IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v333y2023ics0277953623004471.html
   My bibliography  Save this article

Inducing collective action intentions for healthcare reform through medical crowdfunding framing

Author

Listed:
  • Moysidou, Krystallia
  • Cohen Chen, Smadar

Abstract

As a response to the shortcomings of the U.S. healthcare system, Americans are increasingly turning to crowdfunding platforms to bankroll their health-related costs. However, although medical crowdfunding has rapidly become institutionalized as part of the U.S. healthcare financing landscape, empirical evidence on how Americans perceive its role in healthcare and the impact it might have on public attitudes is scarce. To shed more light on the above, we analyze data from one correlational and one experimental study conducted over September–November 2021. Our correlational study reveals that political orientation is associated with Americans’ views on medical crowdfunding. Specifically, we find that those who self-identified as conservative perceived medical crowdfunding as a valid part of the system, and more positively than a universal healthcare system. In contrast, medical crowdfunding is perceived less positively, as hindering a system of universal and affordable healthcare by those more liberally-oriented. In our experimental study, we explore how medical crowdfunding narratives can induce social attitudes conducive to change. Specifically, we test the effect of politicized narratives (vs. control) on group efficacy and subsequently on collective action intentions for healthcare reform, as a function of political orientation. Our results show that politicized narratives might induce collective action intentions through higher group efficacy, but only among those who self-identified as conservative. Liberally-oriented individuals held high collective action intentions for healthcare reform and were not affected by the manipulation. Our work is the first to establish empirically that medical crowdfunding, when employing politicized narratives, can induce collective action intentions, but this effect is moderated by political ideology.

