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Evaluating the adoption of an embedded telemedicine support service in a school setting using the theory of planned behavior and trust scales
Dissertation   Open access

Evaluating the adoption of an embedded telemedicine support service in a school setting using the theory of planned behavior and trust scales

Christopher Gantz
Doctor of Business Administration (D.B.A.), Drexel University
May 2020
DOI:
https://doi.org/10.17918/00000240
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Gantz_Christopher_20202.64 MBDownloadView

Abstract

Industrial management Medical care Mental Health Telemedicine
The lack of access to pediatric services remains a significant barrier to improving the health status of children across the country. Pediatric institutions, including the Children's Hospital of Philadelphia (CHOP), have started to implement embedded telemedicine services in the school setting to increase access to healthcare. However, CHOP's initial pilot showed that parents might choose not to enroll their children, which may reduce support for continuing and expanding the program. To address this challenge, this research tested a model to investigate how the theory of planned behavior (TPB), combined with the trust model and a sense of duty, play a role in determining a parent's intention to enroll his or her child in a school-based telemedicine program. Findings from a survey of 207 parents with a child in grades K-12 in either a Norristown area or Philadelphia school district suggest the TPB variables of subjective norms and normative beliefs were statistically significant at predicting intent to adopt a school-based telemedicine service. Additionally, an interaction effect between subjective norms and parents' trust in the school district was identified. The interaction effect is a new contribution to research that allows us to further understand what influences parents' intention to adopt a telemedicine service if offered. By understanding the role of TPB and trust in decision making, this model can assist schools and healthcare institutions in their efforts to increase access to healthcare for students via telemedicine.

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