康东亮:河南财经政法大学现代供应链创新发展研究所教授,管理学博士。研究方向:平台经济、公共管理、物流与供应链管理。
F272
本文受中国人民大学科学研究基金(中央高校基本科研业务费专项资金资助)(项目编号:23XNH111)资助
在线健康社区是“互联网 + 医疗健康”的重要实践,也是患者开展主动健康管理及落实“健康中国”的重要途径。尽管在线健康社区商业实践如火如荼,但关于其巨额亏损及用户投诉的报道屡见不鲜,这引起了理论界和实践界对其价值的质疑。在线健康社区有何特点?对患者价值感知有何影响?以往研究尚未厘清。本文基于社会认知理论,选择健康知识搜寻及情感支持获取刻画患者健康资源利用行为,选择感知疾病严重程度、隐私关注和电子健康素养描述患者的个体特征,在此基础上提出假设,并通过结构方程模型进行检验。研究发现,健康资源是在线健康社区用户价值感知产生的基础,患者的健康知识搜寻和情感支持获取行为正向影响其价值感知,且上述直接作用受到患者个体特征的调节。其中,感知疾病严重程度会削弱健康知识搜寻对患者感知价值的影响,但会增强情感支持获取的影响。用户的隐私关注会削弱健康知识搜寻对患者感知价值的影响,但电子健康素养会增强健康知识搜寻对患者感知价值的影响。 在线健康社区持续性运营和发展需要进一步丰富健康资源,通过多样化、差异化服务鼓励用户主动参与,提升用户对在线健康社区的价值感。
Online Health Communities (OHCs) are a crucial practice in “Internet + Healthcare” and play a significant role in enabling patients to actively manage their health. Despite the flourishing commercial activity in OHCs, frequent reports of substantial losses and user complaints have raised doubts about their value among both researchers and practitioners. What are the characteristics of OHCs, and how do they affect patients’ perceived value? This study aims to address these gaps. Drawing on social cognitive theory, we incorporated health knowledge seeking and emotional support obtaining to describe the patients’ utilization of OHC resources, and chose disease severity, privacy concerns, and e-health literacy to describe OHC patients’ individual characteristics. Based on prior studies, we proposed eight hypotheses, collected data via online survey, and verified the hypothesized model via structural modeling equation (SEM) based on 305 valid samples. As the empirical results show, patients perceived value of OHCs sources from the health-related resources in OHCs. Both health knowledge seeking and emotional support obtaining directly influence user perceived value of OHCs. Patients’ individual characteristics moderates the impacts of health knowledge seeking and emotional support obtaining. Specifically, disease severity undermines the impact of health knowledge seeking but enhances the impact of emotional support obtaining. Privacy concerns undermines the impacts of health knowledge seeking, while e-health literacy enhances the impact of health knowledge seeking. These findings advance our understanding of user perceived value of OHCs and also offer insights into OHCs user management and operation.
康东亮,王国鑫.在线健康资源利用如何影响患者的感知价值:个体特征的调节作用[J].上海对外经贸大学学报,2024,(3):89-106.
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