Health insurance satisfaction, financial burden, locus of control and quality of life of cancer patients: a moderated mediation model

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Saeed Pahlevan Sharif ◽  
Navaz Naghavi ◽  
Fon Sim Ong ◽  
Hamid Sharif Nia ◽  
Hassam Waheed

PurposeThe purpose of this paper is to examine the relationship between consumers' satisfaction with their health insurance and quality of life (QoL), the mediating role of perceived financial burden in this relationship, as well as the moderating effect of external locus of control (LoC) on the relationship between perceived financial burden and QoL among cancer patients.Design/methodology/approachA cross-sectional design was employed in order to collect quantitative data by means of a self-administrated questionnaire. Participants consisted of 387 conveniently selected consumers diagnosed with cancer in Iran. Furthermore, the questionnaire was translated into Persian using a forward–backward method. The model was tested using partial least squares structural equation modeling (PLS-SEM).FindingsThe results indicate that the more satisfied patients are with their health insurance, the higher QoL they experience, and this relationship is explained through reducing perceived financial burden in terms of direct and indirect costs of the disease. Although external LoC belief is negatively related to QoL, it buffers the negative association between financial burden and QoL.Practical implicationsReducing the disparity between consumers' expectation and perception of the comprehensiveness of health insurance policies may relieve consumers' anxiety stemming from financial worries.Originality/valueThis paper fills a gap in the literature where consumers' perception about quality of insurance and its relationship with their QoL has received little attention so far.

Author(s):  
Yi Liu ◽  
Jason Draper

Participants attending a festival(s) with children is a family activity that influences family relationships. This study examines the relationship between attending status (e.g., with or without children), event experience, subjective well-being, and family quality of life (FQOL). A total of 585 festival participants’ data analyzed by structural equation modeling (SEM) revealed that participants attending with children have a higher level of subjective well-being and FQOL compared to those without children. Participants attending with children have a higher level of cognitive engagement and experience novelty in festivals compared to those without children. Event experience results in a significant positive relationship with subjective well-being. This study expands current event literature in terms of FQOL and provides a practical guideline to event organizers to better understand the significance of festivals.


2020 ◽  
Vol 18 (6) ◽  
pp. 1907-1926
Author(s):  
Riadh Djafri ◽  
Mariana Mohamed Osman ◽  
Noor Suzilawati Rabe ◽  
Syafiee Shuid

Purpose The purpose of this paper is to identify, confirm and validate a model appropriate to capture the interrelationships between different variables to develop and improve social housing quality, adequacy, provision and residents’ quality of life (RQOL). Design/methodology/approach This research adopted a quantitative approach to examine the research objectives of this study. The proposed conceptual framework was tested using primary data collected from a survey of 418 residents of the new urban center of Hamla. The data were analyzed using descriptive analysis and exploratory factor analysis through SPSS. In addition, confirmatory factor analysis was performed using AMOS before validating the measurement model and testing the hypotheses through structural equation modeling (SEM). Findings The results of SEM indicated acceptable high goodness-of-fit indices. The results revealed that three out of six hypotheses were supported. Consequently, residential quality and housing adequacy appeared to have a vital role in the conceptual framework, as it influenced social housing provision and RQOL and was influenced by socio-economic characteristics. Practical implications The present study illustrates the interrelationships between the proposed variables using SEM analysis. In addition, by understanding the direct relationships between the selected variables, the findings would be useful for the concerned authorities to ameliorate and upgrade the social housing quality and adequacy along with surpassing the current shortage, which would enhance and contribute to the amelioration of the RQOL and throughout Algeria. Originality/value This paper aims to establish, examine, validate the relationships and develop a conceptual framework in the context of Algerian social housing that contributes to the assessment and amelioration of social housing.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sandra Maria Correia Loureiro ◽  
Arnold Japutra ◽  
Sebastian Molinillo ◽  
Ricardo Godinho Bilro

Purpose This paper aims to explore tourist perceived value and attachment to intelligent voice assistants (IVAs) as antecedents of the quality of the human–IVA relationship in the hospitality domain. This research also examines the moderating role of psychological factors (self-esteem) and knowledge factors (past experience and technology expertise) in the relationships between antecedents and relationship quality. Design/methodology/approach The researchers conducted two quantitative studies, collecting data via online surveys in Mechanical Turk (n1 = 124 and n2 = 281). The proposed model was tested using partial least squares structural equation modeling. Findings The first study uncovers that tourist perceived value is the main influence on the quality of the relationship between tourists and IVAs. The second study confirms the direct relationships of the first and shows that self-esteem and technology expertise act as moderators. Practical implications This study advances the understanding of the tourism and hospitality stakeholders in using modern technologies (e.g. IVAs). Through comprehending the relationship building between individuals and IVAs, the stakeholders will be able to craft better strategies. Originality/value The study extends the attachment and social exchange theories to the tourist–IVA relationship context. Specifically, this research demonstrates the impact of tourist perceived value on the quality of the relationship with the IVA. It also points out that tourists’ self-esteem and technology expertise can weaken the tourist–IVA relationship.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mengfan Zhai ◽  
Yuan Chen ◽  
Mingxia Wei

PurposeThe purpose of this paper is to investigate the influence of trust and perceived risk on investment willingness considering the bidirectional relationship between trust and perceived risk in peer-to-peer (P2P) lending.Design/methodology/approachData were collected from a leading Chinese P2P platform, PPDAI.com. In total, 328 valid responses were received and analyzed using structural equation modeling (SEM).FindingsThe results show that the influence of trust on investment willingness is significant, whereas that of perceived risk is insignificant. The results also indicate that platform reputation has a positive effect on trust, and the quality of alternatives is positively associated with perceived risk. In addition, the bidirectional perspective should be preferred to cope with the bidirectional relationship between trust and perceived risk in P2P lending.Originality/valueThis study extends existing research on the influence of trust and perceived risk on investment willingness from a bidirectional perspective, which has not been addressed in the P2P lending context. In addition, this research enriches the current literature about trust and perceived risk by providing more evidence that the relationship between trust and perceived risk is bidirectional and thus the bidirectional model should be preferred. For practice, the study suggests that managers can earn trust and reduce the perceived risk of lenders by continuously providing high-quality products, services and enhancing platform reputation, ultimately improving their investment willingness.


2020 ◽  
pp. 004728752091801 ◽  
Author(s):  
Hio Kuan Lai ◽  
Patrícia Pinto ◽  
Pedro Pintassilgo

This study proposes a model to investigate the relationship between residents’ perception of tourism’s impact on their quality of life (QoL) and their emotional solidarity toward tourists. The social exchange theory was used as a framework to explain the relationship, and structural equation modeling to assess the hypothesized model. Data for this study were obtained from survey responses of 407 residents in Macau, China, characterized by an intense tourism activity in a small territory. Results indicate that residents’ perception of tourism’s impact on four life domains (material, community, emotional, and health and safety) influences their satisfaction with the corresponding life domains. However, these domains only partially contribute to their overall satisfaction with QoL. Moreover, overall satisfaction with QoL revealed to be a significant predictor of residents’ emotional solidarity toward tourists. The findings indicate the importance of considering QoL in examining residents’ attitudes toward tourists. Implications and opportunities for further research are proposed.


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