Abstract
BackgroundWeb-based health communities provide opportunities for doctors and patients to interact with each other and change the traditional communication mode between doctors and patients. However, little is known about the predictors of patients’ intention to interact with doctors in Web-based health communities in China.ObjectiveThe purpose of this study was to investigate what are the predictors of patients’ intention to interact with doctors in Web-based health communities in China.MethodsOn the basis of two-factor theory and service convenience theory, we propose that the attributes of Web-based health communities including ease of use and perceived synchronicity influence patients’ intention to interact through convenience of Web-based health communities, whereas the attributes of physical health facilities such as inaccessibility and discontinuity affect patients’ intention to interact through inconvenience of physical health facilities. We employed the survey method to validate our hypothesized relationships. Through developing the measurement instruments, we collected 334 valid answers from Web health community users and utilized partial least square to analyze the data.ResultsEase of use (t311=2.924, P=.004) and perceived synchronicity (t311=2.353, P=.019) were found to influence convenience of Web-based health communities significantly, whereas inaccessibility (t311=3.189, P=.002) and discontinuity (t311=3.149, P=.002) were found to impact inconvenience of physical health facilities significantly. Meanwhile, both convenience of Web-based health communities (t311=2.353, P=.019) and inconvenience of physical health facilities (t311=2.787, P=.006) were found to affect patients’ intention to interact with doctors in Web-based health communities significantly. Therefore, all the proposed hypotheses were supported.ConclusionsThrough including factors from both Web-based health communities and physical health facilities, we can understand patients’ intention to interact comprehensively. This study not only contributes to literature of doctor-patient interaction and Web-based health platforms but also provides implications to promote doctor-patient interaction online and offline.
Highlights
BackgroundPatients in China are increasingly using internet to understand and treat their health issues
On the basis of service convenience theory, we propose that convenience of Web-based health communities and inconvenience of physical health facilities influence patients’ intention to interact with doctors in Web-based health communities
Items for intention to interact with doctors are adapted from Jang et al [27], items for convenience of Web-based health communities and inconvenience of physical health facilities are adapted from Yoon and Kim [18], items for ease of use are from Venkatesh and Davis [28], items for perceived synchronicity are adapted from Liu [29], and items for inaccessibility and discontinuity are adapted from Wang and Haggerty [30]
Summary
BackgroundPatients in China are increasingly using internet to understand and treat their health issues. Previous literature has studied some predictors of interaction between doctors and patients, few of them considers the context of Web-based health communities and related factors. Results: Ease of use (t311=2.924, P=.004) and perceived synchronicity (t311=2.353, P=.019) were found to influence convenience of Web-based health communities significantly, whereas inaccessibility (t311=3.189, P=.002) and discontinuity (t311=3.149, P=.002) were found to impact inconvenience of physical health facilities significantly. Both convenience of Web-based health communities (t311=2.353, P=.019) and inconvenience of physical health facilities (t311=2.787, P=.006) were found to affect patients’ intention to interact with doctors in Web-based health communities significantly. This study contributes to literature of doctor-patient interaction and Web-based health platforms and provides implications to promote doctor-patient interaction online and offline
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