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BACKGROUND The increasing integration of telehealth services into healthcare systems has transformed patient-provider interactions. Despite numerous benefits that promote health equity and resource allocation, patients’ acceptance and use of telehealth declined. We study the factors from patients’ characteristics perspective that influence the adoption and utilization of telehealth services to enhance healthcare delivery and patient satisfaction. OBJECTIVE This study examines the direct impact of patient trust, social determinacies of health, and patient self-efficacy on telehealth utilization and the indirect effect of information search confidence, patient-centered communication, and health literacy on telehealth utilization through trust. METHODS This paper uses secondary data collected by Health Information National Trends Survey 6 and performs a structural equation modeling method to test the hypotheses. We also addressed common method bias to test for potential measurement errors and ensure the validity and reliability of the results. RESULTS Out of 5,280 participants who were satisfied with Internet access and had at least one doctor visit within the past 12 months, 45.06% used telehealth services in the past year. Trust in providers is influenced by an inverted U-shaped relationship with health-related information search confidence (β= -0.038, p CONCLUSIONS The study found that trust, social determinants of health, and health efficacy directly impact telehealth utilization. Additionally, telehealth utilization is indirectly influenced by patient characteristics, such as information search confidence and barriers from health literacy, as well as the patient-centered communication environment. The findings emphasize the need for targeted interventions to improve patient health literacy and engagement, thereby promoting the use of telehealth services. CLINICALTRIAL None
Jiajia Qu (Sat,) studied this question.