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Introducing Computer-Based Telemedicine in Three Rural Missouri Counties
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Author(s): Kimberly D. Harris (Duquesne University, USA), Joseph F. Donaldson (University of Missouri-Columbia, USA)and James D. Campbell (University of Missouri-Columbia, USA)
Copyright: 2002
Pages: 20
Source title:
Effective Healthcare Information Systems
Source Author(s)/Editor(s): Adi Armoni (Tel Aviv University, Israel)
DOI: 10.4018/978-1-931777-01-8.ch008
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Abstract
This study investigated predictors of utilization of the computer-based telemedicine in three rural Missouri counties. Participating health care agencies were given computers and access to an Internet-based workstation that provided e-mail and World Wide Web (WWW) services. Utilization data for e-mail messages sent and WWW pages accessed were collected through proxy servers. A survey was distributed to those employees who are enrolled in the Rural Telemedicine Evaluation Project (RTEP), which addressed perceptions of the Internet-based RTEP workstation. The results of the survey were analyzed to see how perceptions and demographic variables predicted actual utilization. The findings of the study revealed that for e-mail, behavioral intentions/attitude, age, organizational support, and time were the most significant predictors. For WWW, only the behavioral intentions/attitude subscale predicted utilization. The majority of respondents did not utilize the e-mail technology. Strategies need to be developed through training interventions and organizational policies to address non-utilization.
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