Evidence map›Paper›PMID 40261534›Full record

ArticleThe Journal of the Egyptian Public Health Association2025

A reliable tool for assessment of acceptance of e-consultation service in hospitals: the modified e-consultation Technology Acceptance Model (TAM) questionnaire.

Rasha Ashmawy, Sally Zeina, Ehab Kamal, Khaled Shelbaya, Nermeen Gawish, Sandy Sharaf, Elrashdy M Redwan, Azza Mehanna

Abstract read
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Article in The Journal of the Egyptian Public Health Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rasha Ashmawy *Department of Clinical Research, Maamora Chest Hospital, Alexandria, MoHP, Egypt. mri.rasha.m.informatics19@alexu.edu.eg.ORCID http://orcid.org/0000-0003-2689-5968
Sally Zeina *Department of Clinical Research, Maamora Chest Hospital, Alexandria, MoHP, Egypt.
Ehab KamalMedical Research Division, National Research Center, Giza, Egypt.
Khaled ShelbayaNational Heart Institute, Giza, Egypt.
Nermeen GawishMinister's Technical Office, MoHP, Cairo, Egypt.
Sandy SharafDepartment of Clinical Research, Maamora Chest Hospital, Alexandria, MoHP, Egypt.
Elrashdy M RedwanDepartment of Biological Science, Faculty of Science, King Abdulaziz University, Jeddah, Saudi Arabia.
Azza MehannaDepartment of Administration and Behavioral Sciences, High Institute of Public Health, Alexandria University, Alexandria, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInnovative approaches like e-consultation services are critical for improving access to healthcare and promoting equity, particularly in under-resourced settings. Despite their growing prominence, limited tools are available to assess healthcare professionals' acceptance and satisfaction with these services. This study aimed to validate the modified e-consultation TAM questionnaire as a reliable instrument for assessing physicians' perspectives on e-consultation service.

methodsThis study focuses exclusively on physicians receiving (not providing) e-consultation service within the Egyptian Ministry of Health and Population. The tool used for assessing their acceptance of the service consists of three sections: demographic data, items assessing perceived usefulness (PU) and perceived ease of use (PEU) of e-consultation, and questions addressing physicians' satisfaction, challenges, and suggestions to improve e-consultation services. The questionnaire was subjected to thorough validation, including face validity evaluated by an expert panel and construct validity which was assessed through factor analysis.

resultsThe modified e-consultation TAM questionnaire demonstrated excellent internal reliability, with Cronbach's alpha coefficient exceeding 0.92 for both PU and PEU. Exploratory factor analysis identified two domains, PU and PEU, explaining 81.17% of the variance, with factor loadings ranging from 0.661 to 0.912. Confirmatory factor analysis (CFA) confirmed the two-factor model, with standardized factor loadings between 0.80 and 0.95, a Comparative Fit Index (CFI) of 0.95, and a Root Mean Square Error of Approximation (RMSEA) of 0.084.

conclusionThe modified e-consultation TAM questionnaire proves to be a reliable and valid tool for evaluating physicians' acceptance of and satisfaction with e-consultation service. This tool offers potential for future research and practical applications, providing valuable insights to improve the implementation of e-consultation services and inform strategies for advancing healthcare access and equity globally.

Indexed as

E-consultationQuestionnaire validationTechnology acceptance modelTelehealth

Identifiers

PMID40261534
PMCPMC12014876

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.