The Influence of Physician Information on Patients’ Choice of Physician in mHealth Services Using China’s Chunyu Doctor App: Eye-Tracking and Questionnaire Study

Background Mobile health (mHealth) is becoming more popular as a way of sharing medical information. For the patient, it saves time, reduces the need for travel, reduces the cost of searching for information, and brings medical services “to your fingertips.” However, it also brings information overload and makes the patient’s choice of physician more difficult. Objective This study aimed to identify the types of physician information that play a key role in patients’ choice of physician and to explore the mechanism by which this information contributes to this choice. Methods Based on the stimulus-organism-response (SOR) model and online trust theory, we proposed a research model to explain the influence of physician information on patients’ choice of physician. The model was based on cognitive trust and affective trust and considered the moderating role of patient expertise. Study 1 was an eye-tracking experiment (n=42) to identify key factors affecting patients’ choice of physician. Study 2 was a questionnaire study (n=272); Partial Least Squares Structural Equation Modeling was used to validate the research model. Results The results of Study 1 revealed that seven types of physician information played a key role in patients’ choice of physician. The results of Study 2 revealed that (1) physicians’ profile photo information affected patients’ choice of physician by positively influencing affective trust (P<.001); (2) physicians’ nonprofile photo information affected patients’ choice of physician by positively influencing cognitive trust (P<.001); (3) patient-generated information affected patients’ choice of physician by positively affecting cognitive trust (P<.001) and affective trust (P<.001), and patient expertise played a positive moderating role on both (P=.04 and P=.01, respectively); and (4) cognitive trust and affective trust both positively affected patients’ choice of physician, with affective trust playing a more significant role (P<.001 and P<.001, respectively). Conclusions Seven types of physician information were mainly used by patients when choosing physicians offering mHealth services; trust played an important role in this choice. In addition, the level of patient expertise was an important variable in moderating the influence of physician information and patients’ trust. This paper supports the theoretical basis of information selection and processing by patients. These findings can help guide app developers in the construction of medical apps and in the management of physician information in order to facilitate patients’ choice of physician.

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The influence of physician information on patient's medical decision-making in mHealth services (Preprint)

10.2196/preprints.15544 ◽

2019 ◽

Author(s):

Wei Shan ◽

Ying Wang ◽

Jing Luan ◽

Pengfei Tang

Keyword(s):

Decision Making ◽

Eye Tracking ◽

Medical Decision Making ◽

Medical Information ◽

Medical Decision ◽

Research Model ◽

Physician Patient Relationship ◽

Cognitive Trust ◽

Affective Trust ◽

Patient Expertise

BACKGROUND As a new way to share medical information, mHealth is currently booming, which provides a new solution for the improvement of physician-patient relationship. On the one hand, mHealth service breaks the limitation of time and space, reduces the cost of searching for information for patients, and makes medical service “at your fingertips”. However, on the other hand, it makes information overload and brings difficulties to patients' decision-making. OBJECTIVE This study aims to discover the physician information that plays a key role in patient’s decision-making and to explore the mechanism by which this information contributes to patient’s decision-making. Therefore, enriching the theoretical basis of information selection and processing of patients, which play a guiding role in the future APPs construction and information management of mHealth from the perspective of improving patient’s satisfaction. METHODS In the study, eye tracking experiment is designed to discover key factors that influence a patient’s medical decision-making in choosing a physician. Then based on the SOR model and online trust theory, from the perspective of cognitive trust and affective trust, the patient expertise is used as the moderating variable to construct the research model of physician information on patient's medical decision-making. RESULTS The results of the eye tracking experiment reveal that there are 7 aspects of physician information which play a key role in patients' medical decision-making. The results of the research model reveal that (1) physician’s profile photo information affects patient's medical decision-making by positively influencing affective trust (P<.001); (2) physician’s non profile photo information affects patient's medical decision-making by positively influencing cognitive trust (P<.001); (3) patient-generated information affects patient's medical decision-making by positively affecting cognitive trust (P<.001) and affective trust (P<.001), and the patient expertise plays a positive moderating role in both paths (P=.04 and P=.01, respectively); and (4) cognitive trust and affective trust both positively affect patient’s medical decision-making but affective trust plays a more significant role (P<.001 and P<.001, respectively). CONCLUSIONS It is concluded that 7 aspects of physician information are mainly resorted to by patients when they make their medical decision-making, and trust plays an important role in it. In addition, the level of patient expertise is an important variable in moderating physician information and patients’ trust.

