Integration of online and offline health services: The role of doctor-patient online interaction

Chang, Yu Wei; Hsu, Ping-Yu; Wang, Ying; Chang, Pei‐Yeh

doi:10.1016/j.pec.2019.04.018

Cited by 60 publications

(49 citation statements)

References 33 publications

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“…In the field of electronic services, perceived usefulness is considered as an important behavioral belief [38]. Moreover, patients' trust in doctors is directly related to users' perception of distributive justice, procedural justice, interpersonal justice, and information justice of online medical services [39]. These justice are mainly reflected in the friendly interaction with doctors online, doctors' interpretation of diseases, and presentation of diagnosis results.…”

Section: Perceived Usefulness Of Online Doctors' Servicementioning

confidence: 99%

“…According to the statistics released by the China Internet Network Information Center (CNNIC), as of February 2019, the total number of Internet applications in China is 829 million, and the Internet penetration rate reached 59.6% [1]. Internet applications who have browsed online health communities (e.g., 39 Health Network, Sina Health, Sohu Health), and who have used search engines such as Baidu or Google to learn about health information accounted for 75.6% and 69.8%, respectively [2]. Compared To fill this gap, this paper undertakes an investigation on patients aiming at exploring the impact of the usefulness of online health information and the function of doctor's online guidance on patient-physician trust and interaction.…”

Section: Introductionmentioning

confidence: 99%

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Patient–Physician Interaction and Trust in Online Health Community: The Role of Perceived Usefulness of Health Information and Services

Peng

Yin

Deng

et al. 2019

IJERPH

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Background: In recent years, China has witnessed a surge in medical disputes, including many widely reported violent riots, attacks, and protests in hospitals. Asymmetric information between patient and physicians is one of the most critical enablers in this phenomenon, but the Web has become the primary resource for Chinese Internet applications to learn about health information and could potentially play a role in this pathway to patient-physician interaction and patient-physician trust. While considerable attention has been paid in some countries, there are few researches about China's situation for this issue. The purpose of this quantitative study was to examine the influence of online health information and the online guidance of doctors in patient health information literacy on patient-physician interaction and patient-physician trust in China. Methods: A web-based survey was conducted to collect data from online applications with health problems. A structural equation modeling was used to analyze the data to test the hypotheses. A total of 446 participants from the Tongji Hospital in Wuhan and Huazhong University of Science and Technology hospital participated in the study. Results: Our analysis shows that the usefulness of online health information and the online guidance of doctors both significantly influence the trust of the patient toward physicians and interaction with physicians. Furthermore, the patient-physician interaction also has a significant impact on the patient-physician trust. Conclusions: There are many studies on the influence of online health information on the doctor-patient relationship, whereas a little research has examined this relationship between health information online support from doctors and patient-physician interaction by quantitative empirical analysis. This study also explores the online guidance role of doctors and whether doctor-patient communication will affect the trust of doctors and patients. The practical implications of this study include an improved understanding of the function of online health information and potential impacts regarding the interaction with physicians and trust toward physicians that can be used to resolve conflicts between doctors and patients.with the traditional way of consulting with doctors or relatives or friends, Chinese Internet users are more inclined to use Internet applications to obtain health information. Studies have shown that patients' access to health information through the Internet has a positive impact on the improvement of patient-physician relationship [3][4][5][6]. The Internet has become the central resource for the public to obtain health information in China.Some studies found that 74.9% of medical staff viewed the current patient-physician relationship with a negative attitude, and medical disputes have frequently been reported such as violent riots, attacks, and protests in hospitals in China [7]. The tense patient-physician relationship mainly results from the lack of trust between doctors and patients, communicat...

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Section: Perceived Usefulness Of Online Doctors' Servicementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient–Physician Interaction and Trust in Online Health Community: The Role of Perceived Usefulness of Health Information and Services

Peng

Yin

Deng

et al. 2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…First, the previous studies have seldom simultaneously considered online and offline factors when investigating doctors' behaviors in eHealth [1,2,11,16,35,36]. However, as there are close interactions between online health platforms and offline hospitals [4,7], it is not sufficient to focus solely on motivations provided by online channels. Therefore, this study designs the items for measuring motivations from the perspectives of both online and offline contexts.…”

Section: Theoretical Implicationsmentioning

confidence: 99%

“…With the prevalence of the Internet, doctors can easily offer online counseling services and converse with their patients on the online health platforms anytime and anywhere. This new counseling mode, also known as eHealth, has attracted increasing attention from both doctors and patients [1][2][3][4][5][6][7][8][9]. Emerging eHealth aims to combine the features of information technology and healthcare resources to play the role of health agency in bridging public health demand and professional online counseling services [10].…”

Section: Introductionmentioning

confidence: 99%

Exploring Doctors’ Willingness to Provide Online Counseling Services: The Roles of Motivations and Costs

Chen

Lan

Chang

et al. 2019

IJERPH

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With the impetus of information communication technology (ICT), emerging eHealth has attracted increasing number of doctors' participation in online health platforms, which provide various potential benefits to doctors. However, previous studies on eHealth have seldom distinguished different service modes provided by doctors. In addition, the bulk of the literature has considered doctors' motivations based solely on online environments. To fill this gap, this study combines expectancy theory and the Bagozzi, Dholakia, and Basuroy (BDB) model to examine the relationships between anticipated outcomes, performance expectations, and effort intentions from online and offline perspectives. Doctors' behavioral intentions are further divided into two categories: the willingness to offer free services and paid services. Using SmartPLS, this study conducts structural equation modeling (SEM) to analyze 311 sample data. The results show that extrinsic motivations (i.e., extrinsic rewards, expected relationships, and image) and intrinsic motivation (i.e., a sense of self-worth) significantly influence the desire to serve patients well, which in turn positively affects the willingness to offer free services and the willingness to offer paid services. Moreover, counseling time is confirmed as the main cost, which negatively moderates the relationships between desire and behavioral intentions. The findings provide theoretical insights for eHealth and provide practical suggestions to develop marketing strategies for online health platform providers.

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“…Los pacientes se sienten insatisfechos por el corto tiempo de consulta y por la percepción de que los médicos tienen poco interés por sus TIIC y la complejidad que rodea a los pacientes que padecen estos trastornos [35][36] . Incluso se han integrado las consultas por vía electrónica con las visitas al hospital 37 . Sin embargo, solo un tercio de los pacientes que consultan en línea son remitidos a una consulta en vivo 38 .…”

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Alteraciones menores de la motilidad esofágica, gastroparesia en cirrosis hepática, ejercicio en síndrome de intestino irritable y una comunicación médica efectiva en los trastornos de la interacción intestino-cerebro

Schmulson-Wasserman¹,

Saps²

2022

NGL

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Integration of online and offline health services: The role of doctor-patient online interaction

Cited by 60 publications

References 33 publications

Patient–Physician Interaction and Trust in Online Health Community: The Role of Perceived Usefulness of Health Information and Services

Patient–Physician Interaction and Trust in Online Health Community: The Role of Perceived Usefulness of Health Information and Services

Exploring Doctors’ Willingness to Provide Online Counseling Services: The Roles of Motivations and Costs

Alteraciones menores de la motilidad esofágica, gastroparesia en cirrosis hepática, ejercicio en síndrome de intestino irritable y una comunicación médica efectiva en los trastornos de la interacción intestino-cerebro

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