了解COVID-19大流行期间医生的数字弹性:一项实证研究

MIS Q. Pub Date : 2023-03-01 DOI:10.25300/MISQ/2022/17248
Yinghao Liu, Xin Xu, Yong Jin, Honglin Deng
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引用次数: 3

摘要

2019冠状病毒病大流行凸显了卫生保健实体迫切需要制定有韧性的战略,以应对大流行造成的破坏。本研究的重点是在大流行期间采用在线医疗保健社区(OHC)获取患者并开展远程医疗服务的认证医生的数字复原力。我们综合了弹性文献,确定了数字弹性的两种效应——抵抗效应和恢复效应。我们使用与在线和离线数据源相匹配的专有数据集来研究医生的数字弹性。差异中的差异(DID)分析表明,在大流行期间,采用OHC的医生具有很强的抵抗力和恢复效果。值得注意的是,在COVID-19爆发后,与未采用OHC的医生相比,这些医生在立即就诊期间的医疗咨询减少了35.0%,在随后的一段时间内的回弹率增加了31.0%。通过区分线上和线下渠道的新患者和现有患者,我们进一步分析了医生数字弹性的来源。我们的亚组分析表明,一般来说,当医生在OHC平台上拥有更高的在线声誉评级或与患者进行更多积极互动时,数字弹性更加明显,这进一步支持了数字弹性的潜在机制。我们的研究在大流行背景之外具有重要的理论和管理意义。
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Understanding the Digital Resilience of Physicians during the COVID-19 Pandemic: An Empirical Study
The COVID-19 pandemic has underscored the urgent need for healthcare entities to develop resilient strategies to cope with disruptions caused by the pandemic. This study focuses on the digital resilience of certified physicians who adopted an online healthcare community (OHC) to acquire patients and conduct telemedicine services during the pandemic. We synthesize the resilience literature and identify two effects of digital resilience—the resistance effect and the recovery effect. We use a proprietary dataset that matches online and offline data sources to study the digital resilience of physicians. A difference-in-differences (DID) analysis shows that physicians who adopted an OHC had strong resistance and recovery effects during the pandemic. Remarkably, after the COVID-19 outbreak, these physicians had 35.0% less reduction in medical consultations in the immediate period and 31.0% more bounce-back in the subsequent period as compared to physicians who did not adopt the OHC. We further analyze the sources of physicians’ digital resilience by distinguishing between new and existing patients from both online and offline channels. Our subgroup analysis shows that, in general, digital resilience is more pronounced when physicians have a higher online reputation rating or have more positive interactions with patients on the OHC platform, providing further support for the mechanisms underlying digital resilience. Our research has significant theoretical and managerial implications beyond the context of the pandemic.
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