Influence Attitude and Behavioral Intention of the Millenial Generation to Adoption of Telemedicine Platforms in Bali in the New Normal Era

I Putu Kresna Saniscara Dewanta; A. A. N Eddy  Supriyadinata Gorda; Gede Sri  Darma; Luh Putu Mahyuni

doi:10.23887/ijssb.v7i2.55468

Authors

I Putu Kresna Saniscara Dewanta Universitas Pendidikan Nasional, Denpasar, Indonesia
A. A. N Eddy Supriyadinata Gorda Universitas Pendidikan Nasional, Denpasar, Indonesia
Gede Sri Darma Universitas Pendidikan Nasional, Denpasar, Indonesia
Luh Putu Mahyuni Universitas Pendidikan Nasional, Denpasar, Indonesia

DOI:

https://doi.org/10.23887/ijssb.v7i2.55468

Keywords:

Perceived Ease of Use, Social Influence, Perceived Usefulness, E-Trust, Behavioral Intention

Abstract

The pandemic has brought various impacts and changes in people's lives, one of which is the use of digital telemedicine applications. Health is a vital aspect of human life; therefore, telemedicine applications have an important role in facing the changing era. This study attempts to describe the attitudes and behavioral intentions of the millennial generation in adopting telemedicine platforms in the new normal era. The data in this study were collected by distributing questionnaires to 120 respondents, namely the millennial generation in Bali. Data were analyzed using the SEM-PLS analysis technique. The results of this study found that perceived ease of use, social influence, perceived usefulness had a positive and significant effect on behavioral intention, while e-trust had no effect. Perceived ease of use has a positive and significant effect on perceived usefulness. Social influence has a positive and significant effect on E-trust. E-trust is not able to mediate the influence of social influence on behavioral intention. Perceived usefulness is able to positively mediate the effect of perceived ease of use on behavioral intention. This research is expected to provide an overview of consumer behavior towards digital services, as well as an evaluation for digital service providers themselves.

References

Afrizal, D., & Wallang, M. (2021). Attitude on intention to use e-government in Indonesia. Indonesian Journal of Electrical Engineering and Computer Science, 22(1), 435–441. https://doi.org/10.11591/ijeecs.v22.i1.pp435-441. DOI: https://doi.org/10.11591/ijeecs.v22.i1.pp435-441

Annur, C. M., & Ahdiat, A. (2022). Ada 204,7 Juta Pengguna Internet di Indonesia Awal 2022. Katadata.Co.Id.

Baabdullah, A. M. (2018). Consumer adoption of Mobile Social Network Games (M-SNGs) in Saudi Arabia: The role of social influence, hedonic motivation and trust. Technology in Society, 53, 91–102. https://doi.org/10.1016/j.techsoc.2018.01.004. DOI: https://doi.org/10.1016/j.techsoc.2018.01.004

Beldad, A. D., & Hegner, S. M. (2018). Expanding the technology acceptance model with the inclusion of trust, social influence, and health valuation to determine the predictors of German users’ willingness to continue using a fitness app: A structural equation modeling approach. International Journal of Human–Computer Interaction, 34(9), 882–893. https://doi.org/10.1080/10447318.2017.1403220. DOI: https://doi.org/10.1080/10447318.2017.1403220

Bhowmick, A., & Hazarika, S. M. (2017). An insight into assistive technology for the visually impaired and blind people: state-of-the-art and future trends. Journal on Multimodal User Interfaces, 11, 149–172. https://doi.org/10.1007/s12193-016-0235-6. DOI: https://doi.org/10.1007/s12193-016-0235-6

Bimantara, I. M. W. (2021). Peranan Media Sosial dan Harga Terhadap Keputusan Pembelian Jasa Rekaman di Demores Rumah Musik. Jurnal Pendidikan Ekonomi Undiksha, 13(1), 108–116. https://doi.org/10.23887/jjpe.v13i1.32312. DOI: https://doi.org/10.23887/jjpe.v13i1.32312

