IDEAS home Printed from https://ideas.repec.org/a/bla/bstrat/v35y2026i5p6668-6690.html

Exploring Business Strategies for the Sustainable Health Service Ecosystem: A Delone and McLean Information Systems Success Model Perspective

Author

Listed:
  • Jian Wang
  • Yujia Zhai
  • Fakhar Shahzad
  • Ciro Troise
  • Stefano Bresciani

Abstract

Currently, there is an ongoing call to increase collective understanding on how to design and optimize business strategies for a sustainable healthcare ecosystem. In this vein, the DeLone and McLean (D&M) Information Systems Success Model is broadly used to evaluate information systems and their application to lightweight apps. However, research on the quality factors that influence consumer behavior in lightweight applications remains limited. The D&M model with flow experience is applied in this study to examine how quality factors influence consumer behavior in healthcare WeChat mini‐programs. This study uses a questionnaire and structural equation modeling (SEM) to analyze and find that health consciousness moderates the relationships between information quality, system quality, service quality, and flow experience. Findings suggest that positive flow experiences enhance user trust and satisfaction, promoting continued use of lightweight applications for healthcare services. This study proposes strategies to enhance user engagement, trust, and satisfaction in the development of personalized health applications tailored to varying levels of health consciousness. This study offers specific guidance for stakeholders, including health app developers, designers, and policymakers, to help them optimize functional design based on varying levels of health awareness, enhance users' trust, and provide an immersive experience.

Suggested Citation

  • Jian Wang & Yujia Zhai & Fakhar Shahzad & Ciro Troise & Stefano Bresciani, 2026. "Exploring Business Strategies for the Sustainable Health Service Ecosystem: A Delone and McLean Information Systems Success Model Perspective," Business Strategy and the Environment, Wiley Blackwell, vol. 35(5), pages 6668-6690, July.
    • Handle: RePEc:bla:bstrat:v:35:y:2026:i:5:p:6668-6690
    DOI: 10.1002/bse.70497
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/bse.70497
    Download Restriction: no
    File URL: https://libkey.io/10.1002/bse.70497?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
    ---><---

