The Acceptance of HomeVisit Program on Hospital: Modification of

the Technology Acceptance Model

Hasyim

, Heppy Christina

, Rokiah Kusumapradja

and Rina Anindita

Management Department, Universitas EsaUnggul, Jakarta

Keywords: home visit, perceived ease of use, perceivedusefulness, customer’s trust

Abstract: Decision-making process to accept a program is influenced by a range of stimuli either originating internally

such as psychology, attitude, taste, traits, or external such as the program itself that is attractive, economic

factor, culture, as well as technology.Hospitals as one company engaged in services also have the same

goals in order to survive and provide services and earn revenue.Thesegoals can only be obtained if the

company can meet the needs and desires of customers and can provide satisfaction. Hospitals are trying to

make innovations to improve Bed Occupancy Rate (BOR) as an indicator of a hospital’s health. Bed

Occupancy Rate (BOR) is the percentage of bed usage in a given time unit.This study was conducted with

the aim to know the perception of hospital customer to home visit program conducted on the hospital

industry in Indonesia.The researchers tested two crucial aspects in the technology acceptance theory namely

perceived usefulness and perceived ease of use taking into account level of customer trust into the research

model. This theory is mainly used to see how the pattern of acceptance of respondents to

technology.However, the theory is modified and tested to be applied to acceptance of home visit program of

hospital customers.Hospital management is starting to realize the importance of delivering services focusing

on customer expectations and satisfaction. Hospitals make efforts in order to provide satisfaction to

customersbyprovidinga program that is easy to understand and give benefits to customersor implementing

innovative programs that can attract customerstovisitthe hospital.The characteristics of innovations, as

perceived by individuals, help to explain their different rates of adoption.The results indicate that the home

visit program not only is perceived usefulness significantly in childbirth (before, during, and after delivery),

but it also is perceived easy to implement. The two factors influence the level of trust and interest to give

birth at hospital significantly.The findings show that the technology acceptance model (TAM) may also be

used in health research, particularly on program acceptance-in this case: home visit program. The TAM is

commonly used in research of the broad field.

1 INTRODUCTION

No matter what their advantages, newer

technologies are not adopted by all potential buyers

immediately (Coelho et al., 2010), which means an

innovation needs a long process to be adopted. The

consequencesthat if people tend to accept so the

innovation will continue and if people reject such

innovation so such innovation will be

terminated(Hasyim and Anindita, 2016).

We defined innovation in service delivery and

organization as a novel set of behaviours, routines,

and ways of working that are directed at improving

health outcomes, administrative efficiency, cost-

effectiveness, or users’ experience and that are

implemented by planned and coordinated

actions.(Greenhalgh et al., 2004)

Hospitals as one company engaged in services

also have the same goal in order to survive and

provide services and earn revenue.These goals can

only be obtained if the company can meet the needs

and desires of customers and can provide

satisfaction

Hospitals are trying to make innovations to

improve Bed Occupancy Rate (BOR) as an indicator

of a hospital’s health. Bed Occupancy Rate (BOR) is

the percentage of bed usage in a given time unit. The

higher the BOR is a measure that the hospital is in

demand. The high level of BOR shows that the

management has understood the needs and

expectations of their customers.

454

Hasyim, ., Christina, H., Kusumapradja, R. and Anindita, R.

The Acceptance of HomeVisit Program on Hospital: Modiﬁcation of the Technology Acceptance Model.

DOI: 10.5220/0009949304540461

In Proceedings of the 1st International Conference on Recent Innovations (ICRI 2018), pages 454-461

ISBN: 978-989-758-458-9

According to the SERVQUAL scale, quality is

perception-minus-expectation(Sultan & Wong,

2010). The problem is relyingon the Innovation

acceptance process is a relatively long process

becauseinnovation may bring certainrisks, to the

group of society that adopts it(Hasyim & Anindita,

2016).

Home visitservices are performed by an activity

conducted by doctors and paramedics to visit

patient’s homes, which are expected to answer

questions and issues surrounding pregnancy. The

homevisitprogram also provides the expectant

motherwith an opportunity to understand the patient

at her residence and can provide a broad knowledge

to her family during the delivery period. The Home

Visitservice expects that the patient and family can

understand and learn what is needed in the coming

period of childbirth. The home visitprogram is

intended to increase the intention to visit the

hospital.This program is also intended as a means of

public education, especially to expectant mothers

who will give birth by providing knowledge

associated with prenatal,during,and postchildbirth.

