从网络效应的角度探讨患者在在线健康社区中继续就医意向的决定因素。

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Aihui Ye, Runtong Zhang, Hongmei Zhao
{"title":"从网络效应的角度探讨患者在在线健康社区中继续就医意向的决定因素。","authors":"Aihui Ye, Runtong Zhang, Hongmei Zhao","doi":"10.1177/14604582241300422","DOIUrl":null,"url":null,"abstract":"<p><p><b>Objectives:</b> Online health communities (OHCs) facilitate patient-physician interaction and the adoption of online health services. However, few studies explored the impact of network effects on patients' continuance intentions in OHCs. This study aims to explore the determinants affecting OHC patients' continuance intentions based on the network effects theory and expectation confirmation model (ECM). <b>Methods:</b> An integrated research model and relative hypotheses are proposed. A total of 420 valid responses are collected through an online questionnaire survey to test the research framework using structural equation modeling. <b>Results:</b> The results reveal that direct network effect, cross network effect, and indirect network effect all positively affect perceived ease of use, and the latter two also positively affect perceived usefulness that further affect continuance intention. In addition, other results are consistent with the ECM-based hypotheses and the positive impact of perceived e-health literacy on continuance intention is also explained. <b>Conclusion:</b> Patients' continuance intention to use OHCs can be improved by network effects through direct, cross, and indirect formats. ECM-based determinants, including confirmation, perceived usefulness, and satisfaction, provide valuable insights for OHC patients' continuous use. Enhancing e-health literacy helps maintain patients' intention to continue using OHCs.</p>","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"30 4","pages":"14604582241300422"},"PeriodicalIF":2.2000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring the determinants of patients' continuance intentions in online health communities from the network effects perspective.\",\"authors\":\"Aihui Ye, Runtong Zhang, Hongmei Zhao\",\"doi\":\"10.1177/14604582241300422\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Objectives:</b> Online health communities (OHCs) facilitate patient-physician interaction and the adoption of online health services. However, few studies explored the impact of network effects on patients' continuance intentions in OHCs. This study aims to explore the determinants affecting OHC patients' continuance intentions based on the network effects theory and expectation confirmation model (ECM). <b>Methods:</b> An integrated research model and relative hypotheses are proposed. A total of 420 valid responses are collected through an online questionnaire survey to test the research framework using structural equation modeling. <b>Results:</b> The results reveal that direct network effect, cross network effect, and indirect network effect all positively affect perceived ease of use, and the latter two also positively affect perceived usefulness that further affect continuance intention. In addition, other results are consistent with the ECM-based hypotheses and the positive impact of perceived e-health literacy on continuance intention is also explained. <b>Conclusion:</b> Patients' continuance intention to use OHCs can be improved by network effects through direct, cross, and indirect formats. ECM-based determinants, including confirmation, perceived usefulness, and satisfaction, provide valuable insights for OHC patients' continuous use. Enhancing e-health literacy helps maintain patients' intention to continue using OHCs.</p>\",\"PeriodicalId\":55069,\"journal\":{\"name\":\"Health Informatics Journal\",\"volume\":\"30 4\",\"pages\":\"14604582241300422\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Informatics Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/14604582241300422\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Informatics Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/14604582241300422","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

摘要

目的:在线健康社区(OHC)促进了患者与医生之间的互动以及在线健康服务的采用。然而,很少有研究探讨网络效应对患者继续使用在线健康社区的意愿的影响。本研究旨在基于网络效应理论和期望确认模型(ECM),探讨影响在线健康社区患者继续就医意愿的决定因素。研究方法提出综合研究模型和相关假设。通过在线问卷调查共收集了 420 份有效答卷,并使用结构方程模型对研究框架进行检验。研究结果结果显示,直接网络效应、交叉网络效应和间接网络效应都会对感知易用性产生积极影响,而后两者也会对感知有用性产生积极影响,从而进一步影响继续使用意向。此外,其他结果与基于 ECM 的假设一致,感知到的电子健康素养对持续意向的积极影响也得到了解释。结论通过直接、交叉和间接形式的网络效应,患者使用口腔健康中心的持续意向可以得到改善。基于电子病历的决定因素,包括确认、感知有用性和满意度,为开放式健康中心患者的持续使用提供了有价值的见解。提高电子健康素养有助于维持患者继续使用口腔健康中心的意愿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the determinants of patients' continuance intentions in online health communities from the network effects perspective.

Objectives: Online health communities (OHCs) facilitate patient-physician interaction and the adoption of online health services. However, few studies explored the impact of network effects on patients' continuance intentions in OHCs. This study aims to explore the determinants affecting OHC patients' continuance intentions based on the network effects theory and expectation confirmation model (ECM). Methods: An integrated research model and relative hypotheses are proposed. A total of 420 valid responses are collected through an online questionnaire survey to test the research framework using structural equation modeling. Results: The results reveal that direct network effect, cross network effect, and indirect network effect all positively affect perceived ease of use, and the latter two also positively affect perceived usefulness that further affect continuance intention. In addition, other results are consistent with the ECM-based hypotheses and the positive impact of perceived e-health literacy on continuance intention is also explained. Conclusion: Patients' continuance intention to use OHCs can be improved by network effects through direct, cross, and indirect formats. ECM-based determinants, including confirmation, perceived usefulness, and satisfaction, provide valuable insights for OHC patients' continuous use. Enhancing e-health literacy helps maintain patients' intention to continue using OHCs.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Health Informatics Journal
Health Informatics Journal HEALTH CARE SCIENCES & SERVICES-MEDICAL INFORMATICS
CiteScore
7.80
自引率
6.70%
发文量
80
审稿时长
6 months
期刊介绍: Health Informatics Journal is an international peer-reviewed journal. All papers submitted to Health Informatics Journal are subject to peer review by members of a carefully appointed editorial board. The journal operates a conventional single-blind reviewing policy in which the reviewer’s name is always concealed from the submitting author.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信