    References listed on IDEAS

    as
    1. Liyong Wan & Shoumei Xie & Ai Shu, 2020. "Toward an Understanding of University Students’ Continued Intention to Use MOOCs: When UTAUT Model Meets TTF Model," SAGE Open, , vol. 10(3), pages 21582440209, July.
    2. Peng Wu & Ran Feng, 2021. "Social Media and Health: Emerging Trends and Future Directions for Research on Young Adults," IJERPH, MDPI, vol. 18(15), pages 1-21, July.
    3. Hossain, Akram & Quaresma, Rui & Rahman, Habibur, 2019. "Investigating factors influencing the physicians’ adoption of electronic health record (EHR) in healthcare system of Bangladesh: An empirical study," International Journal of Information Management, Elsevier, vol. 44(C), pages 76-87.
    4. Nekmahmud, Md. & Naz, Farheen & Ramkissoon, Haywantee & Fekete-Farkas, Maria, 2022. "Transforming consumers' intention to purchase green products: Role of social media," Technological Forecasting and Social Change, Elsevier, vol. 185(C).
    5. Yiqin Wang & Xiaowei Wen & Ying Zhu & Yanling Xiong & Xuefan Liu, 2022. "Chinese Residents’ Healthy Eating Intentions and Behaviors: Based on an Extended Health Belief Model," IJERPH, MDPI, vol. 19(15), pages 1-17, July.
    6. Hajli, Nick & Sims, Julian & Zadeh, Arash H. & Richard, Marie-Odile, 2017. "A social commerce investigation of the role of trust in a social networking site on purchase intentions," Journal of Business Research, Elsevier, vol. 71(C), pages 133-141.
    7. Rongteng (Renata) Zhang & Azmawani Abd Rahman, 2022. "Dive in the flow experience: millennials’ tech-savvy, satisfaction and loyalty in the smart museum," Current Issues in Tourism, Taylor & Francis Journals, vol. 25(22), pages 3694-3708, November.
    8. Al-Momani, Ala'a M. & Ramayah, T. & Al-Sharafi, Mohammed A., 2024. "Exploring the impact of cybersecurity on using electronic health records and their performance among healthcare professionals: A multi-analytical SEM-ANN approach," Technology in Society, Elsevier, vol. 77(C).
    9. Wang, Wei-Tsong & Ou, Wei-Ming & Chen, Wen-Yin, 2019. "The impact of inertia and user satisfaction on the continuance intentions to use mobile communication applications: A mobile service quality perspective," International Journal of Information Management, Elsevier, vol. 44(C), pages 178-193.
    10. Liqiong Deng & Douglas E Turner & Robert Gehling & Brad Prince, 2010. "User experience, satisfaction, and continual usage intention of IT," European Journal of Information Systems, Taylor & Francis Journals, vol. 19(1), pages 60-75, February.
    11. Peltier, James W. & Dahl, Andrew J. & Swan, Eric L., 2020. "Digital information flows across a B2C/C2C continuum and technological innovations in service ecosystems: A service-dominant logic perspective," Journal of Business Research, Elsevier, vol. 121(C), pages 724-734.
    12. William H. DeLone & Ephraim R. McLean, 1992. "Information Systems Success: The Quest for the Dependent Variable," Information Systems Research, INFORMS, vol. 3(1), pages 60-95, March.
    13. Naresh K. Malhotra & Sung S. Kim & Ashutosh Patil, 2006. "Common Method Variance in IS Research: A Comparison of Alternative Approaches and a Reanalysis of Past Research," Management Science, INFORMS, vol. 52(12), pages 1865-1883, December.
    14. Ives Chacourre Wangninanon Gogan & Ziqiong Zhang & Elizabeth Damian Matemba, 2018. "Impacts of Gratifications on Consumers’ Emotions and Continuance Use Intention: An Empirical Study of Weibo in China," Sustainability, MDPI, vol. 10(9), pages 1-20, September.
    15. Lichao Xiu & Yao Chen & Guoming Yu & Ya Yang, 2024. "The impact of conversational interaction on users’ cognitive absorption in mobile news reading context: evidence from EEG," Behaviour and Information Technology, Taylor & Francis Journals, vol. 43(2), pages 387-400, January.
    16. Wilk Oliveira & Juho Hamari & William Ferreira & Olena Pastushenko & Armando Toda & Paula Toledo Palomino & Seiji Isotani, 2024. "Uncovering associations between users' behaviour and their flow experience," Behaviour and Information Technology, Taylor & Francis Journals, vol. 43(14), pages 3416-3435, October.
    17. Isaac Elijah Dramani & Zhiwei Tang & Cephas Paa Kwasi Coffie, 2022. "Usage Intention of e-Learning Systems in Ghanaian Tertiary Institutions: A Case Study of the University for Development Studies," Sustainability, MDPI, vol. 14(12), pages 1-18, June.
    18. Rui Shi & Minghao Wang & Chang Liu & Nida Gull, 2023. "The Influence of Short Video Platform Characteristics on Users’ Willingness to Share Marketing Information: Based on the SOR Model," Sustainability, MDPI, vol. 15(3), pages 1-16, January.
