Understanding Psychosocial Barriers to Healthcare Technology Adoption: A Review of TAM Technology Acceptance Model and Unified Theory of Acceptance and Use of Technology and UTAUT Frameworks

Ann Thong Lee · R Kanesaraj Ramasamy · Anusuyah Subbarao

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Technology Adoption and User Behaviour Electronic Health Records Systems Health, Technology, Consumer Behavior

Abstract

Background: Leveraging healthcare technology improves human development and well-being. However, adoption is frequently delayed by behavioural and psychological barriers, such as perceived usefulness, trust, and organisational readiness. This review examines the suitability of the Unified Theory of Acceptance and Use of Technology (UTAUT) and the Technology Acceptance Model (TAM) frameworks in healthcare settings, focusing on behavioural, educational, and psychological factors that influence technology adoption. Methods: A total of 20 peer-reviewed articles from 2019 to 2024 were examined. Results: The review identified significant organisational and psychological obstacles, including a lack of trust, inadequate training, and organisational support. While the UTAUT provided a more comprehensive viewpoint, it needed to be modified to include context-specific factors, including trust, facilitating circumstances, and educational interventions. Meanwhile, the TAM’s emphasis on perceived usefulness and ease of use was shown to be insufficient for dealing with complex healthcare situations. Conclusions: Interventions targeting stakeholders’ organisational and psychological preparation and educational strategies are essential to overcoming resistance and enhancing trust. Future research should look into integrative frameworks incorporating behavioural, psychological, and instructional tactics to improve the use of technology in healthcare.

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References

2003User Acceptance of Information Technology: Toward A Unified View1 1989User Acceptance of Computer Technology: A Comparison of Two Theoretical Models 2014Technology acceptance model: a literature review from 1986 to 2013 2017Re-examining the Unified Theory of Acceptance and Use of Technology (UTAUT): Towards a Revised Theoretical Model 2020Impact of Trust and Privacy Concerns on Technology Acceptance in Healthcare: An Indian Perspective 2006ICT and OTs: A model of information and communication technology acceptance and utilisation by occupational therapists 2019Beyond TAM and UTAUT: Future directions for HIT implementation research

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