{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T12:48:24Z","timestamp":1769086104067,"version":"3.49.0"},"reference-count":48,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100006249","name":"Donghua University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006249","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Entertainment Computing"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.entcom.2026.101079","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T16:49:39Z","timestamp":1767372579000},"page":"101079","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Exploring the differentiated formation mechanism across diverse populations for the use of e-health"],"prefix":"10.1016","volume":"56","author":[{"given":"Jiayao","family":"Zhu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sufen","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.entcom.2026.101079_b0005","unstructured":"General Office of the State Council, PRC, Outline of the National Medical and Health Care Service System Plan (2015\u20132020), 2023. https:\/\/www.gov.cn\/gongbao\/content\/2015\/content_2843771.htm (Accessed 6 October 2023)."},{"issue":"3","key":"10.1016\/j.entcom.2026.101079_b0010","doi-asserted-by":"crossref","first-page":"425","DOI":"10.2307\/30036540","article-title":"User acceptance of information technology: toward a unified view","volume":"27","author":"Venkatesh","year":"2003","journal-title":"MIS Q."},{"issue":"1","key":"10.1016\/j.entcom.2026.101079_b0015","doi-asserted-by":"crossref","first-page":"157","DOI":"10.2307\/41410412","article-title":"Consumer acceptance and use of information technology: extending the unified theory of acceptance and use of technology","volume":"36","author":"Venkatesh","year":"2012","journal-title":"MIS Q."},{"key":"10.1016\/j.entcom.2026.101079_b0020","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.ijmedinf.2016.03.002","article-title":"Analyzing older users' home telehealth services acceptance behavior \u2013 applying an Extended UTAUT model","volume":"90","author":"Cimperman","year":"2016","journal-title":"Int. J. Med. Inform."},{"issue":"3","key":"10.1016\/j.entcom.2026.101079_b0025","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1007\/s10796-017-9774-y","article-title":"Re-examining the unified theory of acceptance and use of technology (UTAUT): towards a revised theoretical model","volume":"21","author":"Dwivedi","year":"2019","journal-title":"Inf. Syst. Front."},{"key":"10.1016\/j.entcom.2026.101079_b0030","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.ijmedinf.2017.02.002","article-title":"Understanding factors influencing the adoption of mHealth by the elderly: an extension of the UTAUT model","volume":"101","author":"Hoque","year":"2017","journal-title":"Int. J. Med. Inform."},{"key":"10.1016\/j.entcom.2026.101079_b0035","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.copsyc.2020.03.008","article-title":"A meta-analysis based modified unified theory of acceptance and use of technology (Meta-UTAUT): a review of emerging literature","volume":"36","author":"Dwivedi","year":"2020","journal-title":"Curr. Opin. Psychol."},{"issue":"2","key":"10.1016\/j.entcom.2026.101079_b0040","first-page":"110","article-title":"The current situation and development of china internet plus healthcare","volume":"14","author":"Meng","year":"2017","journal-title":"Chin. J. Health Inform. Manage."},{"issue":"1","key":"10.1016\/j.entcom.2026.101079_b0045","doi-asserted-by":"crossref","first-page":"e7","DOI":"10.2196\/ijmr.2468","article-title":"Health care provider adoption of ehealth: systematic literature review","volume":"2","author":"Li","year":"2013","journal-title":"Interact. J. Med. Res."},{"key":"10.1016\/j.entcom.2026.101079_b0050","doi-asserted-by":"crossref","DOI":"10.2174\/0117450179279732231211110248","article-title":"Telemedicine, e-health, and digital health equity: a scoping review","volume":"20","author":"Petretto","year":"2024","journal-title":"Clin. Pract. Epidemiol. Ment. Health"},{"key":"10.1016\/j.entcom.2026.101079_b0055","doi-asserted-by":"crossref","DOI":"10.2196\/53576","article-title":"Current implementation of digital health in chronic disease management: scoping review","volume":"26","author":"Pong","year":"2024","journal-title":"J. Med. Internet Res."},{"issue":"14","key":"10.1016\/j.entcom.2026.101079_b0060","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.3390\/healthcare12141421","article-title":"Understanding the role of technology anxiety in the adoption of Digital Health Technologies (DHTs) by older adults with chronic diseases in shanghai: an extension of the Unified Theory of Acceptance and use of Technology (UTAUT) Model","volume":"12","author":"Chen","year":"2024","journal-title":"Healthcare"},{"issue":"3","key":"10.1016\/j.entcom.2026.101079_b0065","doi-asserted-by":"crossref","first-page":"252","DOI":"10.2307\/2673277","article-title":"The first and second digital divides","volume":"74","author":"Attewell","year":"2001","journal-title":"Soc. Educ."