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理解影响健康专业人员在线志愿行为的因素:来自中国心理健康在线社区“医心一意”的证据。

Understanding the factors influencing health professionals' online voluntary behaviors: Evidence from YiXinLi, a Chinese online health community for mental health.

机构信息

Shantou University Business School, Shantou, Guangdong 515063, China.

Renmin University of China School of Information Research Institute of Smart Senior Care, Beijing, 100872, China.

出版信息

Int J Med Inform. 2019 Oct;130:103939. doi: 10.1016/j.ijmedinf.2019.07.018. Epub 2019 Aug 3.

Abstract

BACKGROUND

Normal users' voluntary behaviors (e.g., knowledge sharing) in virtual communities (VCs) has been well investigated; however, research on health professionals' voluntary behaviors in online health communities (OHCs) is limited.

OBJECTIVE

This paper focuses on OHCs for mental health and aims to explore how intrinsic and extrinsic motivations influence mental health service providers' voluntary behaviors.

METHODS

Based on motivation theory and prior studies, we incorporated technical competence as intrinsic motivation and online reputation and economic rewards as extrinsic motivations, and proposed five hypotheses. We crawled objective data from YiXinLi, a Chinese OHC for mental health, and tested the hypotheses based on the Poisson regression model. All hypotheses are supported.

RESULTS

  1. Technical competence, online reputation, and economic rewards positively influence mental health service providers' voluntary behaviors; 2) the interaction effect between technical competence and online reputation negatively influences mental health service providers' voluntary behaviors; 3) the interaction effect between technical competence and economic rewards negatively influences mental health service providers' voluntary behaviors.

CONCLUSIONS

Both intrinsic motivations and extrinsic motivations positively influence mental health service providers' voluntary behaviors, and their interaction effects negatively influence mental health service providers' voluntary behaviors. This study first contributes to the literature on health professionals' voluntary behaviors in OHCs by verifying the positive effect of economic rewards. It then contributes to motivation theory by incorporating a situation where intrinsic motivations and extrinsic motivations could negatively interact.

摘要

背景

虚拟社区(VC)中普通用户的自愿行为(例如,知识共享)已经得到了充分研究;然而,在线健康社区(OHC)中卫生专业人员自愿行为的研究有限。

目的

本文聚焦于心理健康的 OHC,并旨在探讨内在动机和外在动机如何影响心理健康服务提供者的自愿行为。

方法

基于动机理论和先前的研究,我们将技术能力纳入内在动机,将在线声誉和经济奖励纳入外在动机,并提出了五个假设。我们从医心医意(一个中文心理健康 OHC)中抓取了客观数据,并基于泊松回归模型检验了假设。所有假设均得到支持。

结果

1)技术能力、在线声誉和经济奖励均正向影响心理健康服务提供者的自愿行为;2)技术能力和在线声誉的交互效应对心理健康服务提供者的自愿行为产生负面影响;3)技术能力和经济奖励的交互效应对心理健康服务提供者的自愿行为产生负面影响。

结论

内在动机和外在动机均正向影响心理健康服务提供者的自愿行为,且它们的交互效应对心理健康服务提供者的自愿行为产生负面影响。本研究通过验证经济奖励的积极作用,首先为 OHC 中卫生专业人员自愿行为的文献做出了贡献。其次,它通过纳入内在动机和外在动机可能产生负交互的情况,为动机理论做出了贡献。

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