Piper Luigi, Cosmo Lucrezia Maria de, Benvenuto Marco, Viola Carmine
Department of Economics, University of Salento, Lecce, Italy.
Department of Economics, Management and Business Law, University of Bari, Bari, Italy.
Int J Health Policy Manag. 2024;13:8453. doi: 10.34172/ijhpm.8453. Epub 2024 Nov 18.
The primary objective of this investigation is to scrutinize the underlying motivations that may prompt those responsible for health to adopt models of collaborative consumption (CC) as business innovation. Furthermore, the study seeks to assess the congruence of determinants influencing the intention to utilize CC in healthcare, comparing perspectives between responsible for health and digital health consumers.
Two studies based on the Theory of Planned Behavior (TPB) have been conducted. Study 1 uses a qualitative approach to analyze the determinants in use CC in healthcare of responsible for health of the Italian's National Health Service. Study 2 uses a quantitative approach to analyze a sample of healthcare consumers, their salient beliefs, digital health literacy, and perceived own health status in determining the intention to use CC in healthcare.
Responsible for health recognize both the benefits, like improved efficiency, and the drawbacks, such as digital illiteracy and privacy concerns. Consumer data reveals that attitudes, social norms, perceived control, and digital literacy significantly influence the intention to use CC in healthcare, with education and age being moderating factors, whereas income is not impactful.
The research ends with a discussion of these findings and their strategic implications for managing decision support systems in healthcare. The research highlights the need for innovation-based strategies in the health system, proposing a new socio-technical health domain to improve management through a participatory approach. The approach emphasizes business innovation, service quality, and cost-efficiency. Finally, the research addresses the gaps highlighted in CC in healthcare adoption, underscoring public-private collaboration and practical strategies for sustainable success.
本调查的主要目的是审视那些可能促使卫生保健相关人员采用协同消费（CC）模式作为商业创新的潜在动机。此外，该研究旨在评估影响在医疗保健中使用CC意愿的决定因素的一致性，比较卫生保健相关人员和数字健康消费者的观点。
开展了两项基于计划行为理论（TPB）的研究。研究1采用定性方法分析意大利国家卫生服务机构中卫生保健相关人员在医疗保健中使用CC的决定因素。研究2采用定量方法分析医疗保健消费者样本，分析他们在决定是否在医疗保健中使用CC时的显著信念、数字健康素养以及对自身健康状况的认知。
卫生保健相关人员既认识到使用CC的好处，如提高效率，也认识到其弊端，如数字素养不足和隐私问题。消费者数据显示，态度、社会规范、感知控制和数字素养显著影响在医疗保健中使用CC的意愿，教育程度和年龄是调节因素，而收入则没有影响。
该研究最后讨论了这些发现及其对医疗保健决策支持系统管理的战略意义。该研究强调了卫生系统中基于创新的战略的必要性，提出了一个新的社会技术健康领域，通过参与式方法改善管理。该方法强调商业创新、服务质量和成本效益。最后，该研究解决了医疗保健采用CC过程中凸显的差距，强调了公私合作以及实现可持续成功的实际策略。
