Offline Reputation Matters: Physicians’ Online Reputation Bias in Online Health Communities (Preprint)

2021 ◽  
Author(s):  
Jin Jiang ◽  
Yuxin Sun ◽  
Yuanyuan DANG ◽  
Shanshan Guo ◽  
Shuai Wang

BACKGROUND Online health communities (OHCs) have gradually become an important service platform for patients to communicate with physicians and obtain treatment and related medical information. With the rise of OHCs, an increasing number of scholars have begun to study the incentive mechanism of a physician’s online contribution behavior. However, previous studies have ignored the limited effect of online reputation on a physician’s online contribution and the moderating effect of offline reputation. OBJECTIVE We hypothesized that online reputation shows an inverted U-shaped relation with a physician’s contribution and that offline reputation reduces the inverted U-shaped relation, thus weakening the positive impact of reputation on performance and strengthening the negative impact of reputation performance. METHODS Based on incentive theory and prior studies, we proposed three hypotheses. We collected the panel data of 6,648 physicians from Good Physician, one of the largest OHCs in China. An empirical model was built to test our hypotheses. Additionally, the variables representing online reputation were replaced and the data set was split for the robustness check. RESULTS First, our results support the hypothesis of an inverted U-shaped relationship between a physician’s online reputation and their online contribution behavior(β=-0.127, t=13.624, P<.001). Second, we identify the bipolar impact of online and offline reputation on a physician’s online contribution. Specifically, over a period of time, online reputation will promote the contribution of physicians(slope=1.514, P<.001), while offline reputation will inhibit the contribution. Third, our research shows that offline reputation can weaken the impact of online reputation on a physician’s online contribution. CONCLUSIONS We amended the bias of the positive linear correlation between online reputations and online contributions in OHCs. Moreover, by identifying the moderating effect of offline reputation, we ameliorated the interpreting mechanism of online reputation on a physician’s online contribution. The findings improve our understanding of physicians' online contribution behaviors and contribute to the literature on OHCs. Our research can provide guidance for an OHC to design effective personalized incentive mechanisms and encourage physicians to provide more high-quality services.

Author(s):  
Anne-Françoise Audrain-Pontevia ◽  
Loick Menvielle

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.


2021 ◽  
Vol 20 (1) ◽  
pp. 61-83
Author(s):  
Laith Fouad Alshouha ◽  
◽  
Wan Nur Syahida Wan Ismail ◽  
Mohd Zulkifli Mokhtar ◽  
Nik Mohd Norfadzilah Nik Mohd Rashid ◽  
...  

The purpose of the current study was to investigate the relationship between financial structure towards the financial performance of companies listed on Amman stock exchange (ASE) as one of the emerging economies. This paper adopted a panel data set of 88 non-financial companies listed on the ASE over a period of 10 years from 2009 to 2018. According to empirical results that there is significant evidence to support the fact that debt repaying ability (DRAB), managerial ownership (MANOW), and foreign ownership (FOROW) are positively related to firm performance. Otherwise, the findings revealed no evidence to support the impact of the financial structure ability (FSA) towards firm performance. Moreover, the findings support the fact that firm size (SIZ) has a positive impact on firm performance of companies listed on the ASE. On the other hand, (AGE) has a negative impact on firm performance, while (GROWTH) has no impact on firm performance. The current study encourages managers to maintain a good percentage of debt repaying ability and owners to grant shares as managers’ incentives, and also to attract foreign investors. Future studies, should try applying the current study on the financial sector.


2017 ◽  
Vol 31 (3) ◽  
pp. 154-162 ◽  
Author(s):  
Anne-Francoise Audrain-Pontevia ◽  
Loick Menvielle

The diffusion of the Web 2.0 has made it possible for patients to exchange on online health communities, defined as computer-mediated communities dedicated to health topics, wherein members can build relationships with other members. It is now acknowledged that online health communities provide users not only with medical information but also with social support with no time or geographical boundaries. However, in spite of their considerable interest, there is still a paucity of research as to how online health communities alter the patient–physician relationship. This research aims at filling this gap and examines how online health communities, while providing users with computer-mediated social support and empowerment, impact the patient–physician relationship. Six hypotheses are proposed and tested. A survey was developed and 328 responses were collected from online patient groups in Canada in 2016. The data were analysed using structural equation modelling. All but one hypothesis are validated. The results show that user computer-mediated social support positively influences user empowerment and participation during the consultation, which in turn determines user commitment to the relationship with the physician. Importantly and contrary to our expectations, user empowerment is found to be significantly but negatively related to user commitment with the physician.


