Exploring the resistance to e-health services in Nigeria: an integrative model based upon the theory of planned behavior and stimulus-organism-response

Mingyue Fan, Brendan Chukwuemeka Ezeudoka and Sikandar Ali Qalati ()
Additional contact information
Mingyue Fan: Jiangsu University
Brendan Chukwuemeka Ezeudoka: Jiangsu University
Sikandar Ali Qalati: Liaocheng University

Palgrave Communications, 2024, vol. 11, issue 1, 1-14

Abstract: Abstract Despite the evident advantages of electronic health services (eHS), there is a noticeable opposition to their acceptance, which has raised a crucial question about why people, particularly in developing nations, oppose the acceptance of eHS. This study was designed to obtain a comprehensive understanding of the factors that influence the rigid opposition to eHS by integrating two theoretical models: the Stimulus-Organism-Response theory and the Theory of Planned Behavior. In our detailed survey, 543 respondents over 18 years old from various regions of Nigeria participated. We evaluated the proposed model using partial least squares structural equation modeling (PLS-SEM). The findings indicated that lower health literacy was associated with a greater opposition to using eHS. In addition, communication and choice overload and perceived risk contributed to a negative attitude toward eHS. Subjective norms played a significant role in influencing the intention not to use eHS, which highlights social pressure’s effect. Further, a greater perception of behavioral control reduced the intention not to use eHS. Ultimately, the intention not to use eHS affected eHS rejection behavior significantly, which makes resistance to it a substantial problem. This research unveils factors that contribute to this behavior and provides insights for policymakers in the health field, with the goal to improve people’s acceptance of eHS. Further research is recommended in different geographical samples and contexts to gain a better understanding of the factors related to eHS rejection behavior.

Date: 2024
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
http://link.springer.com/10.1057/s41599-024-03090-6 Abstract (text/html)
Access to full text is restricted to subscribers.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:pal:palcom:v:11:y:2024:i:1:d:10.1057_s41599-024-03090-6

Ordering information: This journal article can be ordered from
https://www.nature.com/palcomms/about

DOI: 10.1057/s41599-024-03090-6

Access Statistics for this article

More articles in Palgrave Communications from Palgrave Macmillan
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().