Patient learning choices in an online health infomediary

Abstract

ABSTRACT Health infomediaries are online interactive platforms where patients learn about diseases, procedures, and treatments, but how the learning dynamics evolve to help patients make decisions is unknown. Investigating patient learning in health information is essential to enabling patient empowerment using these platforms. In this study, we theoretically anchor patients’ learning processes in a health infomediary to Nonaka-Takeuchi’s Socialization, Externalization, Combination, and Internalization (SECI) learning dynamics model, with the infomediary as the ba or collaborative space for learning. We posit that questions reflect externalization for a focal learning patient, while reviews and comments reflect socialization, driving patients’ knowledge internalization. Learning with more information aids patients in health-relevant choices and actions such as a doctor consultation in a health infomediary. Three hypotheses about continued learning choices are presented and tested using data from 8,900 reconstructive surgery health infomediary users, using a multichoice mixed logit model with panel estimations. Findings show patients continue to review and comment more than questions to learn about trendy surgeries, which is counterintuitive to existing insights, whereas questions lead to learning sentiment-laden information. Exploratory analyses suggest that learning through reviews regarding post-procedural services may deter, but other learning modes motivate patients to consult a doctor. We discuss the theoretical contributions and implications for infomediary design and research.