Purpose The authors position security measures and payment culture as key determinants of perceived security (PS) and trust. The purpose of this paper is to empirically investigate how PS and trust affect users’ attitude toward mobile payment use and why mobile payment has developed differently in the USA and in China. Design/methodology/approach Empirical data were collected from a survey conducted both in China and in the USA. The whole sample consists of 186 Chinese and 196 Americans. Partial least squares analysis was conducted to test the proposed relationships and multigroup comparison analysis was performed to examine the differences in the coefficients of those relationships between Chinese and the US model. Findings The findings show that payment culture (measured by coverage of mobile payment context (CMPC) and uncertainty avoidance (UA)) and security measures (measured by security technology protection (STP), security rules and policies (SRP), and security responsibility commitment (SRC)) have significantly positive impacts on the PS and trust, except that the positive impact of security on trust is not supported. The impacts of CMPC and PS on trust in the USA are significantly smaller than those in China, whereas the impacts of security measures and UA on PS and trust do not show significant differences between the two countries. Research limitations/implications Respondents of this study are selected from young educated population, the major users of mobile payment in 2015. However, recently with the increasing penetration of mobile payment, major mobile payment users are not only limited to young educated population, and thus there may be new findings after extending the range of respondents’ age. Since the research subjects in this study are the mobile payment of China and the USA, the authors could also expect different findings when the research subjects are extended or changed to other countries because of different mobile payment cultures across countries. Practical implications Findings in this paper will help mobile payment service providers to know the determinants of their users’ behavior intention and to take measures to improve these determinants, and these findings can also provide mobile payment service providers with insights into the differences in mobile payment use between the two countries and suggestions of measures that they can take to increase users’ attitude toward mobile payment use. Furthermore, the findings of this paper also help these providers globalize efficiently by paying more attention to those antecedents. Social implications The findings in this paper show that there is no difference in the impacts of UA and security measures on PS and trust between China and the USA. However, the impacts of PS and CMPC on trust in China are significantly higher than those in the USA. This is because that globalization has made people from different countries hold similar UA, whereas the CMPC, a construct refers to the business environment of mobile payment, is still very different between China and the USA. Originality/value This study extends prior studies of attitude toward mobile payment use through proposing that security measures and payment culture are key determinants of PS and trust and examining the role of PS and trust on the attitude. Furthermore, the empirical findings will not only provide mobile payment service providers with important insights into the differences in mobile payment adoption between the two countries, but also help these providers globalize efficiently by paying more attention to those antecedents.

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When ICTs (Information and Communications Technologies) are combined with healthcare, they can make a key contribution to gradually improve national health outcomes. The global outbreak of COVID-19 in 2020 further highlighted the important role of e-Health and m-Health service modes. This research structures a mediated effect model to explore dynamic relationships between ICT factors, ICT impacts, and national health outcomes, among which ICT factors are independent variables; ICT impacts are mediating variables, and national health outcome indicators selected from United Nations Millennium Development Goals (MDGs) and World Development Indicators are dependent variables. The fixed effect model is used to process a set of 141 countries’ panel data from 2012 to 2016 from World Bank and World Economic Forum, while the classical three-step test method and Sobel test combined with fixed effects are used to test the mediated effects of the panel data. The results show that there are significant associations between ICT factors and national health outcome indicators, while only some of the partial mediated effects are proved. ICT environment and ICT usage can influence both the under-five mortality rate and adolescent fertility rate via ICT social impact. However, the mediated effect of ICT social impact on maternal mortality ratio and life expectancy at birth has not been confirmed. Meanwhile, the mediated effect of ICT economic impact has not been proven. This research is an interdisciplinary research in the field of information and communication technology and public health and reveals the path and mechanism whereby ICT factors improve national health outcomes, which can help global policymakers drive the next phase of the implementation of the Sustainable Development Goals (SDGs) and continue to improve the overall health at the national level.

The online healthcare community (OHC) has attained rapid development in recent years in which users are facilitated to exchange disease information and seek medical treatment. However, users’ motivation of participation in OHCs is still under investigation. Taking the perspective of user perceived value, this paper examined the impacts of different incentive levels including identity incentive, privilege incentive, and material incentive on user perceived value, user engagement, and user loyalty. To test the proposed hypotheses, the study adopted the methods of the between-subjects experiment and questionnaire. Based on the data analysis by ANOVA and structural equation model, the results show there are significant differences in the impacts of different incentive levels on users’ perceived value. Most of the incentive measures exert significant effects on simple user hedonic value and community identity value. Accordingly, the research findings suggest that affective support value and self-health management value demonstrate more importance for user engagement and user loyalty. Therefore, OHCs should try to improve users’ affective support value and self-health management value which are the ultimate aims of the OHCs. Our study sheds some light on profoundly understanding the design of incentive mechanism of OHC and contributes to the research of OHC services.