Chinese physicians' perceptions and willingness to use telemedicine during the COVID-19 pandemic

The outbreak of the COVID-19 pandemic catalysed the rapid uptake of telemedicine as a vital tool for physicians to provide healthcare services to patients. However, despite the potential advantages of telemedicine, there remains a paucity of research examining physicians' attitudes and utilisation patterns towards this mode of healthcare delivery. Therefore, this study investigated the factors impacting physicians' telemedicine utilisation during the COVID-19 pandemic. Based on the unified theory of acceptance and use of technology and protection motivation theory, a cross-sectional survey was conducted between June 3rd and October 26th, 2022. A structural equation model was subsequently developed to validate the response-based research model. Of the 296 physicians surveyed, 134 reported an increase in the frequency of telemedicine use following the COVID-19 pandemic, and 88.9% of respondents supported the implementation of telemedicine services at their hospitals. The analysis revealed that perceived vulnerability, perceived severity, performance expectations, effort expectations, and facilitating conditions were significant factors influencing physicians' willingness to adopt telemedicine. Importantly, the results suggest that strategies to enhance the usefulness and convenience of telemedicine systems are imperative for fostering adoption. Such efforts will be instrumental in expediting the promotion and implementation of internet-based healthcare services to enhance the accessibility of healthcare services in China.