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The expatriate and local hotel general managers: differing approaches to employees’ loyalty

International Journal of Emerging Markets ◽

10.1108/ijoem-03-2020-0278 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Yong-Ki Lee ◽

Paresha N. Sinha ◽

Soon-Ho Kim ◽

Eric Melvin Swanson ◽

Jae-Jang Yang ◽

...

Keyword(s):

Knowledge Management ◽

Structural Equation ◽

Human Resources Management ◽

Social Capital Theory ◽

Equation Modeling ◽

Employee Loyalty ◽

Cognitive Trust ◽

Content Type ◽

Affective Trust ◽

The Impact

PurposeHotels conducting international business are acknowledging the importance of an expatriate general manager (GM), to increase the effectiveness of their knowledge management system through the sharing of knowledge between expatriates and local employees. In the aspect of comparative leadership studies, this study attempts to compare and analyze the effects of knowledge sharing (KS) efforts, which are competencies of expatriate GMs and local GMs, on employee trust, organizational KS and employee loyalty.Design/methodology/approachData were collected from employees of 7 hotels managed by expatriate GMs among 16 franchising luxury (5-star) hotels, and from employees of 6 hotels operated by local GMs among 9 local luxury hotels located in Korea. Structural equation modeling method using SmartPLS 3.3.3 was used to analyze the data.FindingsExpatriate GM’s two-way KS influences affective trust but does not influence cognitive trust. Affective trust influences cognitive and organizational KS but does not influence employee loyalty. Cognitive trust does not influence organizational KS but influences employee loyalty. Finally, organizational KS significantly affects employee loyalty. In addition, in the analysis comparing the estimates between expatriate and local GM group, significant differences in groups were found for the impact of GM’s two-way KS on cognitive trust, for the impact of affective trust on organizational KS, for the impact of affective trust on employee loyalty and for the impact of cognitive trust on organizational KS.Practical implicationsThis study shows that knowledge management designs need to consider different effects of expatriate GMs’ and local GMs’ capabilities on employee attitudes and behavior considering cultural impacts. Expatriate GMs will greatly benefit their effort for KS by assuring employees that they are attentive to their needs, interests and problems.Originality/valueThis study not only contributes to the existing social capital theory but also provides managerial implications for human resources management in the hospitality field through a comparative study of KS efforts of expatriate and local GMs.

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Understanding virtual community members’ relationships from individual, group, and social influence perspectives

Industrial Management & Data Systems ◽

10.1108/imds-03-2016-0119 ◽

2017 ◽

Vol 117 (6) ◽

pp. 990-1010 ◽

Cited By ~ 5

Author(s):

Wen-Hai Chih ◽

Li-Chun Hsu ◽

Dah-Kwei Liou

Keyword(s):

Social Influence ◽

Structural Equation ◽

Structural Model ◽

Virtual Community ◽

Equation Modeling ◽

Multiple Perspectives ◽

Normative Influence ◽

Cognitive Trust ◽

Content Type ◽

Affective Trust

Purpose The purpose of this paper is to explore a model of how people are influenced from the perspectives of individuals (cognitive trust and affective trust), group (sense of virtual community), and social influence (normative influence and information influence) factors. Design/methodology/approach This research adopts structural equation modeling to test the proposed model and the structural model shows a good fit. This research sample consists of 312 members who have used Facebook for at least six months. Findings The results indicate the following. Both cognitive trust and affective trust have effects on members’ sense of virtual community. Cognitive trust, affective trust, and sense of virtual community have effects on both normative influence and informative influence, respectively. Members in a virtual community could create a sense of virtual community via affective trust. Members’ sense of virtual community partially mediates between cognitive/affective trust and normative/informative influence. Originality/value This study investigates the multiple perspectives of the interpersonal interaction between individual, community, and social influence.