Budiantara, M., Gunawan, H., & Utami, E. S. (2019). Perceived Usefulness, Perceived Ease of Use, Trust in Online Store, Perceived Risk sebagai Pemicu Niat Beli Online pada Produk UMKM “Made in Indonesia” Melalui Penggunaan E-Commerce Marketplace. Jurnal Riset Akuntansi Mercu Buana, 5(1), 19–27. https://doi.org/10.26486/jramb.v5i1.783. DOI: https://doi.org/10.26486/jramb.v5i1.783

Chandwani, R. K., & Dwivedi, Y. K. (2015). Telemedicine in India: current state, challenges and opportunities. Transforming Government: People, Process and Policy, 9(4), 393–400. https://doi.org/10.1108/TG-07-2015-0029. DOI: https://doi.org/10.1108/TG-07-2015-0029

Chang, M. C., & Boudier-Revéret, M. (2020). Usefulness of Telerehabilitation for Stroke Patients During the COVID-19 Pandemic. American Journal of Physical Medicine & Rehabilitation, 99(7), 582. https://doi.org/10.1097/PHM.0000000000001468. DOI: https://doi.org/10.1097/PHM.0000000000001468

Cigdem, H., & Ozturk, M. (2016). Factors affecting students’ behavioral intention to use LMS at a Turkish post-secondary vocational school. International Review of Research in Open and Distributed Learning, 17(3), 276–295. https://doi.org/10.19173/irrodl.v17i3.2253. DOI: https://doi.org/10.19173/irrodl.v17i3.2253

de Sousa-Filho, J. M., Matos, S., da Silva Trajano, S., & de Souza Lessa, B. (2020). Determinants of social entrepreneurial intentions in a developing country context. Journal of Business Venturing Insights, 14. https://doi.org/10.1016/j.jbvi.2020.e00207 DOI: https://doi.org/10.1016/j.jbvi.2020.e00207

Della Fitriana, N., Hamdan, H., & Imaningsih, E. S. (2021). Pengaruh E-Product Knowledge, E-Social Influence, Dan E-Trust Terhadap Keputusan Berdonasi Di Aplikasi Kitabisa. Com. Ultima Management: Jurnal Ilmu Manajemen, 13(2), 271–286. https://doi.org/10.31937/manajemen.v13i2.2175. DOI: https://doi.org/10.31937/manajemen.v13i2.2175

Dhahak, K., & Huseynov, F. (2020). The Influence of Gamification on Online Consumers’ Attitude and Intention to Purchase Fast Moving Consumer Goods. Business and Economics Research Journal, 11(3), 769–791. https://doi.org/10.20409/berj.2020.281. DOI: https://doi.org/10.20409/berj.2020.281

Drake, C., Lian, T., Cameron, B., Medynskaya, K., Bosworth, H. B., & Shah, K. (2022). Understanding telemedicine’s “new normal”: variations in telemedicine use by specialty line and patient demographics. Telemedicine and E-Health, 28(1), 51–59. https://doi.org/10.1089/tmj.2021.0041. DOI: https://doi.org/10.1089/tmj.2021.0041

Fong, B., Fong, A. C. M., & Li, C. K. (2020). elemedicine technologies: information technologies in medicine and digital health. John Wiley & Sons. DOI: https://doi.org/10.1002/9781119575788

Fryt, J., Szczygieł, M., & Duell, N. (2021). Positive and negative risk taking in adolescence: Age patterns and relations to social environment. New Directions for Child and Adolescent Development, 2021(179), 127–146. https://doi.org/10.1002/cad.20431. DOI: https://doi.org/10.1002/cad.20431

Gunawan, F., Ali, M. M., & Nugroho, A. (2019). Analysis of the effects of perceived ease of use and perceived usefulness on consumer attitude and their impacts on purchase decision on PT Tokopedia in Jabodetabek. European Journal of Business and Management Research, 4(5). https://doi.org/10.24018/ejbmr.2019.4.5.100. DOI: https://doi.org/10.24018/ejbmr.2019.4.5.100

