College of Economics and Management, China Jiliang University, Hangzhou 310018, Zhejiang.
Key Laboratory of Quality Infrastructure Efficacy Research, AQSIQ, Beijing 100028, China.
Int J Environ Res Public Health. 2019 Oct 6;16(19):3755. doi: 10.3390/ijerph16193755.
Online healthcare services are growing rapidly. Patients can receive health support through communication with online health professionals. However, previous research on eHealth has focused on patients' online behavioral intentions. The purpose of this study is to investigate the effect of online patient-doctor communication on offline behavioral intentions and to propose a conceptual model for eHealth. We integrate fairness theory and band extension theory to develop a research model. This is further tested by structural equation modeling (SEM), with 279 valid sets of data from patients on the online health platform. Using partial least squares analysis (PLS), the results show that perceived fairness is an important factor affecting online satisfaction and the willingness to ask online doctors, which in turn has a positive impact on the willingness to go to offline doctors. These findings shed light on the research model for eHealth and offer suggestions for improving patients' online satisfaction, as well as both online and offline behavioral intentions.
在线医疗服务发展迅速。患者可以通过与在线健康专业人员的沟通获得健康支持。然而，之前关于电子健康的研究主要集中在患者的在线行为意图上。本研究旨在探讨在线医患沟通对线下行为意图的影响，并提出电子健康的概念模型。我们整合公平理论和波段延伸理论来构建研究模型。通过结构方程模型（SEM）对 279 份来自在线健康平台患者的有效数据集进行了进一步测试。使用偏最小二乘法分析（PLS）的结果表明，感知公平性是影响在线满意度和向在线医生提问意愿的重要因素，而在线满意度和向在线医生提问意愿又会对去线下医生的意愿产生积极影响。这些发现为电子健康研究模型提供了启示，并为提高患者的在线满意度以及线上和线下行为意图提供了建议。
