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Telemedicine and transformative health access for millennials-Gen Z: PLS-SEM based behavioral exploration

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  • Megawati, Suci
  • Machmud, Amir
  • Alfarizi, Muhammad

Abstract

Global health system is rapidly transitioning from conventional models to inclusive digital healthcare due to the pandemic and technological advancements. This transition has led to widespread telemedicine adoption in response to healthcare needs. In Indonesia, the implementation of telemedicine has increased significantly after enacting relevant policies due to limited healthcare accessibility. The younger demographic, namely Millennials and Gen Z plays an important role in adopting this technology, offering significant potential for future development and research. Despite the significance of this technology, existing literature lacks a comprehensive psychological analysis of digital transformation in telemedicine adoption, particularly concerning Millennials-Gen Z. Therefore, this research aimed to construct telemedicine adoption model by integrating psychological aspects of digital transformation and multidimensional planned behavior. A total of 205 Millennials-Gen Z telemedicine users were included in the survey. The results showed that commitment to digital health transformation among these age groups significantly influenced telemedicine adoption. Readiness to engage in transformation influenced behavioral planning, while beliefs, attitudes, social norms, and self-control intricately impacted an inclination and willingness. Furthermore, it was discovered that behavioral intention contributed to enhancing the user experience of telemedicine services. These results offered substantial theoretical and practical implications, guiding providers and policymakers in constructing telemedicine services that catered to public health equity.

Suggested Citation

  • Megawati, Suci & Machmud, Amir & Alfarizi, Muhammad, 2024. "Telemedicine and transformative health access for millennials-Gen Z: PLS-SEM based behavioral exploration," Technology in Society, Elsevier, vol. 79(C).
    • Handle: RePEc:eee:teinso:v:79:y:2024:i:c:s0160791x24002628
    DOI: 10.1016/j.techsoc.2024.102714
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    1. Anshu, Kumari & Gaur, Loveleen & Singh, Gurmeet, 2022. "Impact of customer experience on attitude and repurchase intention in online grocery retailing: A moderation mechanism of value Co-creation," Journal of Retailing and Consumer Services, Elsevier, vol. 64(C).
    2. Budi W. Soetjipto & Eko Surya Lesmana & R. Darmawan Siswanto Pramana & Fahrurrozi, 2022. "The joint effect of digital transformation and information technology infrastructure on service quality: the role commitment to service quality as mediator and environment as moderator," International Journal of Business and Systems Research, Inderscience Enterprises Ltd, vol. 16(5/6), pages 663-688.
    3. Georgeta-Madalina Meghisan-Toma & Silvia Puiu & Nicoleta Florea & Flaviu Meghisan & Roxana Badircea & Alina Manta, 2022. "Sustainable Transformation of Romanian Companies through Industry 4.0, Green Production and Environment Commitment," The AMFITEATRU ECONOMIC journal, Academy of Economic Studies - Bucharest, Romania, vol. 24(59), pages 1-46.
    4. Agnieszka Kruszyńska-Fischbach & Sylwia Sysko-Romańczuk & Tomasz M. Napiórkowski & Anna Napiórkowska & Dariusz Kozakiewicz, 2022. "Organizational e-Health Readiness: How to Prepare the Primary Healthcare Providers’ Services for Digital Transformation," IJERPH, MDPI, vol. 19(7), pages 1-22, March.
    5. Bora Ly, 2024. "Transforming commitment into performance: a study of digital transformation in the Cambodian public sector amidst a pandemic," Cogent Business & Management, Taylor & Francis Journals, vol. 11(1), pages 2333609-233, December.
    6. Sarstedt, Marko & Radomir, Lăcrămioara & Moisescu, Ovidiu Ioan & Ringle, Christian M., 2022. "Latent class analysis in PLS-SEM: A review and recommendations for future applications," Journal of Business Research, Elsevier, vol. 138(C), pages 398-407.
    7. Christopher Morris & Richard E. Scott & Maurice Mars, 2022. "A Survey of Telemedicine Use by Doctors in District Hospitals in KwaZulu-Natal, South Africa," IJERPH, MDPI, vol. 19(20), pages 1-12, October.
    8. Dengler, Katharina & Hiesinger, Karolin & Tisch, Anita, 2022. "Digital transformation: The role of computer use in employee health," Economics & Human Biology, Elsevier, vol. 46(C).
    9. Rose, Susan & Clark, Moira & Samouel, Phillip & Hair, Neil, 2012. "Online Customer Experience in e-Retailing: An empirical model of Antecedents and Outcomes," Journal of Retailing, Elsevier, vol. 88(2), pages 308-322.
    10. Sarstedt, Marko & Hair, Joseph F. & Cheah, Jun-Hwa & Becker, Jan-Michael & Ringle, Christian M., 2019. "How to specify, estimate, and validate higher-order constructs in PLS-SEM," Australasian marketing journal, Elsevier, vol. 27(3), pages 197-211.
    11. Xiaofang Pan & Mei-Po Kwan & Lin Yang & Shunping Zhou & Zejun Zuo & Bo Wan, 2018. "Evaluating the Accessibility of Healthcare Facilities Using an Integrated Catchment Area Approach," IJERPH, MDPI, vol. 15(9), pages 1-21, September.
    12. Jesse Dillard & Mary Ann Reynolds, 2020. "Transition, Transformation, Commitment," Social and Environmental Accountability Journal, Taylor & Francis Journals, vol. 40(3), pages 219-222, September.
    13. Streukens, Sandra & Leroi-Werelds, Sara, 2016. "Bootstrapping and PLS-SEM: A step-by-step guide to get more out of your bootstrap results," European Management Journal, Elsevier, vol. 34(6), pages 618-632.
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