Finally,the home visit program serves as an

effort of the hospital to increase level of trust of

public in general toward hospital as stated:

Manyscholars have argued that trust is a prerequisite

for successful commerce, becauseconsumers are

hesitant to make purchases unless they trust the

seller(Kim et al., 2008).

The research question, how are the people

perceived that kind of program, are they will accept

or not, because the consequences of acceptance or

rejection both result in a change(Rogers,1995).

2 LITERATURE REVIEW

There are theories on the acceptance of

innovations such as Innovation Diffusion Theory

(Rogers,1995) and the Acceptance Model (Davis et

al.,1989). Those theories explain the perception of

community groups toward an innovation before they

accept it. The decision to accept or reject something

new communicated to societymember, in general,

provides a consequence for the sustainability of the

community group. The consequences of acceptance

or rejection both result in a change (Rogers,1995).

The Technology Acceptance Model (TAM) of

Davis is used in this research.The TAMstates that

the acceptance of a technology is usually based on

the perceptionof ease of use and perceived

usefulness of the technology.There are two

dimensions assessed by customers to a technology;

that is perceived ease of use and perceived

usefulness.The perceived ease of use is defined as a

level or state in which one is convinced that using a

particular system requires effort that is easy, without

difficulty, relieved of difficulty or unnecessary

effort, two factors are primary determinants of

system use: perceived ease of use and perceived

usefulness(Kim et al., 2009).TAM is often used to

explain the behaviour of the use or acceptance of

information technology.

Venkatesh and Davis (2000) divide the

dimensions of Ease of Use Perception into the

following: a. Individual interaction with the system

is clear and understandable. b. It does not take much

effort to interact with the system (does not require

much mental effort). c. Easy to use the system. d.

Easy to operate the system by what the individual

wants to do (easy to get the system to do what he/

she wants to do (Brown and Venkatesh, 2003)

Regardingbehavioural theory; it is assumed that

positive perceptions both regarding ease of use and

from the side of expediency will create a positive

attitude as well. Vice versa if the technology is

perceived negatively then one's behaviour will be

negative. A positive attitude will encourage the

continued use of technology,and negative attitudes

will encourage the creation of technological

rejects(Brown and Venkatesh, 2003).

In the perspective of a homevisitprogram in

which the program is an innovation of hospital

management to provide insight into expectant

mothers who are going to give birth depends on

customer perceptions of both dimensions of

TAM;the ease and usefulness of the program. If the

customer's perception of the homevisitprogram is

positive, then the customer will accept it well and

vice versa, The time at which an innovative product

is introduced may affect the rate of its diffusion

(Brown and Venkatesh, 2003).

Intention construct is mentioned in the

TAM(Hunt et al., 2006). One's attitude consists of

cognitive, affective, and behavioural components.

However,the relationship between trust and

satisfaction is unclear(Hunt et al., 2006), while Kim

et al. (2009) said the relationship between trust and

satisfaction is significant statistical (Hunt et al.,

2006).The time at which an innovative product is

introduced may affect the rate of its diffusion. The

time at which an innovative product is introduced

may affect the rate of its diffusion(Meade and Islam,

2006).

Perceived usefulness is the degree to which a

person believes that a particular system would

enhance his or her job performance (Meade and

The Acceptance of HomeVisit Program on Hospital: Modiﬁcation of the Technology Acceptance Model

455

Islam, 2006) benefit is the extent to which a person

believes that using technology will improve his

performance.

Perceived usefulness is a strong determinant of

the acceptance of the use of an information system,

adoption, and behaviour of users. Utilizationis also

defined as the probability of subjectivity of

individuals that the use of a particular application

system will improve the performance of the

individual in the organizational context. Perceived

usefulness and perceived ease of use

affectbehavioural interest (behavioural intention).

Technology users will have an interest in using

technology (interest in behaviour) if they feel the

technology system is useful and easy to

use.Utilization also affects ease, but not vice

versa(Meade and Islam, 2006).

Based on the above explanation it can be said

that the customer's perception of the ease and

usefulness of the homevisitprogram becomes an

indicator of the success of the program (Kim et al.,

2009).This means that if a perceived innovation has

a relative advantage, in accordance with existing

conditions and accordance with the values and

norms prevailing in the community, it can be tested,

the results can be viewed and not too complicated,

then people will accept the innovation faster than

other innovations that do not havethese

characteristics,because strong understanding towards

the utility of products will trigger the growth of

customer trust which at the end of the day will cause

purchase intention(Hasyim, 2017).