Suggested Citation

  • Moysidou, Krystallia & Cohen Chen, Smadar, 2023. "Inducing collective action intentions for healthcare reform through medical crowdfunding framing," Social Science & Medicine, Elsevier, vol. 333(C).
  • Handle: RePEc:eee:socmed:v:333:y:2023:i:c:s0277953623004471
    DOI: 10.1016/j.socscimed.2023.116090
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953623004471
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2023.116090?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Berliner, Lauren S. & Kenworthy, Nora J., 2017. "Producing a worthy illness: Personal crowdfunding amidst financial crisis," Social Science & Medicine, Elsevier, vol. 187(C), pages 233-242.
    2. Viladrich, Anahí, 2012. "Beyond welfare reform: Reframing undocumented immigrants’ entitlement to health care in the United States, a critical review," Social Science & Medicine, Elsevier, vol. 74(6), pages 822-829.
    3. Nakphong, Michelle K. & De Trinidad Young, Maria-Elena & Morales, Brenda & Guzman-Ruiz, Iris Y. & Chen, Lei & Kietzman, Kathryn G., 2022. "Social exclusion at the intersections of immigration, employment, and healthcare policy: A qualitative study of Mexican and Chinese immigrants in California," Social Science & Medicine, Elsevier, vol. 298(C).
    4. Krystallia Moysidou & J. Piet Hausberg, 2020. "In crowdfunding we trust: A trust-building model in lending crowdfunding," Journal of Small Business Management, Taylor & Francis Journals, vol. 58(3), pages 511-543, May.
    5. Marrow, Helen B., 2012. "Deserving to a point: Unauthorized immigrants in San Francisco’s universal access healthcare model," Social Science & Medicine, Elsevier, vol. 74(6), pages 846-854.
    6. Renwick, Matthew J. & Mossialos, Elias, 2017. "Crowdfunding our health: Economic risks and benefits," Social Science & Medicine, Elsevier, vol. 191(C), pages 48-56.
    7. Lee, Nancy S., 2015. "Framing choice: The origins and impact of consumer rhetoric in US health care debates," Social Science & Medicine, Elsevier, vol. 138(C), pages 136-143.
    8. Igra, Mark & Kenworthy, Nora & Luchsinger, Cadence & Jung, Jin-Kyu, 2021. "Crowdfunding as a response to COVID-19: Increasing inequities at a time of crisis," Social Science & Medicine, Elsevier, vol. 282(C).
    9. Nora Kenworthy & Zhihang Dong & Anne Montgomery & Emily Fuller & Lauren Berliner, 2020. "A cross-sectional study of social inequities in medical crowdfunding campaigns in the United States," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-23, March.
    10. Davis, Aaron Renee & Elbers, Shauna K. & Kenworthy, Nora, 2023. "Racial and gender disparities among highly successful medical crowdfunding campaigns," Social Science & Medicine, Elsevier, vol. 324(C).
    11. Gaia Bassani & Nicoletta Marinelli & Silvio Vismara, 2019. "Crowdfunding in healthcare," The Journal of Technology Transfer, Springer, vol. 44(4), pages 1290-1310, August.
    12. Snyder, Jeremy & Mathers, Annalise & Crooks, Valorie A., 2016. "Fund my treatment!: A call for ethics-focused social science research into the use of crowdfunding for medical care," Social Science & Medicine, Elsevier, vol. 169(C), pages 27-30.
    13. Taylor-Clark, Kalahn Alexandra & Mebane, Felicia E. & SteelFisher, Gillian K. & Blendon, Robert J., 2007. "News of disparity: Content analysis of news coverage of African American healthcare inequalities in the USA, 1994-2004," Social Science & Medicine, Elsevier, vol. 65(3), pages 405-417, August.
    14. Mollick, Ethan, 2014. "The dynamics of crowdfunding: An exploratory study," Journal of Business Venturing, Elsevier, vol. 29(1), pages 1-16.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Laura Grassi & Simone Fantaccini, 2022. "An overview of Fintech applications to solve the puzzle of health care funding: state-of-the-art in medical crowdfunding," Financial Innovation, Springer;Southwestern University of Finance and Economics, vol. 8(1), pages 1-27, December.
    2. Borello, Giuliana & Muri, Roberta, 2024. "The effect of covid policy restrictions on donations during the sustainable and entrepreneurial context," Journal of Business Research, Elsevier, vol. 177(C).
    3. Igra, Mark & Kenworthy, Nora & Luchsinger, Cadence & Jung, Jin-Kyu, 2021. "Crowdfunding as a response to COVID-19: Increasing inequities at a time of crisis," Social Science & Medicine, Elsevier, vol. 282(C).
    4. Renwick, Matthew J. & Mossialos, Elias, 2017. "Crowdfunding our health: Economic risks and benefits," Social Science & Medicine, Elsevier, vol. 191(C), pages 48-56.
    5. Shneor, Rotem & Munim, Ziaul Haque, 2019. "Reward crowdfunding contribution as planned behaviour: An extended framework," Journal of Business Research, Elsevier, vol. 103(C), pages 56-70.
    6. Davis, Aaron Renee & Elbers, Shauna K. & Kenworthy, Nora, 2023. "Racial and gender disparities among highly successful medical crowdfunding campaigns," Social Science & Medicine, Elsevier, vol. 324(C).
    7. Myung Ja Kim & C. Michael Hall, 2019. "Can Co-Creation and Crowdfunding Types Predict Funder Behavior? An Extended Model of Goal-Directed Behavior," Sustainability, MDPI, vol. 11(24), pages 1-23, December.
    8. Armenta, Amada & Sarabia, Heidy, 2020. "Receptionists, doctors, and social workers: Examining undocumented immigrant women's perceptions of health services," Social Science & Medicine, Elsevier, vol. 246(C).
    9. Seyb, Stella K., 2022. "Red flags and rave reviews: Explaining too-good-to-be-true crowdfunding campaigns," Business Horizons, Elsevier, vol. 65(1), pages 69-78.
    10. Edgar Cambaza, 2023. "The Role of FinTech in Sustainable Healthcare Development in Sub-Saharan Africa: A Narrative Review," FinTech, MDPI, vol. 2(3), pages 1-17, July.
    11. Yalin Wang & Yaokuang Li & Juan Wu & Li Ling & Dan Long, 2023. "Does digitalization sufficiently empower female entrepreneurs? Evidence from their online gender identities and crowdfunding performance," Small Business Economics, Springer, vol. 61(1), pages 325-348, June.
    12. Kgoroeadira, Reabetswe & Burke, Andrew & Di Pietro, Francesca & van Stel, André, 2023. "Determinants of firms’ default on unsecured loans in the P2P crowdfunding market," Journal of International Financial Markets, Institutions and Money, Elsevier, vol. 89(C).
    13. Teng Ye & Jingnan Zheng & Junhui Jin & Jingyi Qiu & Wei Ai & Qiaozhu Mei, 2024. "Using Artificial Intelligence to Unlock Crowdfunding Success for Small Businesses," Papers 2407.09480, arXiv.org.
    14. Willen, Sarah S., 2012. "How is health-related “deservingness” reckoned? Perspectives from unauthorized im/migrants in Tel Aviv," Social Science & Medicine, Elsevier, vol. 74(6), pages 812-821.
    15. Nora Kenworthy & Zhihang Dong & Anne Montgomery & Emily Fuller & Lauren Berliner, 2020. "A cross-sectional study of social inequities in medical crowdfunding campaigns in the United States," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-23, March.
    16. Lenny Phulong Mamaro & Athenia Bongani Sibindi, 2022. "Financial Sustainability of African Small-to-Medium Enterprises during the COVID-19 Pandemic: Determinants of Crowdfunding Success," Sustainability, MDPI, vol. 14(23), pages 1-14, November.
    17. Janina Sundermeier & Tyge-F. Kummer, 2022. "Does personality still matter in e-commerce? How perceived hubris influences the assessment of founders’ trustworthiness using the example of reward-based crowdfunding," Electronic Markets, Springer;IIM University of St. Gallen, vol. 32(3), pages 1127-1144, September.
    18. Sarah J Pol & Jeremy Snyder & Samantha J Anthony, 2019. ""Tremendous financial burden": Crowdfunding for organ transplantation costs in Canada," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-11, December.
    19. Ferrer, José María & Ulrich, Klaus & Blanco-González-Tejero, Cristina & Caño-Marín, Enrique, 2023. "Investors’ confidence in the crowdlending platform and the impact of Covid-19," Journal of Business Research, Elsevier, vol. 155(PA).
    20. Hossain Mokter & Oparaocha Gospel Onyema, 2017. "Crowdfunding: Motives, Definitions, Typology and Ethical Challenges," Entrepreneurship Research Journal, De Gruyter, vol. 7(2), pages 1-14, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:333:y:2023:i:c:s0277953623004471. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.