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Customers’ Intentions to Switch to Internet-Only Banks: Perspective of the Push-Pull-Mooring Model

Sustainability ◽

10.3390/su13148062 ◽

2021 ◽

Vol 13 (14) ◽

pp. 8062

Author(s):

Cheolho Yoon ◽

Dongsup Lim

Keyword(s):

Financial Services ◽

Structural Equation ◽

Information Technologies ◽

Business Models ◽

Internet Banking ◽

Equation Modeling ◽

Research Model ◽

Financial Industry ◽

Banking Services ◽

New Business

The advent of fintech is blowing a new wind into the financial industry. New business models have been created and consumers’ access to financial services is higher than ever. Internet-only banks based on advanced information technologies have emerged as a leader in the fintech industry, and these banks are fiercely competing with large banks using internet banking as a weapon to attract new customers. The purpose of this study is to explore the factors that influence customers’ intention to switch to internet-only banking services from traditional internet banking services in Korea. To this end, a research model was developed based on the push-pull-mooring model (PPM), which is a migration theory. The research model was analyzed using partial least squares structural equation modeling (PLS-SEM). The findings will provide the practitioners of the new internet-only bank with strategic guidance for attracting new customers and help practitioners of traditional banks to retain current customers.

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eWOM in C2C Platforms: Combining IAM and Customer Satisfaction to Examine the Impact on Purchase Intention

Journal of theoretical and applied electronic commerce research ◽

10.3390/jtaer16050091 ◽

2021 ◽

Vol 16 (5) ◽

pp. 1612-1630

Author(s):

Salvador Bueno ◽

M. Dolores Gallego

Keyword(s):

Least Squares ◽

Partial Least Squares ◽

Purchase Intention ◽

Structural Equation ◽

Source Credibility ◽

Positive Impact ◽

Equation Modeling ◽

Research Model ◽

Argument Quality ◽

The Impact

This study is focused on communications that come from consumer-to-consumer (C2C) ecommerce relationships. This topic is directly associated with the electronic word-of-mouth (eWOM) phenomenon. eWOM is related to the set of positive or negative opinions made by potential, actual, or former customers about a seller. The present study proposes a structural equation modeling with partial least squares (PLS-SEM) research model to analyze consumers’ opinions impact on attitude toward purchasing. This model is based on the Information Adoption Model (IAM) in combination with an ecommerce satisfaction perspective, comprising five constructs: (1) service quality, (2) ecommerce satisfaction, (3) argument quality, (4) source credibility and (5) purchase intention. The model was tested by applying the Smart Partial Least Squares (SmartPLS) software for which 116 effective data from customers of the Taobao C2C platform were used. The findings reveal that all of the defined relationships were supported, confirming the positive impact of all the proposed constructs on the purchase intention. In this respect, the findings suggest that C2C platforms should strengthen the analyzed connections to grow the business and to promote transactions. Finally, implications and limitations related to the explanatory capacity and the sample are identified.

