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从社交媒体中的医生处寻求和使用健康信息的意图:医患互动的影响。

Seeking and using intention of health information from doctors in social media: The effect of doctor-consumer interaction.

机构信息

School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Department of Health Policy and Management, College of Public Health, University of Georgia, Athens, GA, United States.

出版信息

Int J Med Inform. 2018 Jul;115:106-113. doi: 10.1016/j.ijmedinf.2018.04.009. Epub 2018 Apr 27.

Abstract

OBJECTIVE

The aim of this study is to investigate how doctor-consumer interaction in social media influences consumers' health information seeking and usage intention.

METHODS

Based on professional-client interaction theory and expectation confirmation theory, we propose that doctor-consumer interaction can be divided into instrumental interaction and affective interaction. These two types of interaction influence consumers' health information seeking and usage intention through consumer satisfaction and trust towards doctors. To validate our proposed research model, we employed the survey method. The measurement instruments for all constructs were developed based on previous literatures, and 352 valid answers were collected by using these instruments.

RESULTS

Our results reveal that consumers' intention to seek health information significantly predicts their intention to use health information from social media. Meanwhile, both consumer satisfaction and trust towards doctors influences consumers' health information seeking and usage intention significantly. With regards to the impact of the interaction between doctors and consumers, the results show that both types of doctor-consumer interaction significantly affect consumer satisfaction and trust towards doctors. The mediation analysis confirms the mediation role of consumer satisfaction and trust towards doctors.

CONCLUSIONS

Compared with many intentional intervention programs, doctor-consumer interaction can be treated as an effective intervention with low cost to promote consumers' health information seeking and usage. Meanwhile, both instrumental and affective interaction should be highlighted for the best interaction results. At last, consumer satisfaction and trust towards doctors could be considered as the important working mechanisms for the effect of doctor-consumer interaction.

摘要

目的

本研究旨在探讨医患社交媒体互动如何影响消费者的健康信息搜索和使用意愿。

方法

基于专业客户互动理论和期望确认理论,我们提出医患互动可以分为工具性互动和情感性互动。这两种类型的互动通过消费者对医生的满意度和信任度来影响消费者的健康信息搜索和使用意愿。为了验证我们提出的研究模型,我们采用了调查方法。所有结构的测量工具都是基于以前的文献开发的,并通过这些工具收集了 352 份有效答案。

结果

我们的结果表明,消费者搜索健康信息的意愿显著预测了他们从社交媒体获取健康信息的意愿。同时,消费者对医生的满意度和信任度都显著影响消费者的健康信息搜索和使用意愿。关于医生和消费者之间互动的影响,结果表明,这两种类型的医患互动都显著影响消费者对医生的满意度和信任度。中介分析证实了消费者对医生的满意度和信任度的中介作用。

结论

与许多有目的的干预计划相比,医患互动可以被视为一种具有低成本的有效干预措施,以促进消费者的健康信息搜索和使用。同时,应该强调工具性互动和情感性互动,以达到最佳的互动效果。最后,消费者对医生的满意度和信任度可以被认为是医患互动效果的重要作用机制。

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