线上线下医疗服务整合：医患在线互动的作用。
Integration of online and offline health services: The role of doctor-patient online interaction.
机构信息
Department of Business Management, National Taichung University of Science and Technology.
Department of Business Administration, National Central University.
出版信息
Patient Educ Couns. 2019 Oct;102(10):1905-1910. doi: 10.1016/j.pec.2019.04.018. Epub 2019 Apr 18.
OBJECTIVE
This study aims to investigate how doctor-patient online interaction affects the integration of online and offline health services. Drawing on justice theory and the stimulus-organism-response (S-O-R) framework, justice perceptions are conceptualized as online health communication in influencing patient experiences and subsequent responses.
METHODS
Data were collected from 241 online consultation patients. Partial least squares structural equation modeling (PLS-SEM) approach was used to test the research model and 12 hypothesized relationships.
RESULTS
Distributive justice, procedural justice, and interpersonal justice significantly affect trust, which in turn affects satisfaction and the continued intention to consult. Distributive justice and informational justice significantly affect satisfaction, which in turn affects the continued intention to consult. Finally, the continued intention to consult significantly affects the behavioral intention to visit.
CONCLUSION
Doctors can attract patients to visit them in physical hospitals by providing good online health services. Before physically visiting doctors, patients can also search for a suitable doctor that meets their needs through online consultations. To the best of our knowledge, this study is the first to integrate online and offline health services.
PRACTICE IMPLICATIONS
From the perspective of health communication, the understanding of doctor-patient online interaction offers doctors and hospitals guidance to improve doctor-patient relationships.
目的
本研究旨在探讨医患在线互动如何影响线上和线下医疗服务的整合。本研究借鉴公正理论和刺激-机体-反应（S-O-R）框架，将公正感知视为在线健康沟通对患者体验和后续反应的影响因素。
方法
本研究从 241 名在线咨询患者中收集数据。采用偏最小二乘结构方程建模（PLS-SEM）方法检验研究模型和 12 个假设关系。
结果
分配公正、程序公正和人际公正显著影响信任，进而影响满意度和继续咨询的意愿。分配公正和信息公正显著影响满意度，进而影响继续咨询的意愿。最后，继续咨询的意愿显著影响就诊的行为意向。
结论
医生可以通过提供良好的在线医疗服务吸引患者到实体医院就诊。在实际就诊之前，患者也可以通过在线咨询来寻找符合其需求的合适医生。据我们所知，这项研究首次将线上和线下医疗服务整合在一起。
实践意义
从健康沟通的角度来看，对医患在线互动的理解为医生和医院提供了改善医患关系的指导。
Zotero 插件