Gunter, R. L., Chouinard, S., Fernandes-Taylor, S., Wiseman, J. T., Clarkson, S., Bennett, K., & Kent, K. C. (2016). Current use of telemedicine for post-discharge surgical care: a systematic review. Journal of the American College of Surgeons, 222(5), 915. https://doi.org/10.1016/j.jamcollsurg.2016.01.062. DOI: https://doi.org/10.1016/j.jamcollsurg.2016.01.062

Hermawan, V. K., & Paramita, E. L. (2021). Faktor Yang Mempengaruhi Keberlanjutan Minat Pengguna Dalam Menggunakan Aplikasi Mhealth Melalui Variabel Satisfaction. Jurnal Bisnis Dan Manajemen, 8(1), 150–166. https://doi.org/10.26905/jbm.v8i1.5652. DOI: https://doi.org/10.26905/jbm.v8i1.5652

Hu, X., Chen, X., & Davison, R. M. (2019). Social Support, Source Credibility, Social Influence, and Impulsive Purchase Behavior in Social Commerce. International Journal of Electronic Commerce, 23(3), 297–327. https://doi.org/10.1080/10864415.2019.1619905. DOI: https://doi.org/10.1080/10864415.2019.1619905

Huei, C. T., Cheng, L. S., Seong, L. C., Khin, A. A., & Bin, R. L. L. (2018). Preliminary study on consumer attitude towards fintech products and services in Malaysia. International Journal of Engineering & Technology, 7(2.29), 166–169. https://doi.org/10.14419/ijet.v7i2.29.13310. DOI: https://doi.org/10.14419/ijet.v7i2.29.13310

Jatimoyo, D., Rohman, F., & Djazuli, A. (2021). The effect of perceived ease of use on continuance intention through perceived usefulness and trust: A study on Klikindomaret service users in Malang City. International Journal of Research in Business and Social Science, 10(4), 430–437. https://doi.org/10.20525/ijrbs.v10i4.1223. DOI: https://doi.org/10.20525/ijrbs.v10i4.1223

Jeon, H., Jang, J., & Barrett, E. B. (2017). Linking website interactivity to consumer behavioral intention in an online travel community: the mediating role of utilitarian value and online trust. Journal of Quality Assurance in Hospitality & Tourism, 18(2), 125–148. https://doi.org/10.1080/1528008X.2016.1169473. DOI: https://doi.org/10.1080/1528008X.2016.1169473

Kayali, M., Safie, N., & Mukhtar, M. (2019). The Effect of Individual Factors Mediated by Trust and Moderated by IT Knowledge on Students’ Adoption of Cloud Based E-learning. International Journal of Innovative Technology and Exploring Engineering, 9(2), 987–993. https://doi.org/10.35940/ijitee.j1137.129219. DOI: https://doi.org/10.35940/ijitee.J1137.129219

Khotimah, F. K. H., Fahmi, I., & Hartono, S. (2022). The Antecedents of Intention to Use Telemedicine. Journal of Consumer Sciences, 7(2), 97–114. https://doi.org/10.29244/jcs.7.2.97-114. DOI: https://doi.org/10.29244/jcs.7.2.97-114

Kim, J., & Gambino, A. (2016). Do we trust the crowd or information system? Effects of personalization and bandwagon cues on users’ attitudes and behavioral intentions toward a restaurant recommendation website. Computers in Human Behavior, 65, 369–379. https://doi.org/10.1016/j.chb.2016.08.038. DOI: https://doi.org/10.1016/j.chb.2016.08.038

Lee, Y. C., & Wu, W. L. (2018). Factores en el acoso cibernético: el modelo de actitud-influencia social-eficacia. Anales de Psicología, 34(2), 323–330. https://doi.org/10.6018/analesps.34.2.295411. DOI: https://doi.org/10.6018/analesps.34.2.295411

