Understanding psychological determinants to promote the adoption of general practitioner by Chinese elderly.

• 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]