migration," Technological Forecasting and Social Change, Elsevier, vol. 173(C).
    6. Zeng, Zhongping & Li, Siqi & Lian, Jiunn-Woei & Li, Jiang & Chen, Tao & Li, Yujia, 2021. "Switching behavior in the adoption of a land information system in China: A perspective of the push–pull–mooring framework," Land Use Policy, Elsevier, vol. 109(C).
    7. Osei-Frimpong, Kofi & Wilson, Alan & Lemke, Fred, 2018. "Patient co-creation activities in healthcare service delivery at the micro level: The influence of online access to healthcare information," Technological Forecasting and Social Change, Elsevier, vol. 126(C), pages 14-27.
    8. Wang, Yu-Yin & Wang, Yi-Shun & Lin, Tung-Ching, 2018. "Developing and validating a technology upgrade model," International Journal of Information Management, Elsevier, vol. 38(1), pages 7-26.
    9. Kuo-Feng Wu & Jin-Li Hu & Hawjeng Chiou, 2021. "Degrees of Shortage and Uncovered Ratios for Long-Term Care in Taiwan’s Regions: Evidence from Dynamic DEA," IJERPH, MDPI, vol. 18(2), pages 1-17, January.
    10. Hong-Lei Mu & Young-Chan Lee, 2021. "How Inclusive Digital Financial Services Impact User Behavior: A Case of Proximity Mobile Payment in Korea," Sustainability, MDPI, vol. 13(17), pages 1-23, August.
    11. Chang Hee Han & Swati Tyagi & Namgyu Kim & Byounggu Choi, 2016. "Understanding Internet service switching behaviour based on the stage model," Information Systems and e-Business Management, Springer, vol. 14(3), pages 665-689, August.
    12. Cheolho Yoon & Dongsup Lim, 2021. "Customers’ Intentions to Switch to Internet-Only Banks: Perspective of the Push-Pull-Mooring Model," Sustainability, MDPI, vol. 13(14), pages 1-20, July.
    13. Karla Soria-Barreto & Sofia Ruiz-Campo & Ahmad Samed Al-Adwan & Sergio Zuniga-Jara, 2021. "University Students Intention to Continue Using Online Learning Tools and Technologies: An International Comparison," Sustainability, MDPI, vol. 13(24), pages 1-23, December.

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