Muliadi, M. L., & Japarianto, E. (2021). Analisa Pengaruh Perceived Ease of Use Terhadap Behavior Intention melalui Perceived Usefulness sebagai Media Intervening Pada Digital Payment OVO. Jurnal Manajemen Pemasaran, 15(1), 20–27. https://doi.org/10.9744/pemasaran.15.1.20-27. DOI: https://doi.org/10.9744/pemasaran.15.1.20-27

Namahoot, K. S., & Laohavichien, T. (2018). Assessing the intentions to use internet banking: The role of perceived risk and trust as mediating factors. International Journal of Bank Marketing, 36(2), 256–276. https://doi.org/10.1108/IJBM-11-2016-0159. DOI: https://doi.org/10.1108/IJBM-11-2016-0159

Negash, S., Musa, P., Vogel, D., & Sahay, S. (2018). Healthcare information technology for development: improvements in people’s lives through innovations in the uses of technologies. Information Technology for Development, 24(2), 189–197. https://doi.org/10.1080/02681102.2018.1422477. DOI: https://doi.org/10.1080/02681102.2018.1422477

Nisa, U. K., & Solekah, N. A. (2022). The Influence of TAM, Social influence, Security Relationship toward Intention to Use E Wallet through Attitude and Trust. IQTISHODUNA, 18(1), 35–50. https://doi.org/10.18860/iq.v18i1.12916. DOI: https://doi.org/10.18860/iq.v18i1.12916

Nurhaliza, P. E. (2022). Pengaruh Iklan Di Media Sosial Dan Word Of Mouth Terhadap Keputusan Pembelian Tiket Maskapai Citilink Di Bandar Udara Ahmad Yani Semarang. Flight Attendant Kedirgantaraan: Jurnal Public Relation, Pelayanan, Pariwisata, 4(1), 82–94. https://doi.org/10.56521/attendant-dirgantara.v4i1.541. DOI: https://doi.org/10.56521/attendant-dirgantara.v4i1.541

Prastiawan, D. I., Aisjah, S., & Rofiaty, R. (2021). The effect of perceived usefulness, perceived ease of use, and social influence on the use of mobile banking through the mediation of attitude toward use. APMBA (Asia Pacific Management and Business Application), 9(3), 243–260. https://doi.org/10.21776/ub.apmba.2021.009.03.4. DOI: https://doi.org/10.21776/ub.apmba.2021.009.03.4

Rizzi, A. M., Polachek, W. S., Dulas, M., Strelzow, J. A., & Hynes, K. K. (2020). The new ‘normal’: Rapid adoption of telemedicine in orthopaedics during the COVID-19 pandemic. Injury, 51(12), 2816–2821. https://doi.org/10.1016/j.injury.2020.09.009. DOI: https://doi.org/10.1016/j.injury.2020.09.009

Sari, G. G., & Wirman, W. (2021). Telemedicine sebagai Media Konsultasi Kesehatan di Masa Pandemic COVID 19 di Indonesia. Jurnal Komunikasi, 15(1), 43–54. https://doi.org/10.21107/ilkom.v15i1.10181. DOI: https://doi.org/10.21107/ilkom.v15i1.10181

Sarkar, S., Chauhan, S., & Khare, A. (2020). A meta-analysis of antecedents and consequences of trust in mobile commerce. International Journal of Information Management, 50, 286–301. https://doi.org/10.1016/j.ijinfomgt.2019.08.008. DOI: https://doi.org/10.1016/j.ijinfomgt.2019.08.008

Song, X., Liu, X., & Wang, C. (2020). The role of telemedicine during the COVID-19 epidemic in China—experience from Shandong province. Critical Care, 24(1), 1–4. https://doi.org/10.1186/s13054-020-02884-9. DOI: https://doi.org/10.1186/s13054-020-02884-9

Subagio, D. P. W., & Rachmawati, D. L. (2020). Pengaruh Endorser terhadap Purchase Intention dengan Perceived Value dan Perceived Usefulness sebagai Variabel Mediasi (Studi Pada Viewer Food Vlogger of YouTube Channel). Jurnal Manajemen Dan Kewirausahaan, 8(1), 1–11. https://doi.org/10.26905/jmdk.v8i1.3997. DOI: https://doi.org/10.26905/jmdk.v8i1.3997

Sugihartono, T., Putra, R. R. C., Romadiana, P., Pradana, H. A., & Wahyuningsih, D. (2020). The Impact of Ease of Use and Attitude Toward Using Document Submission System Application on Behavior Intention. 2020 8th International Conference on Cyber and IT Service Management (CITSM), 1–4. https://doi.org/10.1109/CITSM50537.2020.9268813. DOI: https://doi.org/10.1109/CITSM50537.2020.9268813

Sugiyono. (2018). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Alfabeta.

