IDEAS home Printed from https://ideas.repec.org/a/gam/jsusta/v16y2024i9p3739-d1385939.html
   My bibliography  Save this article

The Role of User-Generated Content in the Sustainable Development of Online Healthcare Communities: Exploring the Moderating Influence of Signals

Author

Listed:
  • Xiaodan Yu

    (School of Information Technology and Management, University of International Business and Economics, Beijing 100029, China)

  • Hongyang Wang

    (School of Information Technology and Management, University of International Business and Economics, Beijing 100029, China)

  • Zhenjiao Chen

    (School of Information Technology and Management, University of International Business and Economics, Beijing 100029, China)

Abstract

Grounded in signaling theory, this study explores the influence of user-generated content (UGC) within online healthcare communities on patient purchasing behavior, with the overarching goal of advancing the development of online medical consultation services and contributing to the sustainable evolution of the online healthcare community. Leveraging publicly available data from the “Haodf.com”, we construct an empirical model of online medical consultation purchases, integrating principles from signaling theory and trust theory. Our analysis scrutinizes the effects of various forms of UGC on patient purchasing behavior, alongside the moderating influence of associated signals. The results demonstrate that knowledge-sharing articles authored by doctors and patient ratings positively impact consultation service purchases, whereas public displays of doctors’ past consultation records impede such transactions. Furthermore, external signals were found to moderate the relationship between UGC and consultation service purchases. The implications of these findings offer actionable insights for stakeholders invested in online healthcare communities.

