医生和医疗机构在线合作的价值创造:来自在线健康社区的经验证据

IF 5.9 3区 管理学 Q1 BUSINESS Internet Research Pub Date : 2023-11-07 DOI:10.1108/intr-09-2022-0723
Manyang Zhang, Han Yang, Zhijun Yan, Lin Jia
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引用次数: 0

摘要

目的医生-医疗机构合作(DMIC)服务是焦点在线健康社区(OHCs)中一种新兴的服务模式。预计这种新的服务模式将影响用户满意度和医生的参与行为。然而,DMIC是否发生以及如何发生仍然不明确,因为该主题很少被研究。为了弥补这一差距,本研究探讨了医生对DMIC服务的参与及其对其在线表现的影响,以及对患者在OHC平台上对其评价的影响。设计/方法论/方法作者提出了基于结构洞理论的假设。使用从中国最受欢迎的OHC之一获得的独特数据集来检验假设,并采用差异中的差异估计来检验关系的因果关系。结果表明,提供DMIC服务可以提高医生的在线咨询绩效和患者对他们的评价,但对医生在OHC平台上的知识共享绩效没有显著影响。医生的知识共享绩效和咨询绩效介导了DMIC服务的参与与患者对医生的评价之间的关系。在医生参与DMIC服务方面,与低职称医生相比,高职称医生对医生咨询绩效和患者评价的影响较弱。原创性/价值研究结果阐明了医生和医疗机构之间在线合作的价值创造机制,从而促进了医生参与DMIC服务,促进了OHCs的可持续发展。
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Value creation for online collaboration between doctors and medical institutions: empirical evidence from online health communities

Purpose

Doctor–medical institution collaboration (DMIC) services are an emerging service mode in focal online health communities (OHCs). This new service mode is anticipated to affect user satisfaction and doctors' engagement behaviors. However, whether and how DMIC occurs is still ambiguous because the topic is rarely examined. To bridge this gap, this study explores doctors' participation in DMIC services and its effects on their online performance, as well as its effect on patients' evaluation of them on OHC platforms.

Design/methodology/approach

The authors propose hypotheses based on structural holes theory. A unique dataset obtained from one of the most popular OHCs in China is used to test the hypotheses, and difference-in-differences estimation is adopted to test the causality of the relationship.

Findings

The results demonstrate that providing DMIC services improves doctors' online consultation performance and patients' evaluations of them but has no significant effect on doctors' knowledge-sharing performance on OHC platforms. Doctors' knowledge-sharing performance and consultation performance mediate the relationship between participation in DMIC services and patients' evaluation of doctors. Regarding doctors' participation in DMIC services, its impact on doctors' consultation performance and patients' evaluation of them is weaker for doctors with higher professional titles than for doctors with lower professional titles.

Originality/value

The findings clarify the value creation mechanisms of online collaboration between doctors and medical institutions and thereafter facilitate doctors' participation in DMIC services and enhance the sustainable development of OHCs.

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来源期刊
Internet Research
Internet Research 工程技术-电信学
CiteScore
11.20
自引率
10.20%
发文量
85
审稿时长
>12 weeks
期刊介绍: This wide-ranging interdisciplinary journal looks at the social, ethical, economic and political implications of the internet. Recent issues have focused on online and mobile gaming, the sharing economy, and the dark side of social media.
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