Something that is considered newintroduced to

community groups generally faces various forms of

response. There are those who accept immediately,

those waiting for those who are considered

references, others whom a priori reject it.

The adopter categories discussed in the

traditional adoption and diffusion models include

technology enthusiasts, visionaries, pragmatists,

conservatives, and sceptics(Pant et al., 2011) as

described in the following paragraph.

Technology enthusiasts: Technology

enthusiasts are innovators and are usually the first to

try a new product or innovation (Rogers, 1995;

Tagliaventi et al., 2010). They are often viewed as

the opinion leaders (Tagliaventi et al., 2010). They

account for only 2.5% of consumers.

Visionaries: Visionaries belong in the early

adopter market and are interested in using the new

product. They are the first constituency who can and

will bring real money to the table and are

enthusiastic about the new functions that new

products bring. They account for 13.5% of

consumers(Meade and Islam, 2006).

Pragmatists: Pragmatists are customers in the

early majority and make the bulk of all technology

infrastructure purchases. They seek out substantial

productivity enhancements. When they are

struggling with the decision of adopting new

technology, they will consult those they trust for

advice (Rogers, 1995). They account for 34% of

market share(Hasyim & Anindita, 2016).

Conservatives: Conservatives are customers in

the late majority. The late majority conservatives are

risk-averse and technology-shy and need entirely

surefire solutions. Although the market tends to be

saturated and the profit is less, the late majority still

account for 34% of market share.

Sceptics: Skeptics represent the last segment of

the technology adoption cycle and are technology

laggards who want only to maintain the status quo.

They account for 16% of market share.The adopter

categories discussed in the traditional adoption and

diffusion models include technology enthusiasts,

visionaries, pragmatists, conservatives, and

scepticsconservatives (Pant et al., 2011).

Rogers (1995) has synthesized some previous

studies related to adoption behaviour, factors

affecting adoption behaviour, namely relative

advantage, complexity, compatibility, trialability and

observability, as shown below:

The first group is called Innovatorswho are the

first to receive an innovation (Rogers,1995). They

have a broad ability about a new thing that makes it

easier for them to accept it. This group plays a vital

role in accepting and disseminating innovation to

other community groups. This group first bears the

risk if the adopted innovation has a negative

impact.Otherwise, if the innovation has a positive or

beneficial effect, the innovator group will benefit

first. The usual innovator group is also called the

risk taker group.That is the group of people who

dare to bear the consequences of any change.

The next group is the Early adopters; these

groups tend to be more integrated into the social

system than the innovators. This group is often the

pioneer in accepting an innovation, as they tend to

conduct more in-depth evaluations before accepting

or rejecting an innovation so that the early adopter's

group becomes a reference or change agent.

The third group, the Early-majority is the

largest group.This group tends to accept the

innovation after all groups in the community receive

it. In accepting an innovation, this group takes a long

time than the innovator group and early majority.

Many considerations are made before accepting an

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456

innovation.In addition to consideration of this,this

group also tends to refer to people who are

considered influential as a group reference. If the

reference group accepts the innovation, then this

group also adopts the innovation.So it is often too

late to benefit from innovation.

Late-majority adopters group is also a large

group in society. The difference with early majority

groups is that the organization in the late-majority

category adopts an innovation after the average

organization in an industry receives innovation.

Acceptance in this group tends to be reactive rather

than proactive.Thus this group is the last group in

accepting an innovation.

Laggards is a group separate from other

community groups. This group is marked by the

tendency to reject the opinions of other community

groups. They are very dependent on what they have

done in the past. So, the acceptance of innovation

from this group usually takes a very long time

compared to other community groups. They tend to

avoid failure or risk in doing something.If they will

use something new or commonly called the risk

averter (Pant et al., 2011).

2.1 Customer’s Trust

Results of several scholars’ researches show the

role of trust in driving acceptance or rejection over

innovation or program offered to a community

group. Trust for the business world is a critical

element, because it impliesa long-term relationship,

in this case, the relationship between customer and

service provider (Hasyim, 2017).

Trust and satisfactionare two stepping stones for

successful E-commerce relationships (Kim et al.,

2009). Both trust and satisfaction positively

influence the intention to purchase.Furthermore, The

concept of trust has been studied in diversecontexts,

by researchers from various disciplines and

backgrounds, and as a result, there are various

definitions of trust(Koufaris and Hampton-Sosa,

2004).Trust arises if one feels confident towards the

other party regarding reliability and integrity. Thus,

beliefs arise if a person or a company can show

something good so it can convince a person of his or

her ability and integritytrust appears if someone

feels confident about other party`s reliability and

integrity. Thus, the trust will come if someone or a

company can show its competence or

integrity(Sultan & Wong, 2010).

