JMIR Publications

ABSTRACT

Background:

Improving the quality of patient care through application of mobile device is one of the hot topics in the healthcare area. Unwanted situation like accident; ambulances and rescuers often need to spend a certain amount of time to arrive at the scene. However, providing immediate cardiopulmonary resuscitation (CPR) for the patient might improve survival.

Objective:

The primary objective of this study is to evaluate the feasibility of the “Emergency and Mutual Aid Model” in Taiwan and to provide a reference for government policy.

Methods:

A structured questionnaire was developed as a research tool. However, all the questionnaire was designed by the technology acceptance model (TAM), and a Likert scale was used to measure the degree of agreeing or disagree. Moreover, an in-depth interview was conducted with six experts from the medicine, legal and mobile application department. Each expert was interviewed one time to discuss feasible countermeasures and suggestions. The statistical package SPSS (v.19) was used to perform all statistical analyses including descriptive statistics, independent sample t-test, variance analysis, and Pearson correlation.

Results:

We conducted this study between October 20, 2017, and November 10, 2017 at the Taipei Medical University Hospital. Questionnaires were distributed to medical personnel, visiting guests, family members and volunteers. A total of 113 valid questionnaires were finally obtained after exclusion of incomplete questionnaires. The Cronbach's α of self-efficacy (perceived ease of use), use attitude (perceived usefulness), and willingness to use and frequency group were above 0.85 that met the criteria of greater than 0.7. we observed the reliability of each sub-question was acceptable, the use attitude (perceive usefulness) and the willingness to use and frequency grouping were more than 0.9.

Conclusions:

The findings suggest the perceived ease of use and perceived usefulness of the application model will affect the willingness to use, and perceived ease of use. However, it will have an intermediary effect on willingness to use by the perceived usefulness. The experts in law, medical and technology consider that the emergency and mutual aid model can be implemented in Taiwan. Alongside with developing “Application Model of Emergency and Mutual Aid”; we recommend to increase the number of AED per region, and also to promote the correct knowledge on CPR in order to decrease morbidity and mortality.