Back to Journals » Patient Preference and Adherence » Volume 13

Does “hospital loyalty” matter? Factors related to the intention of using a mobile app

Authors Lin YH, Guo JL, Hsu HP, Yang LS, Fu YL, Huang CM

Received 4 March 2019

Accepted for publication 21 June 2019

Published 31 July 2019 Volume 2019:13 Pages 1283—1294


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Johnny Chen

Yun-Hsuan Lin,1,2 Jong-Long Guo,3 Hsiao-Pei Hsu,2 Li-Shu Yang,4 Ya-Lin Fu,2,4 Chiu-Mieh Huang5

1Department of Nursing, Ching Kuo Institute of Management and Health, Keelung, Taiwan; 2Department of Nursing, School of Nursing, National Yang-Ming University, Taipei, Taiwan; 3Department of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan; 4Department of Nursing, Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan; 5Institute of Clinical Nursing, School of Nursing, National Yang-Ming University, Taipei, Taiwan

Purpose: This study aimed to explore the association between hospital loyalty, perceived usefulness of a mobile app, perceived ease of use of that mobile app, and satisfaction with the app’s use as well as predicting patients’ intended use of the app.
Patients and methods: Purposive sampling was adopted in a cross-sectional survey. The participants were outpatients at the traditional Chinese medicine departments of three hospitals in northern Taiwan (n=125). The self-report questionnaire comprised information about sociodemographics and scales related to hospital loyalty, perceived usefulness of the mobile app, its perceived ease of use, satisfaction with its use, and its usage intention. The data were analyzed using structural equation modeling.
Results: The four factors explained 70% variance in usage intention. The perceived usefulness of the mobile app directly and indirectly affects their usage intention, but its perceived ease of use had only indirect effects on the usage intention. Perceived usefulness and perceived ease of use influence the usage intention through satisfaction. The women’s hospital loyalty does not directly affect the usage intention of the mobile app, but indirectly affects it through perceived usefulness and perceived ease of use of the mobile app.
Conclusion: Intended use of the app by women is mainly related to their experience of which is usefulness, ease of use and satisfaction of service are the most important factors contributing to continuous use. Hospital loyalty does not directly affect intention to use as expected. The influence of loyalty must be related to the patients’ perception of the product, in terms of usefulness, ease to use, and satisfaction. The finding is helpful to understand patients’ preference and support their behavioral adherence.

Keywords: usage intention, patient engagement, hospital loyalty, technology acceptance model, mobile application

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]