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International Journal of Telemedicine and Applications
Volume 2013 (2013), Article ID 650238, 6 pages
Research Article

Model Construction for the Intention to Use Telecare in Patients with Chronic Diseases

1Department of Health Business Administration, Hungkuang University, Taichung City 43302, Taiwan
2No. 1018, Sector 6, Taiwan Boulevard, Shalu District, Taichung City 43302, Taiwan
3Cheng Ching General Hospital, Taichung City 407, Taiwan

Received 7 November 2012; Revised 17 January 2013; Accepted 5 February 2013

Academic Editor: Y. L. Hsu

Copyright © 2013 Jui-Chen Huang and Yii-Ching Lee. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. This study chose patients with chronic diseases as study subjects to investigate their intention to use telecare. Methods. A large medical institute in Taiwan was used as the sample unit. Patients older than 20 years, who had chronic diseases, were sampled by convenience sampling and surveyed with a structural questionnaire, and a total of 500 valid questionnaires were collected. Model construction was based on the Health Belief Model. The reliability and validity of the measurement model were tested using confirmatory factor analysis (CFA), and the causal model was explained by structural equation modeling (SEM). Results. The priority should be on promoting the perceived benefits of telecare, with a secondary focus on the external cues to action, such as promoting the influences of important people on the patients. Conclusion. The findings demonstrated that patients with chronic diseases use telecare differently from the general public. To promote the use and acceptance of telecare in patients with chronic diseases, technology developers should prioritize the promotion of the usefulness of telecare. In addition, policy makers can strengthen the marketing from media and medical personnel, in order to increase the acceptance of telecare by patients with chronic diseases.