2019 ◽  
Vol 1 (3) ◽  
pp. 92-97
Author(s):  
Tayyaba Hina ◽  
Muhammad Asad ur Rehman Naseer

The basic purpose of this study was to look at the position of Better Management Practices (BMPs) of cotton crop in order to reduce the burden on our natural scarce resources. Relevant information was taken from 150 respondents from the district Khanewal, Punjab. The results of this study revealed that the education level and landholding size of respondents have a positive impact on the adoption of sustainable agricultural practices. While the farmer’s age and farming experience were found a negative impact on BMPs adoption rate. Similarly, contact of respondents with the staff of farmer’s field schools and the number of visits of farmer’s field school staff were found positively correlated to BMPs adoption rate. The results of the regression analysis revealed the impact of different agriculture inputs and BMPs on cotton yield. The results showed that the age of the farmers, education, fertilizer, irrigations, water scouting, cotton area, farmyard manure, and hybrid seed variety and sowing method had a positive sign while the sign of pesticide coefficient was negative. The gross margins of BMPs adopter and non-adopter were 45,955 PKR and 28,790 PKR per acre respectively. The model also indicated that the production function fits well with the given data set. Therefore, the results of this study conveyed policy messages for the private and public organizations to promote BMPs for the betterment of the farming community.


2020 ◽  
Author(s):  
Qin Chen ◽  
Xiangbin Yan ◽  
Tingting Zhang

BACKGROUND With the dramatic development of Web 2.0, an increasing number of patients and physicians are active in online health communities (OHCs). While extant literature has primarily discussed factors that influence patient consultation in OHCs, there is a lack of a thorough examination of the impact of two dimensions of physicians’ service quality on patients’ choices of physicians for their consulting services. OBJECTIVE This study aimed to explore the impact of the service delivery process (i.e., physicians’ login behavior) and service outcomes (i.e., online reputation) on patient consultation. METHODS A longitudinal study is conducted to examine the effects of login behavior and online reputation on patient consultation by analyzing short panel data from 779 physicians over five time periods in a Chinese OHC. RESULTS The results indicate that physicians’ service delivery process positively affects patient consultation, specifically with respect to login behavior. The maximum number of days of physicians’ no-login should be 20 days. Two online signals (login behavior and online reputation) are not complementary to each other. In addition, the moderating effects of offline signals (i.e., offline status) on two online signals are different, with the relationship between online reputation and patient consultation being positively moderated by offline status. CONCLUSIONS This study contributes to online service quality and e-health literature by investigating the effects of two dimensions of physicians’ service quality on patient consultation and making a clear distinction between the online and offline signals. This study also provides practical implications, indicating that the service delivery process can affect patient consultation alone, rather than a complementary effect with the service outcomes.


2019 ◽  
Vol 8 (1) ◽  
pp. 26-39 ◽  
Author(s):  
Imtiaz Arif ◽  
Amna Sohail Rawat

PurposeThe purpose of this paper is to assess the impact of trade and financial sector openness and their simultaneous openness on financial development of South Asia.Design/methodology/approachTo serve the purpose, a panel data set of four South Asian economies, namely, India, Pakistan, Sri Lanka and Bangladesh, was constituted for the period spanning from 1996 to 2015. Along with the conventional panel unit root test and co-integration test, pooled mean group estimations were used to formulate the empirical findings.FindingsThe findings suggested a significant negative impact of financial openness and significant positive impact of trade openness on the financial development of South Asia. The empirical evidence did not support simultaneous openness of trade and financial sector for the studied region.Originality/valueThe study contributes to the existing literature by analyzing the effect of trade and financial openness on financial development of South Asia. The study provides substantial evidence to the stakeholders for formulating policies that can boost financial development of the region.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A18-A19
Author(s):  
Molly Zimmerman ◽  
Christiane Hale ◽  
Adam Brickman ◽  
Lok-Kin Yeung ◽  
Justin Cochran ◽  
...  