},{"issue":"1","key":"10.1016\/j.entcom.2026.101079_b0070","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1186\/s12939-023-02055-6","article-title":"Reducing intervention- and research-induced inequalities to tackle the digital divide in health promotion","volume":"22","author":"K\u00f6nig","year":"2023","journal-title":"Int. J. Equity Health"},{"key":"10.1016\/j.entcom.2026.101079_b0075","doi-asserted-by":"crossref","first-page":"19013","DOI":"10.1002\/cam4.6454","article-title":"The digital divide: racial disparities in adoption and utilization of health information technology among patients with lymphoid cancers","volume":"12","author":"Ailawadhi","year":"2023","journal-title":"Cancer Med."},{"key":"10.1016\/j.entcom.2026.101079_b0080","doi-asserted-by":"crossref","DOI":"10.2196\/42483","article-title":"The digital divide in Brazil and barriers to telehealth and equal digital health care: analysis of internet access using publicly available data","volume":"25","author":"Nakayama","year":"2023","journal-title":"J. Med. Internet Res."},{"issue":"8","key":"10.1016\/j.entcom.2026.101079_b0085","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1016\/j.tele.2017.07.007","article-title":"Determinants of internet skills, uses and outcomes. A systematic review of the second- and third-level digital divide","volume":"34","author":"Scheerder","year":"2017","journal-title":"Telem. Inform."},{"key":"10.1016\/j.entcom.2026.101079_b0090","unstructured":"L. Wei, M. X. Zhang, The third digital divide: the knowledge gap on the internet, J. Commun. 13(04) (2006) 43-53+95."},{"key":"10.1016\/j.entcom.2026.101079_b0095","unstructured":"Z. Q. Qiu, D. M. Yuan, China Economic Time, Bridging the digital divide and promoting digital dividends to benefit the public, 2019. http:\/\/www.china.com.cn\/opinion\/think\/2019-11\/05\/content_75375146.htm?f=pad&a=true (Accessed 5 November 2019)."},{"issue":"3","key":"10.1016\/j.entcom.2026.101079_b0100","first-page":"17","article-title":"Analysis framework, concept, and pathways of digital divide governance for older adults: from the perspective of digital divide and knowledge gap theory, population","volume":"45","author":"Lu","year":"2021","journal-title":"Research"},{"issue":"12","key":"10.1016\/j.entcom.2026.101079_b0105","first-page":"409","article-title":"Across the digital divide: a cross-country multi-technology analysis of the determinants of IT penetration","volume":"6","author":"Dewan","year":"2005","journal-title":"J. Assoc. Inf. Syst."},{"issue":"3","key":"10.1016\/j.entcom.2026.101079_b0110","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1177\/1461444804042519","article-title":"Reconsidering political and popular understandings of the digital divide","volume":"6","author":"Selwyn","year":"2004","journal-title":"New Media Soc."},{"key":"#cr-split#-10.1016\/j.entcom.2026.101079_b0115.1","doi-asserted-by":"crossref","unstructured":"X. M. Cai, A.G.M. van Dijk Jan, The Deepening Divide: Inequality in the Information Society. Thousand Oaks, CA: Sage, 2005, 240 pp., ISBN 141290403X (paperback), Mass Commun. Soc. 11","DOI":"10.1080\/15205430701528655"},{"key":"#cr-split#-10.1016\/j.entcom.2026.101079_b0115.2","doi-asserted-by":"crossref","unstructured":"(2) (2008) 221-224. doi: 10.1080\/15205430701528655.","DOI":"10.1080\/15205430701528655"},{"issue":"1","key":"10.1016\/j.entcom.2026.101079_b0120","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1287\/isre.1090.0273","article-title":"Conceptualizing and testing a social cognitive model of the digital divide","volume":"22","author":"Wei","year":"2010","journal-title":"Inf. Syst. Res."},{"issue":"2","key":"10.1016\/j.entcom.2026.101079_b0125","first-page":"298","article-title":"The digital divide: current and future research directions","volume":"6","author":"Dewan","year":"2005","journal-title":"J. Assoc. Inf. Syst."},{"issue":"6","key":"10.1016\/j.entcom.2026.101079_b0130","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1080\/1369118X.2015.1078834","article-title":"Development and validation of the internet skills Scale (ISS)","volume":"19","author":"van Deursen","year":"2016","journal-title":"Inf. Commun. Soc."},{"key":"10.1016\/j.entcom.2026.101079_b0135","series-title":"Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference","first-page":"593","article-title":"Evaluation of patient-centered electronic health record to overcome digital divide","author":"Kim","year":"2006"},{"key":"10.1016\/j.entcom.2026.101079_b0140","doi-asserted-by":"crossref","DOI":"10.1016\/j.techfore.2021.121359","article-title":"The digital divide: a review and future research agenda","volume":"175","author":"Lythreatis","year":"2022","journal-title":"Technol. Forecast. Soc. Chang."},{"issue":"2","key":"10.1016\/j.entcom.2026.101079_b0145","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1177\/1461444818797082","article-title":"The first-level digital divide shifts from inequalities in physical access to inequalities in material access","volume":"21","author":"Deursen","year":"2019","journal-title":"New Media Soc."},{"issue":"1","key":"10.1016\/j.entcom.2026.101079_b0150","first-page":"e19","article-title":"eHealth literacy: extending the digital divide to the realm of health information","volume":"14","author":"Neter","year":"2012","journal-title":"J. Med. Intern. Res."