In the same sense, the concept of trust as a belief

in the ability and integrity is shown by colleagues

based on one's experience of the institution or

institutiona high degree of trust not only stimulates

and meets consumers’ high expectations of

satisfying transactions, but it also eliminates

uncertainty, perceived risks, and interdependences in

most online transactions (Chen and Barnes, 2007).

In his research Chaudari and Holbrook (2001),

Morgan and Hunt (2004) reiterated that trust is the

desire of most consumers to trust the ability of a

particular brand to deliver its performance by what

should or by what it promises(Afzal et al.,

2009).Trusts can also be interpreted as 'goodwill and

willingness' of the consumer to take risks, where

goodwill is built on prior experience, and Trust is

the hope of a positive outcome, while the

willingness is the desire of the consumer to face the

risks that may be received related to the brand to be

consumed.

Consumer’s trust will take place because of the

customer’s initiative itself who will subsequently

trust what is offered by a brand. Trust will reduce

the sense of uncertainty as the customer not only

knows that a product or brand deserves to be trusted,

but it can also be reliable, safe, and truthful in

presenting the product that is sold.

Nevertheless, it is necessary to see that

Consumer’s Trust can be seen as a

cognitivecomponent since it can be an emotional

drive. The emotional drive may emerge from

satisfaction upon previous buying process(Afzal et

al., 2009).

Trust is related to one’s belief in reliability and

integrity showed by someone or product of a

corporation; average want of customer on

competence shown by a brand or corporation.Trust

is also a relevant situation in uncertainty when more

celebrated brandsversus minor differences among

brands occur. Trust is also related to uncertainty

situation when popular brands are competing with

other brands.

Trust can reduce uncertainty as a customer not

only knows trusted brand, but the customer may also

get the product or good that is safe for consumption.

3 RESEARCH METHOD

This research is of casualty that analyzes how

changes in a free variable may influence the other

variable. In proving the hypothesis, it uses a

quantitative approach where data collection is

conducted through a survey with research

instrumentthat uses a questionnaire that is composed

of indicators of research variable and is also based

on theory and concept referenced to in this research.

The Acceptance of HomeVisit Program on Hospital: Modiﬁcation of the Technology Acceptance Model

457

The population of the research using

260expectant mothers who will or potentially give

birth. For the validity of the research instrument, the

research uses product moment validity test and

alphaCronbach reliability test. To test the

hypothesis, the research uses a t-test to see the level

of significance of each independent variable to the

dependent variable.At the final stage, the research

uses path analysis through Sobel test to see whether

a variable of the level of trust significantly become

the intervening variable between independent

variable to dependent variable either directly or

indirectly.

4 RESULT AND DISCUSSION

The research has satisfactorily proven that there

is a significanteffect of the variable of perceived

usefulness and perceived ease to intention to use

home visit program.

The index in Table 1 shows that overall average

index value of customer’s perception on ease of use

of home visit program is moderate with index value

75.75 The index is high on ease of childbirth, ease of

pregnancy control, ease of post-partum as perceived

by expectant mother. Table 1 shows that the

customer (expectant mother) presume that the home

visit program provides information/ knowledge that

will ease them do the treatment before, during, and

after childbirth. In general, they are positive about

the home visit program and accept it.

Table 1: Perceived Ease of Use

No Description Index Status

1 Information on home visit

program is easy to

understand

76 Moderate

2 A home visit is easy to

apply

77.5 Moderate

3 The homevisit does not

require extra effort

73 Moderate

4 Homevisit helps ease

childbirth

78.25 High

5 Home visit eases

maintenance during

pregnancy

80 High

6 Home visit eases post-

childbirth maintenance

77.5 High

7 Information on a home

visit is easy to understand

71.75 Moderate

8 Information on a home

visit is easy to apply

72 Moderate

Average 75.75 Moderate

Table 2 shows that customer’s (expectant

mother) perception on usefulness they receive from

home visit program is high with average index value

78.03.

