声明
LIST OF ABBREVIATIONS
CHAPTER ONE INTRODUCTION
1.1 Research Background
1.2 Research Significance
1.3Research Objectives
1.4Research Questions
1.5Innovation of the Study
1.6Organization of the thesis
CHAPTER TWO LITERATURE REVIEW AND RELATED CRITICAL THEORIES
2.1Overview of Telemedicine Services
2.2Factors affecting telemedicine services adoptions
2.2.1Individual determinant factors affecting telemedicine services adoptions
2.2.2Institutional determinant factors affecting telemedicine services adoption
2.2.3Social determinant of health factors(SDoH)affecting telemedicine services adoption
2.2.4Regulatory factors (Licensing,legalizations and ethical principles)affecting telemedicine services adoption
2.2.5Technological factors affecting telemedicine services adoption
2.3Related Critical Theories of Technology Adoption and Innovations in Healthcare
2.4Internal AdoptionTheories
2.4.1 Technology Acceptance Model(TAM)
2.4.2Empirical Studies on the adoption of TAM in the health care context
2.4.3Innovation Diffusion Theory
2.4.4Empirical studies on the adoption of innovation diffusion theory in healthcare context
2.5External / Social Determinants Theories
2.5.1 Protection Motivation Theory (PMT)
2.5.2 Empirical studies on the use of Protection Motivation Theory (PMT)
2.5.3Theory of Culture
2.5.4 National Culture
2.5.5Information Security Culture
2.5.6Empirical studies on the adoption of culture theories in healthcare context
CHAPTER THREE THEORETICAL FRAMEWORK AND HYPOTHESES DEVELOPMENT
3.1 Technology adoption in the healthcare
3.2Antecedents of Internal Technology Adoption Models
3.2.1Hypotheses based on Technology Acceptance Model(TAM)
3.2.2Hypotheses based on Diffusion of Innovation model (DOI)
3.3Antecedents of external determinants models (Social Determinant of Health-SDoH)
3.3.1Hypotheses based Protection Motivation Theory (PMT)
CHAPTER FOUR METHODS AND ANALYTICAL PROCEDURES
4.1 Profile of Study Area
4.2 Research Methods
4.3 Research Design
4.4The choice of research methods
4.5Research Instrument and Measurement
4.5.1 Primary Data
4.5.2Secondary Data
4.6 Sampling Method and SampleSize
4.7 Population and sample selections
4.8 Variables Measured
4.9 Questionnaire Administration
4.10 Ethical Considerations
4.11 Analytical Procedure
4.12 Preliminary Investigation Procedure
4.13 Descriptive Analysis
4.13.1 Demographics of respondents
4.13.2Description of the constructs
4.14 Test for Response Bias
4.15Testing and Refining the Measurement Model
4.15.1 Exploratory Factor Analysis (EFA)
4.15.2 Confirmatory Factor Analysis (CFA)
4.15.3 Cronbach’s Alpha Reliability
4.15.4 Composite Reliability
4.15.5 Average Variance Extracted (AVE)
4.16Structural Model Fit Assessment
4.16.1 Root Mean Square Error of Approximation (RMSEA)
4.16.2 The Comparative Fit Index (CFI)
4.16.3 Standardized Root Mean Square Residual (SRMR)
4.16.4 Model Fit
4.16.5 Goodness of fit index (GFI) and Adjusted Goodness of Fit Index (AGFI)
4.17 Path Analysis
CHAPTER FIVE EFFECTS OF INTERNAL DETERMINANTS ON TELEMEDICINE SERVICES ADOPTION
5.1Identifying Internal Determinants of Telemedicine Services
5.2The Choice of TAM and DOI as internal adoption theories
5.3Hypotheses Developments
5.4 Measures
5.4.1 Measurement of Confirmatory Factor Analysis
5.4.2 Convergent Validity
5.5Structural Model Results
5.6Summary of findings
CHAPTER SIXI NFLUENCE OF TECHNOLOGICAL FACTORS ON HEALTH PROFESSIONALS ACCEPTANCE TO TELEMEDICINE SERVICES
6.1Identifying Threats and Coping Appraisals in Telemedicine Services
6.2Hypotheses development
6.3 Measures
6.3.1Measurement of Confirmatory Factor Analysis
6.3.2Convergent Validity
6.3.3 Discriminant Validity
6.3.4Model Fit Indices
6.4Structural Model Results
6.5Summary of findings
CHAPTER SEVEN HEALTHCARE PROFESSIONALS SATISFACTION WITH TELEMEDICINE SERVICES ADOPTION
7.1Identifying Predictive Factors for Telemedicine Services Use
7.2 Measures
7.2.1 Convergent Validity
7.2.2Discriminant Validity
7.2.3 Model Fit Indices
7.3 Structural Model Results
7.4 Summary of findings
CHAPTER EIGHT RESULTS AND DISCUSSIONS
8.1Effects of internal factors on telemedicine services acceptances using the theories of TAM and DOI
8.2Effects of technological factors on telemedicine services acceptance by health professionals using PMTand TAM
8.3Effects of predictive factors on health professionals’ satisfaction with the use of telemedicine services
8.4Key challenges to the regulatory framework affecting telemedicine services acceptance in Ghana
8.4.1 Legal and Licensure Policies
8.4.2 Ethical Policies
8.4.3 Socio-cultural Policies
CHAPTER NINE CONCLUSION AND POLICY IMPLICATION
9.1 Conclusion
9.2Limitations of the study
9.3 Policypro posals and recommendations for further research
参考文献
PUBLICATIONS
致谢
DEDICATION
APPENDIX
QUESTIONNAIRES
江苏大学;