},{"key":"10.1016\/j.entcom.2026.101079_b0155","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.poetic.2016.08.003","article-title":"Unrealized potential: exploring the digital disability divide","volume":"58","author":"Dobransky","year":"2016","journal-title":"Poetics"},{"issue":"4\u20135","key":"10.1016\/j.entcom.2026.101079_b0160","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1080\/08959420.2020.1771237","article-title":"When going digital becomes a necessity: ensuring older adults' needs for information, services, and social inclusion during COVID-19","volume":"32","author":"Xie","year":"2020","journal-title":"J. Aging Soc. Policy"},{"key":"10.1016\/j.entcom.2026.101079_b0165","series-title":"Belief, Attitude, Intention and Behaviour: An Introduction to Theory and Research","author":"Fishbein","year":"1975"},{"issue":"2","key":"10.1016\/j.entcom.2026.101079_b0170","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0749-5978(91)90020-T","article-title":"The theory of planned behavior","volume":"50","author":"Ajzen","year":"1991","journal-title":"Organ. Behav. Hum. Decis. Process."},{"issue":"3","key":"10.1016\/j.entcom.2026.101079_b0175","doi-asserted-by":"crossref","first-page":"319","DOI":"10.2307\/249008","article-title":"Perceived usefulness, perceived ease of use, and user acceptance of information technology","volume":"13","author":"Davis","year":"1989","journal-title":"MIS Q."},{"issue":"2","key":"10.1016\/j.entcom.2026.101079_b0180","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1287\/mnsc.46.2.186.11926","article-title":"A theoretical extension of the technology acceptance model: four longitudinal field studies","volume":"46","author":"Venkatesh","year":"2000","journal-title":"Manag. Sci."},{"issue":"2","key":"10.1016\/j.entcom.2026.101079_b0185","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1111\/j.1540-5915.2008.00192.x","article-title":"Technology acceptance model 3 and a research agenda on interventions","volume":"39","author":"Venkatesh","year":"2008","journal-title":"Decis. Sci."},{"issue":"3","key":"10.1016\/j.entcom.2026.101079_b0190","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1108\/JEIM-09-2014-0088","article-title":"The unified theory of acceptance and use of technology (UTAUT): a literature review","volume":"28","author":"Williams","year":"2015","journal-title":"J. Enterp. Inf. Manag."},{"issue":"5","key":"10.1016\/j.entcom.2026.101079_b0195","first-page":"328","article-title":"Unified theory of acceptance and use of technology: a synthesis and the road ahead","volume":"17","author":"Venkatesh","year":"2016","journal-title":"J. Assoc. Inf. Syst."},{"issue":"1","key":"10.1016\/j.entcom.2026.101079_b0200","first-page":"29","article-title":"An examination of the interface between context and theory applied to the study of chinese organizations","volume":"5","author":"Whetten","year":"2009","journal-title":"Manag. Organ. Rev."},{"key":"10.1016\/j.entcom.2026.101079_b0205","first-page":"308","article-title":"Facilitators and barriers of electronic health record patient portal adoption by older adults: a literature study","volume":"235","author":"Wildenbos","year":"2017","journal-title":"Stud. Health Technol. Inform."},{"issue":"2","key":"10.1016\/j.entcom.2026.101079_b0215","first-page":"5","article-title":"Structural equation modeling in information systems research using partial least squares","volume":"11","author":"Urbach","year":"2010","journal-title":"J. Inform. Technol. Theory Appl."},{"issue":"1","key":"10.1016\/j.entcom.2026.101079_b0220","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1177\/002224378101800104","article-title":"Evaluating structural equation models with unobservable variables and measurement error","volume":"18","author":"Fornell","year":"1981","journal-title":"J. Mark. Res."},{"key":"10.1016\/j.entcom.2026.101079_b0225","series-title":"Multivariate Data Analysis","author":"Hair","year":"2010"},{"issue":"1","key":"10.1016\/j.entcom.2026.101079_b0230","first-page":"53","article-title":"Structural equation modelling: guidelines for determining model fit","volume":"6","author":"Hooper","year":"2008","journal-title":"Electron. J. Bus. Res. Methods"},{"key":"10.1016\/j.entcom.2026.101079_b0235","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1007\/s00180-012-0317-1","article-title":"Goodness-of-fit indices for partial least squares path modeling","volume":"28","author":"Henseler","year":"2013","journal-title":"Comput. Stat."},{"key":"10.1016\/j.entcom.2026.101079_b0240","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.csda.2004.03.005","article-title":"PLS path modeling","volume":"48","author":"Tenenhaus","year":"2005","journal-title":"Comput. Stat. Data Anal."}],"container-title":["Entertainment Computing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1875952126000017?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1875952126000017?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T19:20:27Z","timestamp":1769023227000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1875952126000017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":48,"alternative-id":["S1875952126000017"],"URL":"https:\/\/doi.org\/10.1016\/j.entcom.2026.101079","relation":{},"ISSN":["1875-9521"],"issn-type":[{"value":"1875-9521","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Exploring the differentiated formation mechanism across diverse populations for the use of e-health","name":"articletitle","label":"Article Title"},{"value":"Entertainment Computing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.entcom.2026.101079","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"101079"}}