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Analysis of Corporate Social Responsibility Execution Effects on Purchase Intention with the Moderating Role of Customer Awareness

Sustainability ◽

10.3390/su13084548 ◽

2021 ◽

Vol 13 (8) ◽

pp. 4548

Author(s):

Qingyu Zhang ◽

Sohail Ahmad

Keyword(s):

Corporate Social Responsibility ◽

Social Responsibility ◽

Purchase Intention ◽

Structural Equation ◽

Sustainable Growth ◽

Equation Modeling ◽

Future Research ◽

Purchasing Intention ◽

Corporate Social ◽

Moderating Role

Corporate social responsibility (CSR) in management domains is a well-known concept that links corporate interests and environmental/community values. CSR is considered a strategic policy that offers environmental and social competitive advantages. Organizations consider that CSR-based goodwill provides a tactical competitive edge and sustainable growth. The goal of this paper is to show how CSR programs affect consumers’ purchasing intention in the context of Pakistan. In addition, the effect of customer awareness has been studied as a moderator between CSR and purchasing intention. To this end, the study has conducted a survey and gathered Pakistani customers’ responses, and structural equation modeling has been used to evaluate the results. The study concludes that CSR activities favorably affect customer purchasing intentions directly as well as indirectly through improving brand image and trust, and customer awareness of CSR activities plays a moderating role. The implications and future research directions are discussed.

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Place attachment and brand loyalty: the moderating role of customer experience in the restaurant setting

International Hospitality Review ◽

10.1108/ihr-02-2021-0013 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Michael Boadi Nyamekye ◽

Diyawu Rahman Adam ◽

Henry Boateng ◽

John Paul Kosiba

Keyword(s):

Brand Loyalty ◽

Place Attachment ◽

Emotional Response ◽

Structural Equation ◽

Equation Modeling ◽

Content Type ◽

Place Dependence ◽

Identity Based ◽

Moderating Role

PurposeThe purpose of this study is to ascertain the effects of place attachment on brand loyalty. This study further ascertains whether the effects of emotion-based attachment on brand loyalty are stronger for customers who have a positive experience with a restaurant brand. Additionally, the authors investigate whether emotion-based attachment mediates the relationships between identity-based attachments, place dependence and brand loyalty in the restaurant setting.Design/methodology/approachThe authors administered the questionnaire to customers (diners) of restaurants in Ghana, and they were completed via a paper and pencil/pen approach. The authors tested their hypotheses using structural equation modeling.FindingsThe findings show that identity-based and emotion-based attachment enhances brand loyalty within a restaurant setting. The results also show that place dependence attachment promotes emotional bonding with restaurant brands. The study's findings also show that place dependence attachment does not have a direct and positive significant effect on brand loyalty except when an emotional response is produced.Originality/valuePlace attachment studies in a restaurant setting are rare. This study thus contributes to the place attachment literature in restaurants setting.

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EFFECTS OF INTERPERSONAL TRUST AMONG USERS OF ONLINE HEALTH COMMUNITIES ON PATIENT TRUST IN AND SATISFACTION WITH THEIR PHYSICIAN

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462317004433 ◽

2018 ◽

Vol 34 (1) ◽

pp. 56-62 ◽

Cited By ~ 4

Author(s):

Anne-Françoise Audrain-Pontevia ◽

Loick Menvielle

Keyword(s):

Patient Satisfaction ◽

Structural Equation ◽

Medical Information ◽

Interpersonal Trust ◽

Positive Influence ◽

Equation Modeling ◽

Patient Trust ◽

Online Health Communities ◽

Health Communities ◽

The Impact

Objectives:Online Health Communities (OHCs) are increasingly being used by patients in the Web 2.0 era. Today's patients have instant access to a great deal of medical information and contacts. Despite the considerable development of OHCs, little is known regarding the impact on the patient–physician relationship. This research aims at filling this gap and examines how interpersonal trust on peer-to-peer OHCs influences two key relational variables, namely patient trust in the physician and patient satisfaction with the physician. It also investigates their influences on the patient's attitude toward the physician.Methods:Drawing on both the relational and medical literatures, we propose a research model that brings out the relationships between interpersonal trust in OHCs, and patients’ trust, satisfaction and attitude toward the physician. We then conduct a quantitative survey of 512 OHC users in France, using structural equation modeling to test our hypotheses.Results:Our findings indicate that interpersonal trust in OHCs exerts a positive influence on both patients’ trust in and satisfaction with their physician. It also highlights that these two relational variables have a positive influence on patient attitude toward the physician. Our findings also indicate that patient trust influences patient satisfaction with the physician.Conclusions:This research highlights the importance of OHCs, which can be seen as valuable instruments for enhancing patient–physician relationships. It shows that healthcare managers should seek to enhance interpersonal trust among OHC users, because this trust has a positive influence on patient satisfaction with, trust in and attitude toward the physician.