Suroso, J. S., & Sukmoro, T. C. (2021). Factors affecting behavior of the use of healthcare mobile application technology in indonesian society. Journal of Theoretical and Applied Information Technology, 99(15), 3923–3934. http://www.jatit.org/volumes/Vol99No15/19Vol99No15.pdf.

Sweeney, J. C., Danaher, T. S., & McColl-Kennedy, J. R. (2015). Customer effort in value cocreation activities: Improving quality of life and behavioral intentions of health care customers. Journal of Service Research, 18(3), 318–335. https://doi.org/10.1177/10946705155721. DOI: https://doi.org/10.1177/1094670515572128

Syahril, W. N., & Rikumahu, B. (2019). Penggunaan technology acceptance model (TAM) dalam analisis minat perilaku penggunaan e-money pada mahasiswa Universitas Telkom. Jurnal Mitra Manajemen, 3(2), 201–214. https://doi.org/10.52160/ejmm.v3i2.201. DOI: https://doi.org/10.52160/ejmm.v3i2.201

Tasin, N. B. (2017). Factors influecing customer’s trust in online shopping among executives in a bank. Malaysian Journal of Social Sciences and Humanities (MJSSH), 2(3), 46–59. https://doi.org/10.47405/mjssh.v2i3.47.

Weng, F., Yang, R. J., Ho, H. J., & Su, H. M. (2018). A TAM-based study of the attitude towards use intention of multimedia among school teachers. Applied System Innovation, 1(3), 36. https://doi.org/10.3390/asi1030036. DOI: https://doi.org/10.3390/asi1030036

Widiasih, N. P. S., & Darma, G. S. (2021). Millennial Digital Content Creator on New Normal Era: Factors Explaining Digital Entrepreneur Intention. APMBA (Asia Pacific Management and Business Application), 10(2), 161–176. https://doi.org/10.21776/ub.apmba.2021.010.02.4. DOI: https://doi.org/10.21776/ub.apmba.2021.010.02.4

Wijaya, M., & Jasfar, F. (2014). Pengaruh rancangan situs, harga, kepercayaan dan keamanan terhadap pembelian produk fashion melalui online shopping. Jurnal Manajemen Dan Pemasaran Jasa, 7(2), 31–62. https://doi.org/10.25105/jmpj.v7i2.798. DOI: https://doi.org/10.25105/jmpj.v7i2.798

Wintang, F. P., & Pasharibu, Y. (2021). Electronic Word of Mouth, Promosi Melalui Media Instagram dan Kualitas Produk Terhadap Keputusan Pembelian. Jurnal Penelitian Dan Pengembangan Sains Dan Humaniora, 5(1), 115–124. https://doi.org/10.23887/jppsh.v5i1.33320.

Yap, H. Y., & Lim, T. M. (2017). Social trust: impacts on social influential diffusion. International Journal of Web Information Systems, 13(2), 199–219. https://doi.org/10.1108/IJWIS-11-2016-0067. DOI: https://doi.org/10.1108/IJWIS-11-2016-0067

Zhang, T., Tao, D., Qu, X., Zhang, X., Zeng, J., Zhu, H., & Zhu, H. (2020). Automated vehicle acceptance in China: Social influence and initial trust are key determinants. Transportation Research Part C: Emerging Technologies, 112, 220–233. https://doi.org/10.1016/j.trc.2020.01.027. DOI: https://doi.org/10.1016/j.trc.2020.01.027