Suggested Citation

  • Xiaodan Yu & Hongyang Wang & Zhenjiao Chen, 2024. "The Role of User-Generated Content in the Sustainable Development of Online Healthcare Communities: Exploring the Moderating Influence of Signals," Sustainability, MDPI, vol. 16(9), pages 1-21, April.
  • Handle: RePEc:gam:jsusta:v:16:y:2024:i:9:p:3739-:d:1385939
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2071-1050/16/9/3739/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/2071-1050/16/9/3739/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Laurens Debo & Uday Rajan & Senthil K. Veeraraghavan, 2020. "Signaling Quality via Long Lines and Uninformative Prices," Manufacturing & Service Operations Management, INFORMS, vol. 22(3), pages 513-527, May.
    2. Bart de Langhe & Philip M. Fernbach & Donald R. Lichtenstein, 2016. "Navigating by the Stars: Investigating the Actual and Perceived Validity of Online User Ratings," Journal of Consumer Research, Oxford University Press, vol. 42(6), pages 817-833.
    3. Lu, Xun & White, Halbert, 2014. "Robustness checks and robustness tests in applied economics," Journal of Econometrics, Elsevier, vol. 178(P1), pages 194-206.
    4. Jiang Shen & Bang An & Man Xu & Dan Gan & Ting Pan, 2022. "Internal or External Word-of-Mouth (WOM), Why Do Patients Choose Doctors on Online Medical Services (OMSs) Single Platform in China?," IJERPH, MDPI, vol. 19(20), pages 1-14, October.
    5. Anthony D. Miyazaki & Dhruv Grewal & Ronald C. Goodstein, 2005. "The Effect of Multiple Extrinsic Cues on Quality Perceptions: A Matter of Consistency," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 32(1), pages 146-153, June.
    6. Yanbo Ma & Zheng Li & Kaiyue Liu & Zhengmin Liu, 2022. "Price Decision-Making in Dual-Channel Healthcare Services Supply Chain Considering the Channel Acceptance, Price Ceiling, and Public Welfare," IJERPH, MDPI, vol. 19(20), pages 1-23, October.
    7. Dongxiao Gu & Xuejie Yang & Xingguo Li & Hemant K. Jain & Changyong Liang, 2018. "Understanding the Role of Mobile Internet-Based Health Services on Patient Satisfaction and Word-of-Mouth," IJERPH, MDPI, vol. 15(9), pages 1-23, September.
    8. Hong Wu & Zhaohua Deng & Bin Wang & Sumeet Gupta, 2021. "How does service price influence patients’ decisions? An examination of the free-market pricing mechanism in online health communities," Electronic Markets, Springer;IIM University of St. Gallen, vol. 31(4), pages 877-893, December.
    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. Moradi, Masoud & Dass, Mayukh & Kumar, Piyush, 2023. "Differential effects of analytical versus emotional rhetorical style on review helpfulness," Journal of Business Research, Elsevier, vol. 154(C).
    2. Muhammad Khalilur Rahman & Noor Raihani Zainol & Noorshella Che Nawi & Ataul Karim Patwary & Wan Farha Wan Zulkifli & Md Mahmudul Haque, 2023. "Halal Healthcare Services: Patients’ Satisfaction and Word of Mouth Lesson from Islamic-Friendly Hospitals," Sustainability, MDPI, vol. 15(2), pages 1-17, January.
    3. Jiexiang Jin & Mi Hyun Ryu, 2024. "Sustainable Healthcare in China: Analysis of User Satisfaction, Reuse Intention, and Electronic Word-of-Mouth for Online Health Service Platforms," Sustainability, MDPI, vol. 16(17), pages 1-18, September.
    4. (Kay) Byun, Kyung-ah & Ma, Minghui & Kim, Kevin & Kang, Taeghyun, 2021. "Buying a New Product with Inconsistent Product Reviews from Multiple Sources: The Role of Information Diagnosticity and Advertising," Journal of Interactive Marketing, Elsevier, vol. 55(C), pages 81-103.
    5. Qiuxia Yang, 2020. "Fiscal Transparency and Public Service Quality Association: Evidence from 12 Coastal Provinces and Cities of China," JRFM, MDPI, vol. 14(1), pages 1-14, December.
    6. Li, Hui & Xu, Yunjie & Huang, Lihua, 2021. "When less is more? The contingent effect of product supply limitation in the release of new electronic products," Journal of Retailing and Consumer Services, Elsevier, vol. 60(C).
    7. Wang, Mengjiao & Liu, Jianxu & Yang, Bing, 2024. "Does the strength of the US dollar affect the interdependence among currency exchange rates of RCEP and CPTPP countries?," Finance Research Letters, Elsevier, vol. 62(PA).
    8. Navarre, Jeremy T. & Frazier, Jeremy A., 2022. "Econometric analysis of factors influencing commercial helicopter operators’ stock returns in the gulf of Mexico," Journal of Air Transport Management, Elsevier, vol. 99(C).
    9. Halloran, Timothy J. & Lutz, Richard J., 2021. "Let's Give Them Something to Talk About: Which Social Media Engagements Predict Purchase Frequency?," Journal of Interactive Marketing, Elsevier, vol. 56(C), pages 83-95.
    10. Rahul Singh Gautam & Shailesh Rastogi & Aashi Rawal & Venkata Mrudula Bhimavarapu & Jagjeevan Kanoujiya & Samaksh Rastogi, 2022. "Financial Technology and Its Impact on Digital Literacy in India: Using Poverty as a Moderating Variable," JRFM, MDPI, vol. 15(7), pages 1-15, July.
    11. Minnema, Alec & Bijmolt, Tammo H.A. & Gensler, Sonja & Wiesel, Thorsten, 2016. "To Keep or Not to Keep: Effects of Online Customer Reviews on Product Returns," Journal of Retailing, Elsevier, vol. 92(3), pages 253-267.
    12. Franco Valdez, Ana Dolores & Valdez Cervantes, Alfonso & Motyka, Scott, 2018. "Beauty is truth: The effects of inflated product claims and website interactivity on evaluations of retailers' websites," Journal of Business Research, Elsevier, vol. 90(C), pages 67-74.
    13. Xun Lu, 2015. "A Covariate Selection Criterion for Estimation of Treatment Effects," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 33(4), pages 506-522, October.
    14. Sungsik Park & Woochoel Shin & Jinhong Xie, 2021. "The Fateful First Consumer Review," Marketing Science, INFORMS, vol. 40(3), pages 481-507, May.
    15. Wang, Siqi & Lim, Xin-Jean & Luo, Xi & Cheah, Jun-Hwa, 2024. "To hesitate or not to hesitate: Can popularity cues minimize the hesitation to checkout in e-commerce?," Journal of Retailing and Consumer Services, Elsevier, vol. 78(C).
    16. Jacek Jaworski & Leszek Czerwonka, 2023. "Which Capital Structure Theory Explains Financial Behaviour of Small and Medium-Sized Enterprises? Evidence from Poland," Gospodarka Narodowa. The Polish Journal of Economics, Warsaw School of Economics, issue 1, pages 82-92.
    17. Nasir, Muhammad Hamid & Zhang, Sen, 2024. "Evaluating innovative factors of the global innovation index: A panel data approach," Innovation and Green Development, Elsevier, vol. 3(1).
    18. Liu, Yong & Teichert, Thorsten & Rossi, Matti & Li, Hongxiu & Hu, Feng, 2017. "Big data for big insights: Investigating language-specific drivers of hotel satisfaction with 412,784 user-generated reviews," Tourism Management, Elsevier, vol. 59(C), pages 554-563.
    19. Cambier, Fanny & Poncin, Ingrid, 2020. "Inferring brand integrity from marketing communications: The effects of brand transparency signals in a consumer empowerment context," Journal of Business Research, Elsevier, vol. 109(C), pages 260-270.
    20. Pei-Yu Chen & Yili Hong & Ying Liu, 2018. "The Value of Multidimensional Rating Systems: Evidence from a Natural Experiment and Randomized Experiments," Management Science, INFORMS, vol. 64(10), pages 4629-4647, October.

    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:gam:jsusta:v:16:y:2024:i:9:p:3739-:d:1385939. 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: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    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.