Table 2: Perceived Usefulness

No Description Index Status

1 Home visit program

provides information to

expectant mother

78.5 High

2 Home visit program eases

expectant mother to deal

with pregnancy

78.5 High

3 Home visit program eases

expectant mother to deal

with childbirth

76 Moderate

4 Home visit program

provides information on

mother and child’s health

78.25 High

5 Home visit program helps

ease stresses of an

expectant mother

80 High

6 Home visit program helps

reduce MMR

78.5 High

7 Home visit program helps

improve mother and

child’s health

77.75 High

8 Home visit program helps

increase the level of a visit

to the hospital

74 Moderate

Average 78.03 High

Table 2 shows that customer (expectant mothers)

perceive that the home visit program is useful on the

control before, during, and after childbirth. In

general, they are positive about the home visit

program and accept it.

Table3 shows that overall average index of

customer’s trust on the home visit program is high

with index value 78.39. This shows that customers

(expectant mothers) believe that the home visit

program carried out by the hospital is deemed to

provide medical help for expectant mothers. They

believe that home visit program will help them in

improving mother and child’s health. In general,

they are positive about the home visit program and

accept it.

Table 3: Consumers’ Trust

No Description Index Status

1 I trust the home visit

program as it is carried out

by medical staff

78 High

2 I trust that the staff carrying

out the home visit program

is competent

78.5 High

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3 I trust that the period before

pregnancy will run well after

receiving the home visit

program

78 High

4 I trust that the period during

pregnancy will run well after

receiving the home visit

program

78.25 High

5 I trust that the post-partum

period will be excellent after

receiving the home visit

program

80 High

6 I trust that the home visit

program is to help the

mother and child

77.5 High

7 I trust that the home visit

program is useful

78.5 High

Average 78.39 High

The index in Table 4 shows that overall the

average index of expectant mothers interested to

give birth at a hospital is high with index 78.57as the

hospital has home visit program. This shows that

customers (expectant mothers) trust that the home

visit program carried out by the hospital is to

provide medical help for expectant mothers. They

believe that the home visit program will help them

improve mother and child’s health. In general, they

are positive about the home visit program and accept

it.

Table 4: Intention to Give Birth at Hospital

No Description Index TS

1 The home visit program

encourages me to know more

about the program

78.5 High

2 I am interested in giving birth

at Syarif Hidayatullah hospital

as it has a home visit program

78 High

3 After knowing the home visit

program, I am more interested

in giving birth at Syarif

Hidayatullah hospital

78.25 High

4 I am interested in giving birth

at Syarif Hidayatullah hospital

as its program is useful

78.25 High

5 I am interested in giving birth

at Syarif Hidayatullah hospital

as its program is easy to

understand

80 High

6 I am interested in giving birth

at Syarif Hidayatullah hospital

as its program help ease

before, during, and after

pregnancy/ childbirth

78.5 High

7 I will certainly give birth at

Syarif Hidayatullah hospital

78.5 High

Average 78.57 High

Based on the statistical calculation in Table 5,

the significance is 0.000 < 0.05 meaning that the

model used in this research fits. Furthermore, the

effect of the independent variable to the dependent

variable is calculated partially as follows:

Table5: Model Test Value

Model

Sum of

Mean

F Sig.

Squares

Square

Regression

714.855

238.285

2,368.281

0.000

Residual

7.345

0.101

Total

722.200

Source:Data processed by the researcher, 2018

Based on the statistical calculation in Table 6,

calculated

table

that is 5.34> 1.96 and the significance

value is 0.000< 0.05. This means that there is an

effect of perceived ease to the level of trust of the

patient so that H

is rejected and H

is accepted. This

can be seen that the standardizedcoefficient betais

0.521. So does the effect of perceived of usefulness

tothe level of trust of the patient shows that

calculated

table

that is 4.530>1.96 and the significance

value is 0.000<0.05so that H

is rejected and H

accepted.

This can be seenin Table 6 that the

unstandardized coefficient betais 0.435. Therefore, if

perceived usefulness increases, the level of patient’s

trust will also increase. This implies that ease of

home visit program needs to be improved so that

patient will trust more on ease provided when a

patient receives the home visit program.

Table6: Test Results of Effect of Type 1

No Model

Unstandardized

Standardized

Sig.

Coefficients

Std. Error

Beta

Perceived

0.521

0.097

0.538

5.343

0.000

ease of use

Perceived

0.435

0.096

0.456

4.530

0.000

of usefulness

Source: Result of regression calculation

This is supported by a theory from Davis stating

that Perceived Ease of Use (PEoU) refers to one’s

level of trust on ease in technology, while Perceived

Usefulness (PU) is the extent of customer’s

perception on the benefit that can be received from a

home visit program. Hence, if a home visit program

can be trusted and give confidence to the patient on

its usefulness and ease, then the home visit program

may increase the patient’s trust in the hospital.

