医生的确定性基调和资历对在线健康社区的患者信息采纳有影响吗?

IF 4.9 3区管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE

Information Technology & People Pub Date : 2023-10-30 DOI:10.1108/itp-01-2022-0034

Jiahua Jin, Qin Chen, Xiangbin Yan

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引用次数: 0

摘要

鉴于在线健康社区(ohc)和医疗问答(Q&A)服务的普及，了解在医疗保健领域中什么是有用的答案和用户采用的标准变得越来越重要。然而，很少有研究深入了解健康信息特征、提供者特征和接受者特征如何共同影响用户信息采纳决策。为了填补这一研究空白，本研究考察了医生确定性基调作为信息特征、资历作为提供者特征和疾病严重程度作为接受者特征对患者健康信息采用的综合影响。本研究运用双过程理论和信息接受模型，建立了一个扩展的信息接受模型，考察态度确定性对患者健康信息接受的影响，以及线上资历和线下资历、患者动机水平-疾病严重程度的调节作用。利用logit回归模型，作者基于中国某热门OHC的4224条Q&A记录对假设进行了实证检验。结果表明:(1)态度确定性对患者健康信息采纳具有显著的正向影响;(2)态度确定性与信息采纳的关系受医生线上资历的负向调节，而受线下资历的正向调节;(3)态度确定性、上网资历和疾病严重程度对患者健康信息采纳存在负向的三方交互作用。本研究扩展资讯采纳模型，检视论点品质与资讯来源可靠性的双向互动关系，以及与使用者动机水平的三向互动关系，尤其针对医疗保健领域的健康资讯采纳。这些发现也为知识贡献者和OHCs提供了直接的实际应用。

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Do the certainty tone and seniority of physicians matter in patients' information adoption in online health communities?

Purpose Given the popularity of online health communities (OHCs) and medical question-and-answer (Q&A) services, it is increasingly important to understand what constitutes useful answers and user-adopted standards in healthcare domain. However, few studies provide insights into how health information characteristics, provider characteristics and recipient characteristics jointly influence user information adoption decisions. To fill this research gap, this study examines the combined effects of physicians' certainty tone as information characteristics, seniority as provider characteristics and disease severity as recipient characteristics on patients' health information adoption. Design/methodology/approach Drawing on dual-process theory and information adoption model, an extended information adoption model is established in this study to examine the effect of attitude certainty on patients' health information adoption, and the moderating effects of online seniority and offline seniority, as well as patient motivation level—disease severity. Utilizing logit regression models, the authors empirically tested the hypotheses based on 4,224 Q&A records from a popular Chinese OHC. Findings The results show that (1) attitude certainty has a significant positive impact on patients' health information adoption, (2) the relationship between attitude certainty and information adoption is negatively moderated by physicians' online seniority, but is positively moderated by offline seniority; (3) there is a negative three-way interaction effect of attitude certainty, online seniority and disease severity on patients' health information adoption. Originality/value This study extends the information adoption model to examine the two-way interaction between argument quality and source reliability, as well as the three-way interaction with user motivation level, especially for health information adoption in the healthcare field. These findings also provide direct practical applications for knowledge contributors and OHCs.

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来源期刊

Information Technology & People INFORMATION SCIENCE & LIBRARY SCIENCE-

CiteScore

8.20

自引率

13.60%

发文量

121

期刊介绍： Information Technology & People publishes work that is dedicated to understanding the implications of information technology as a tool, resource and format for people in their daily work in organizations. Impact on performance is part of this, since it is essential to the well being of employees and organizations alike. Contributions to the journal include case studies, comparative theory, and quantitative research, as well as inquiries into systems development methods and practice.