Determinants of Patients' Intention to Use IoT-Based Remote Patient Monitoring Systems in Malaysia

Continuous remote patient monitoring (RPM) is essential for digital health transitions, yet patient adoption remains low in Malaysia. This study integrates the Technology-Organization-Environment (TOE) framework with the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) to propose a multi-level model of RPM adoption. Technology Awareness is introduced as a novel mediator bridging psychological factors (Performance Expectancy, Effort Expectancy, Social Influence, Facilitating Conditions, and Health Awareness) and the Intention to Adopt RPM. The model also addresses critical security and privacy vulnerabilities inherent in real-time medical IoT streaming. Our findings expect that Performance Expectancy, Effort Expectancy, Social Influence, Facilitating Conditions, and Health Awareness significantly influence the Intention to Adopt RPM and Technology Awareness, with the latter acting as a crucial mediator.

Remote Patient Monitoring (RPM); Technology-Organization-Environment (TOE); UTAUT2; Technology Awareness; IoT Security

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