Abstract Introduction Sleep loss has a range of detrimental effects on cognitive ability. However, few studies have examined the impact of sleep restriction on neuropsychological function using an experimental design. The goal of this study was to examine the extent to which maintained insufficient sleep affects cognition in healthy adults compared to habitual adequate sleep. Methods This study used a randomized, crossover, outpatient sleep restriction design. Adults who regularly slept at least 7 h/night, verified by 2 weeks of screening with actigraphy, completed 2 phases of 6 weeks each: habitual sleep (&gt;7 h of sleep/night) or sleep restriction (habitual sleep minus 1.5 h) separated by a 6-week washout period. During the sleep restriction phase, participants were asked to delay their bedtime by 1.5 hours/night while maintaining their habitual wake time. Neuropsychological function was evaluated with the NIH Toolbox Cognition Battery at baseline (week 0) and endpoint (week 6) of each intervention phase. The NIH Toolbox evaluates a range of cognitive abilities, including attention, executive functioning, and working memory. General linear models with post hoc paired t-tests were used to assess demographically-adjusted test scores prior to and following each sleep condition. Results At the time of analyses, 16 participants were enrolled (age 34.5□14.5 years, 9 women), 10 of whom had completed study procedures. An interaction between sleep condition and testing session revealed that individuals performed worse on List Sorting, a working memory test, after sleep restriction but improved slightly after habitual sleep (p&lt;0.001). While not statistically reliable, the pattern of test results was similar on the other tests of processing speed, executive function, and attention. Conclusion In these preliminary results from this randomized experimental study, we demonstrated that sleep restriction has a negative impact while stable habitual adequate sleep has a positive impact on working memory, or the ability to temporarily hold information in mind while executing task demands. This finding contributes to our understanding of the complex interplay between different aspects of sleep quality (i.e., both sleep restriction as well as the maintenance of stable sleep patterns) on cognition and underscores the importance of routine sleep screening as part of medical evaluations. Support (if any):


2021 ◽  
Vol 13 (8) ◽  
pp. 4513
Author(s):  
Summaira Malik ◽  
Muhammad Taqi ◽  
José Moleiro Martins ◽  
Mário Nuno Mata ◽  
João Manuel Pereira ◽  
...  

The success of a construction project is a widely discussed topic, even today, and there exists a difference of opinion. The impact of communication and conflict on project success is an important, but least addressed, issue in literature, especially in the case of underdeveloped countries. Miscommunication and conflict not only hinder the success of a project but also may lead to conflicts. The focus of this paper was to examine the impact of communication on project success with the mediating role of conflict. By using SPSS, demographics, descriptive statistics and correlation were determined. Smart PLS version 3.0 was used for confirmatory factor analysis (CFA), internal accuracy and validity estimates, hypothesis checking and mediation testing. The results showed that formal communication has a negative impact on the success of a construction project, resulting in conflicts among project team members, whereas informal communication and communication willingness have a positive impact on project success because people tend to know each other, and trust is developed. Task, process and relationship conflicts were used as mediating variables. It was found that task conflict effects the relations positively because project team members suggest different ways to do a certain task, and, hence, project success is achieved. On the contrary, process conflict and relationship conflict have a negative impact on communication and project success. Both of these conflicts lead to miscommunication, and project success is compromised. Hence, it is the responsibility of the project manager to enhance communication among project team members and to reduce the detrimental effects of process and relationship conflict on project success.


2021 ◽  
Vol 13 (7) ◽  
pp. 3960
Author(s):  
Meng-Meng Geng ◽  
Ling-Yun He

It is a problem worth thinking about whether the government’s environmental regulation policies can meet the residents’ requirements for environmental quality, and benefit the people. The study of the public’s subjective evaluation can more intuitively judge whether the government’s environmental regulation has realized “ecological benefits for the people”. Based on the data of the Chinese General Social Survey (CGSS) in 2013, this paper studied the impact of environmental regulation and environmental awareness on environmental governance satisfaction by an ordered probit model. The study found that environmental regulation has a significant positive impact on environmental governance satisfaction, while environmental awareness has a significant negative impact on environmental governance satisfaction. We also found that when public environmental awareness is taken into account, the positive relationship between environmental regulation and environmental governance satisfaction is affected. The robustness test proved this conclusion.


2021 ◽  
Vol 13 (13) ◽  
pp. 7380
Author(s):  
Hong Liu ◽  
Zhihua Liu ◽  
Yongzeng Lai ◽  
Lin Li

This study conducted a comprehensive and systematic investigation of the influencing factors for collaborative innovation project (CIP) performance. First, a theoretical framework model was constructed, and then a structural equation model (SEM) was used for an empirical analysis of 199 CIPs. Furthermore, we divided the factors into tangible and intangible categories and considered the impact mechanism of nine typical factors on project performance. The results are as follows: (1) All nine factors had a significant positive impact on the performance of collaborative innovation projects, among which benefit distribution and collaborative innovation capability were the most important. (2) Benefit distribution, resource dependence, organizational climate, and collaborative innovation affected project performance, both directly and indirectly. (3) Effective communication, leadership support, knowledge sharing, and collaborative innovation ability only had a direct influence, while the incentive mechanism played only an indirect role. Finally, three suggestions were put forward on the idea of high-quality, sustainable development.


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