The Acceptance of HomeVisit Program on Hospital: Modiﬁcation of the Technology Acceptance Model

459

Table 7: Hypothesis Test Results

Hypo-

thesis

Description Result Conclu-

sion

H1 There is an effect of

perceived ease of

home visit program

to patient’s level of

trust on the hospital

Sig. 0.000

< 0.05

Accepted

H2 There is an effect of

perceived

usefulness of home

visit program to

patient’s level of

trust on the hospital

Sig. 0.000

< 0.05

Accepted

H3 There is an effect of

patient’s perceived

trust of home visit

program to patient’s

interest to visit the

hospital

Sig. 0.001

< 0.05

Accepted

H4 There is an effect of

perceived ease of

home visit program

to patient’s interest

to visit the hospital

Sobel

test:

2.807 >

1.988

Accepted

H5 There is an effect of

perceived

usefulness of home

visit program to

patient’s interest to

visit the hospital

Sobel

test:

2.027 >

1.988

Accepted

Based on Table 7, the research results show that

customer’s perception toward ease and usefulness

and level of trust on the home visit program are high

on average. This means that customer considers that

the home visit program gives an understandingof

pre, during, and post childbirth process.

The implication of the research is that the home

visit program implemented by the RSSH

management shows that it apparently may increase

people’s interest in the program. This is because

respondents perceive significant usefulness that ones

can benefit from the home visit program.

The expectant mothers see that the home visit

program provides knowledge that eases the process

of pre-childbirth, pregnancy, and postpartum. Also,

to easing in the process mentioned above, the

respondents also perceive that the home visit

program improves the knowledge on childbirth and

help solve problems related to prenatal, ante-natal,

and post-natal, as well as post-partum. Thus, the

perception of ease by referring to the

individualbelieves that the home visit program that

will be used by patient and family is not

inconvenienced or does not require considerable

effort.

The hospital needs to sustain and continue the

home visit program by expanding the program

coverage and increase respondents to increase and

improve interest of the respondents to give birth in

hospital having a home visit program.

The respondents also perceive that the home

visit program is easy to follow and easy to apply in

preparing prenatal, antenatal, and postnatal, as well

as postpartum processes. To this, the management of

RSSH needs to consider seriously that the home visit

program is more comfortable to access and

accommodative to respondents’ capability.

Table 8 shows the direct effect of perceived

usefulness on interest to accept home visit program

is higher than its indirect effect (0.384>0.096). As

well, the direct effect of perceived ease on interest to

receive home visit program is higher than its indirect

effect that is 0.419 > 0.080. Hence, level of trust as

an intervening variable in this model may be

neglected. Furthermore, to increase interest to give

birth at the hospital, perceived usefulness and

perceived ease need to be increased without

considering its effect on the level of trust. The total

effect may be seen in the following table.

Table8: Calculation of the Effect

Variable Direct

Effect

Indirect Effect Total Effect

X1 → Y 0.348 0.521 × 0.184

= 0.096

0.348 + 0.096

= 0.444

X2 → Y 0.419 0.435 × 0.184

= 0.080

0.419 + 0.080

= 0.499

Z → Y 0.184 − 0.184

5 CONCLUSION

Based on the statistical calculation, means that

there is an effect of perceived ease to the level of

trust of the patient so that H

is rejected and H

accepted. Therefore, if perceived ease increases, the

level of patient’s trust will also increase. This

implies that ease of home visit program needs to be

improved so that patient will trust more on ease

provided when the patient receives the home visit

program.

This is supported by a theory from Davis stating

that Perceived Ease of Use (PEoU) refers to one’s

level of trust on ease in technology, while Perceived

Usefulness (PU) is the extent of customer’s

perception on the benefit that can be received from a

home visit program. Hence, if a home visit program

can be trusted and give confidence to the patient on

its usefulness and ease, then the home visit program

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460

may increase the patient’s trust in the hospital.

The expectant mothers see that the home visit

program provides knowledge that eases the process

of pre-childbirth, pregnancy, and postpartum. Also,

to easing in the process mentioned above, the

respondents also perceive that the home visit

program improves the knowledge on childbirth and

help solve problems related to prenatal, ante-natal,

and post-natal, as well as post-partum. Thus, the

perception of ease by referring to the

individualbelieves that the home visit program that

will be used by patient and family is not

inconvenienced or does not require considerable

effort.

The hospital needs to sustain and continue the

home visit program by expanding the program

coverage and increase respondents to increase and

improve interest of the respondents to give birth in

hospital having a home visit program.

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