CAN I TALK TO AN ONLINE DOCTOR? UNDERSTANDING THE MEDIATING EFFECT OF TRUST ON PATIENTS’ ONLINE HEALTH CONSULTATION

IF 2 4区管理学 Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Journal of Organizational Computing and Electronic Commerce Pub Date : 2020-12-10 DOI:10.1080/10919392.2020.1834810

Sungjin Yoo, He Li, Zhuo Xu

{"title":"CAN I TALK TO AN ONLINE DOCTOR? UNDERSTANDING THE MEDIATING EFFECT OF TRUST ON PATIENTS’ ONLINE HEALTH CONSULTATION","authors":"Sungjin Yoo, He Li, Zhuo Xu","doi":"10.1080/10919392.2020.1834810","DOIUrl":null,"url":null,"abstract":"ABSTRACT Online health consultation (OHC) provides an alternative mechanism of healthcare delivery, which could enhance healthcare efficiency, reduce cost, and solve healthcare inequalities. Understanding why patients decide to use these OHC platforms could yield strategic implications of actualizing OHC’s impacts. Given the high uncertainties caused by the lack of patient-physician offline interactions and the sensitivity of health information, we possess trust as the major mechanism of shifting patients’ adoption decisions. Accordingly, this study examines how patients-related, platform situational, and physician-based factors affect patients’ intention of adopting OHC by triggering trust relationships. We conducted a survey to empirically test our theoretical development. We employed the structural equation modeling (SEM) and bootstrapping approaches to estimate path coefficients and significance of the model. Our results demonstrate that patients’ Internet self-efficacy on verification, trust propensity, perceived informativeness, platform reputation, structural assurance, and perceived physician credibility triggers trust relationship, therefore improving patients’ OHC adoption. Theoretical and practical implications are discussed.","PeriodicalId":54777,"journal":{"name":"Journal of Organizational Computing and Electronic Commerce","volume":"31 1","pages":"59 - 77"},"PeriodicalIF":2.0000,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10919392.2020.1834810","citationCount":"11","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Organizational Computing and Electronic Commerce","FirstCategoryId":"94","ListUrlMain":"https://doi.org/10.1080/10919392.2020.1834810","RegionNum":4,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"COMPUTER SCIENCE, INFORMATION SYSTEMS","Score":null,"Total":0}

引用次数: 11

Abstract

ABSTRACT Online health consultation (OHC) provides an alternative mechanism of healthcare delivery, which could enhance healthcare efficiency, reduce cost, and solve healthcare inequalities. Understanding why patients decide to use these OHC platforms could yield strategic implications of actualizing OHC’s impacts. Given the high uncertainties caused by the lack of patient-physician offline interactions and the sensitivity of health information, we possess trust as the major mechanism of shifting patients’ adoption decisions. Accordingly, this study examines how patients-related, platform situational, and physician-based factors affect patients’ intention of adopting OHC by triggering trust relationships. We conducted a survey to empirically test our theoretical development. We employed the structural equation modeling (SEM) and bootstrapping approaches to estimate path coefficients and significance of the model. Our results demonstrate that patients’ Internet self-efficacy on verification, trust propensity, perceived informativeness, platform reputation, structural assurance, and perceived physician credibility triggers trust relationship, therefore improving patients’ OHC adoption. Theoretical and practical implications are discussed.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

我能和网上医生谈谈吗?了解信任对患者在线健康咨询的中介作用

摘要在线健康咨询（OHC）提供了一种替代的医疗保健提供机制，可以提高医疗保健效率，降低成本，解决医疗保健不平等问题。了解患者决定使用这些OHC平台的原因，可以产生实现OHC影响的战略意义。鉴于缺乏医患离线互动和健康信息的敏感性造成的高度不确定性，我们认为信任是改变患者收养决定的主要机制。因此，本研究考察了患者相关、平台情境和基于医生的因素如何通过触发信任关系来影响患者采用OHC的意图。我们进行了一项调查，以实证检验我们的理论发展。我们采用结构方程建模（SEM）和自举方法来估计模型的路径系数和显著性。我们的研究结果表明，患者在验证、信任倾向、感知信息性、平台声誉、结构保证和感知医生可信度方面的互联网自我效能感触发了信任关系，从而提高了患者的OHC采用率。讨论了理论和实践意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal of Organizational Computing and Electronic Commerce 工程技术-计算机：跨学科应用

CiteScore

5.80

自引率

17.20%

发文量

审稿时长

>12 weeks

期刊介绍： The aim of the Journal of Organizational Computing and Electronic Commerce (JOCEC) is to publish quality, fresh, and innovative work that will make a difference for future research and practice rather than focusing on well-established research areas. JOCEC publishes original research that explores the relationships between computer/communication technology and the design, operations, and performance of organizations. This includes implications of the technologies for organizational structure and dynamics, technological advances to keep pace with changes of organizations and their environments, emerging technological possibilities for improving organizational performance, and the many facets of electronic business. Theoretical, experimental, survey, and design science research are all welcome and might look at: • E-commerce • Collaborative commerce • Interorganizational systems • Enterprise systems • Supply chain technologies • Computer-supported cooperative work • Computer-aided coordination • Economics of organizational computing • Technologies for organizational learning • Behavioral aspects of organizational computing.