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Relationship between Social Capital and Job Performance among Faculty Members of a Medical University: The Moderating Role of Entrepreneurship Behavior

10.21203/rs.3.rs-17279/v1 ◽

2020 ◽

Author(s):

Roohollah Kalhor ◽

Nadia Neysari ◽

Saeed Shahsavari ◽

Sima Rafiei

Keyword(s):

Social Capital ◽

Job Performance ◽

Structural Equation ◽

Faculty Members ◽

Equation Modeling ◽

Path Coefficient ◽

Medical Sciences ◽

Entrepreneurial Behavior ◽

Moderating Role

Abstract Background Job performance is an important organizational factor that plays a significant role in the success of organizations. This study aims to investigate the moderating role of entrepreneurial behavior in the relationship between social capital and job performance among faculty members of Qazvin University of Medical Sciences. Methods This is a descriptive-analytical study which has been conducted through a structural equation modeling among all university faculty members working in different faculties of Qazvin University of Medical Sciences in 2017. To evaluate the causal relationships between study variables, Structural Equation Modeling (SEM) on AMOS software, with the significant level of 0.05 was used. Results Findings indicated that entrepreneurial behaviors and social capital could predict job performance. The direct effect of social capital on job performance (path coefficient: 0.17) and its indirect effect with the moderating role of entrepreneurial behavior (path coefficient: 0.39) were confirmed (P< 0.05). Furthermore, Sobel test affirmed the indirect associations between variables (P< 0.05). Conclusions Strengthening social capital and promoting entrepreneurial behavior can lead to higher levels of performance. Building trust among organizational members and designing new incentive methods which use entrepreneurial indicators for performance evaluation can improve social capital. Therefore, managers can contribute to the improvement of job performance through developing entrepreneurial behavior among their employees.

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Structural Equation Modeling for the Effect of Main Factors on Abortion Issue

Journal of Raparin University ◽

10.26750/vol(7).no(1).paper1 ◽

2019 ◽

Vol 7 (1) ◽

pp. 1-13

Author(s):

Aras Jalal Mhamad ◽

Renas Abubaker Ahmed

Keyword(s):

Structural Equation Modeling ◽

Latent Variables ◽

Latent Variable ◽

Structural Equation ◽

Close Contact ◽

Maternity Hospital ◽

Equation Modeling ◽

Research Model ◽

Statistical Tools ◽

Main Factors

Based on medical exchange and medical information processing theories with statistical tools, our study proposes and tests a research model that investigates main factors behind abortion issue. Data were collected from the survey of Maternity hospital in Sulaimani, Kurdistan-Iraq. Structural Equation Modelling (SEM) is a powerful technique as it estimates the causal relationship between more than one dependent variable and many independent variables, which is ability to incorporate quantitative and qualitative data, and it shows how all latent variables are related to each other. The dependent latent variable in SEM which have one-way arrows pointing to them is called endogenous variable while others are exogenous variables. The structural equation modeling results reveal is underlying mechanism through which statistical tools, as relationship between factors; previous disease information, food and drug information, patient address, mother’s information, abortion information, which are caused abortion problem. Simply stated, the empirical data support the study hypothesis and the research model we have proposed is viable. The data of the study were obtained from a survey of Maternity hospital in Sulaimani, Kurdistan-Iraq, which is in close contact with patients for long periods, and it is number one area for pregnant women to obtain information about the abortion issue. The results shows arrangement about factors effectiveness as mentioned at section five of the study. This gives the conclusion that abortion problem must be more concern than the other pregnancy problem.

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