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Background and Purpose: Telehealth bring significant benefits including improved quality of healthcare, efficiency and cost containment, especially for chronic patients and the elderly. China is the second largest country of investment in telemedicine systems, but the acceptance and behavioral intentions of the technology are still low in the elderly. The objective of this study is to explain the micro-mechanism that determines the behavioral intentions to use telemedicine systems from the perspective of elderly patients based on an extended Technology Acceptance Model.Methods: A sample consisting of 436 elderlies selected through multistage cluster sampling from four cities in mainland China. The empirical study was conducted to examine the proposed model by two aspects: measurement model and structural model.Results: The study determined that medical service satisfaction (t = 6.770, β = 0.332), ease of use (t = 5.200, β = 0.179), information quality (t = 12.540, β = 0.639) had a significant impact on the elderly patients' acceptance to telehealth, and the acceptance had a significant impact (t = 14.356, β = 0.697) on the elderly patients' behavior intentions of telehealth. The results also show that the variable of acceptance has significant mediating effects among the theoretical model.Conclusions: This study confirms the applicability of the extended Technology Acceptance Model in the behavioral intentions among elderly people in China using telehealth systems. The results indicate that relationship between telehealth systems and physical medical services are mutually reinforcing rather than alternative. The study will help technology developers better understand the behavioral characteristics of the elderly and encourage healthcare providers to better understand the true need of telehealth systems. These findings provide valuable information to telehealth system developers, governments, investors, and hospitals to promote the use of this technology by elderly patients. [ABSTRACT FROM AUTHOR]

• Trust influence the behavior intention of elderly to adopt general practitioner. • Adoption behavior has increased the medical satisfaction of elderly. • Promotion policies should focus on the trust, perceived utility, and satisfaction. The aim of this study is to investigate the psychological determinants on elderly' acceptance of general practitioners. This study extends the Unified Theory of Acceptance and Use of Technology (UTAUT) model by considering the aspect of trust, perceived utility, and satisfaction, and compares it with other psychological determinants. A questionnaire survey was conducted in seven cities in central China from November 2017 to March 2018, Changsha, Nanjing, Wuhan, Nanchang, Guangzhou, Zhengzhou and Hefei, and 646 valid samples (> = 60 years old) were collected. All the structures met the requirements and the discriminant validity of the data was acceptable. Eleven hypotheses were supported at the significance level of 0.05. Performance expectancy, effort expectancy, social influence, and facilitating conditions were considered positive determinants of behavioral intention; trust was considered as a positive determinant of behavioral intention and adoption behavior; behavioral intention was considered as positive determinant of adoption behavior; adoption behavior was considered positive determinants of both satisfaction and perceived utility; perceived utility was positive determinant of satisfaction, and satisfaction positive influence behavioral intention. It is necessary to integrate trust, satisfaction, and perceived utility into the extended UTAUT model, which would have good explanatory power on elderly's behavioral intention for adopting general practitioners. These understandings can prompt policymakers to better understand the psychological perception and behavioral intention of elderly. [ABSTRACT FROM AUTHOR]

Objective To identify the changing of health policy decisions and Doctor–Patient relationship in different periods in China during 67 years (1949–2016). Methods We followed a systematic approach to analyze the development stage of China׳s healthcare reform and Doctor–Patient relationship over time. Based on the extant literature and statistical data, the current five issues in Chinese health policy and three aspects of Doctor-Patient Relationships are classified. The reasons for the current situation and recommendations for future policy are discussed. Results There are four main problems of Chinese Health Policy: funding shortage, excessive market-oriented operation, health insurance limited reimbursement amount, and media coverage a lot of non-neutral health events. In different historical periods, these problems are not prominent, but have become increasingly serious in recent years. On the other hand, three participants contributed to the growing tense relationship between doctors and patients: doctors (hospitals), patients and governments. Conclusions In formulating future health care policy, the government should change: increase investment in the medical field, change the income structure of doctors and hospital, propagate medical news in an objective way, and increase the amount and scope of medical insurance repayment. [ABSTRACT FROM AUTHOR]

• Public's reactions toward Changsheng vaccine scandal on the Internet in China. • 215,184 unqualified DTP vaccines were reported to be used for child vaccination. • Over 80% of comments are negative and express weak confidence to China-made vaccines. • Vaccine anxiety influenced by low-satisfaction on vaccine makers and regulation. The public acceptance and implementation of vaccination programs is essential to prevent infectious diseases. However, vaccine adverse events may cause public panic and eventually lead to an increasing number of populations who were hesitant or refuse to participate in these vaccination programs. In 2018, the Changsheng vaccine crisis broke out in mainland China, and 252,600 unqualified DTP vaccines were reported to be used for child vaccination. In this study, we observed media and public reactions toward the vaccine crisis. This study conducted Internet surveillance by four mainstream indicators from July 15th to August 7th, including social media (WeChat, Sina Weibo), online news and Baidu search index. We also analyzed the emotional perceptions of people in crisis through an online questionnaire survey. During the crisis, huge number of articles emerged on Internet, 125,882,894 articles (including forwarding) on WeChat friends circle, 1,877,660 Sina Weibo posts, 648,265 online news and 4,986,521 Baidu search indexes. Most of these articles were negative and expressed the public's weak confidence to the China-made vaccines. Public confidence in vaccines was undermined by the actions of the manufacturer and the government. The DTP vaccine crisis led to panic about immunization and eroded trust in the immunization program and in the government. Restoring public confidence in Chinese-made vaccines will take a long time, and meticulous management in vaccine production, and strict government regulation will help to alleviate public anxiety about vaccine safety and ultimately restore confidence. [ABSTRACT FROM AUTHOR]

• Examined determinants for Chinese taxi drivers to adopt electric vehicles for living. • Extended the UTAUT2 framework in the context of adopting electric vehicles by taxis drivers. • Incorporated the construct Satisfaction with Incentive Policies in the UTAUT2 framework. • Governments should investigate taxi driver's satisfaction with different incentive policies. • Electric vehicle manufacturers should enhance test-driving experience to taxi drivers. Replacing combustion vehicles with electric vehicles has been promoted by the Chinese government as a viable policy to reduce fuel consumption and greenhouse gas emissions. The purpose of this study is to examine factors that influence Chinese taxi drivers' adoption of electric vehicles for living. This study takes the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) as the theoretical framework and extends it to examine the influence of taxi drivers' satisfaction over government's invectives on their adoption of electric vehicles for living (i.e., adoption intention and use behavior). A questionnaire-based survey was conducted in Shenzhen and Guangzhou from November 2018 to April 2019, and 725 valid samples were collected. The model has good explanatory power, and its predictive validity accounts for about 89% of the variance in adoption intention and 50% in use behavior. The statistical results supported that such constructs as Satisfaction with Incentive Policies, Performance Expectancy, Effort Expectancy, Facilitating Conditions, Hedonic Motivation, Price Value, and Habit, are influencing factors on taxi drivers' intention of using electric vehicles (i.e., behavior intention). These constructs, together with Social Influence but excluding Habit, are also influential to the actual use of electric vehicles by taxi drivers for living (i.e., use behavior). This study expands the existing theoretical modeling for characterizing the adoption of electrical vehicles. The study suggests policy makers further investigate taxi driver's satisfaction with different incentive policies, and electric vehicle manufacturers focus on improving hedonic motivation for taxi drivers, e.g., providing test-drive experiences. [ABSTRACT FROM AUTHOR]