    19. Hoffman, Donna L. & Novak, Thomas P., 2009. "Flow Online: Lessons Learned and Future Prospects," Journal of Interactive Marketing, Elsevier, vol. 23(1), pages 23-34.
    20. Marko Sarstedt & Jun-Hwa Cheah, 2019. "Partial least squares structural equation modeling using SmartPLS: a software review," Journal of Marketing Analytics, Palgrave Macmillan, vol. 7(3), pages 196-202, September.
    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. Morgan-Thomas, Anna & Veloutsou, Cleopatra, 2013. "Beyond technology acceptance: Brand relationships and online brand experience," Journal of Business Research, Elsevier, vol. 66(1), pages 21-27.
    2. Morteza Ghobakhloo & Masood Fathi, 2019. "Modeling the Success of Application-Based Mobile Banking," Economies, MDPI, vol. 7(4), pages 1-21, November.
    3. Alshehri, Abdullah, 2025. "When the recipe is more important than the ingredients, understanding factors affecting customer loyalty in unmanned convenience store using fsQCA," Journal of Retailing and Consumer Services, Elsevier, vol. 82(C).
    4. Li Li, 2024. "What are the Key Drivers to Promote Continuance Intention of Undergraduates in Mobile Learning? A Multi-perspective Framework," SAGE Open, , vol. 14(4), pages 21582440241, October.
    5. Zhou, Tao & Zhang, Chunlei, 2024. "Examining generative AI user addiction from a C-A-C perspective," Technology in Society, Elsevier, vol. 78(C).
    6. Mou, Jian & Benyoucef, Morad, 2021. "Consumer behavior in social commerce: Results from a meta-analysis," Technological Forecasting and Social Change, Elsevier, vol. 167(C).
    7. Sun, Jonghak & Teng, James T.C., 2017. "The construct of information systems use benefits: Theoretical explication of its underlying dimensions and the development of a measurement scale," International Journal of Information Management, Elsevier, vol. 37(5), pages 400-416.
    8. Sangjae Lee & Seongil Jeon & ByungWon Lee, 2019. "Security Controls for Employees’ Satisfaction: Perspective of Controls Framework," SAGE Open, , vol. 9(2), pages 21582440198, May.
    9. Xu, Lu & Qin, Hong & Meah, Mohammad Rajon & Hughes, Jerald, 2025. "A novel application of flow theory to mobile augmented reality," Technological Forecasting and Social Change, Elsevier, vol. 221(C).
    10. Fatma Zeynep Özata & ?çlem Er, 2015. "Determinants Of User Satisfaction With Mobile Applications: Case Of Facebook As A Mobile App In Turkey," Proceedings of Business and Management Conferences 2304356, International Institute of Social and Economic Sciences.
    11. Zeinab Zaremohzzabieh & Samsilah Roslan & Zulkifli Mohamad & Ismi Arif Ismail & Habibah Ab Jalil & Seyedali Ahrari, 2022. "Influencing Factors in MOOCs Adoption in Higher Education: A Meta-Analytic Path Analysis," Sustainability, MDPI, vol. 14(14), pages 1-21, July.
    12. Xiaoxu Dong & Huawei Zhao & Tiancai Li, 2022. "The Role of Live-Streaming E-Commerce on Consumers’ Purchasing Intention regarding Green Agricultural Products," Sustainability, MDPI, vol. 14(7), pages 1-13, April.
    13. Ko, Eun-Jung & Kim, A-Hyun & Kim, Sang-Soo, 2021. "Toward the understanding of the appropriation of ICT-based Smart-work and its impact on performance in organizations," Technological Forecasting and Social Change, Elsevier, vol. 171(C).
    14. Safdar, Sarah & Ren, Minglun & Chudhery, Muhammad Adnan Zahid & Huo, Jiazhen & Rehman, Hakeem-Ur & Rafique, Raza, 2022. "Using cloud-based virtual learning environments to mitigate increasing disparity in urban-rural academic competence," Technological Forecasting and Social Change, Elsevier, vol. 176(C).
    15. Rehman, Anis ur & Behera, Rajat Kumar & Islam, Md. Saiful & Abbasi, Faraz Ahmad & Imtiaz, Asma, 2024. "Assessing the usage of ChatGPT on life satisfaction among higher education students: The moderating role of subjective health," Technology in Society, Elsevier, vol. 78(C).
    16. Sunanjita Mahajan & Vinay Chauhan, 2025. "The Seller’s Lens on B2B E-Marketplace: Integrating Information Systems Success Model," Paradigm, , vol. 29(1), pages 61-77, June.
    17. Lo, Hui-Chiung & Chang, Wen-Jung & Chen, I-Hung, 2026. "From purchase to return: How personalized E-commerce recommendations shape consumer behavior," Journal of Retailing and Consumer Services, Elsevier, vol. 88(C).
    18. Jackie London & Siyuan Li & Heshan Sun, 2022. "Seems Legit: An Investigation of the Assessing and Sharing of Unverifiable Messages on Online Social Networks," Information Systems Research, INFORMS, vol. 33(3), pages 978-1001, September.
    19. Lara Stocchi & Naser Pourazad & Nina Michaelidou & Arry Tanusondjaja & Paul Harrigan, 2022. "Marketing research on Mobile apps: past, present and future," Journal of the Academy of Marketing Science, Springer, vol. 50(2), pages 195-225, March.
    20. Ajay Purohit & Gaurav Chopra & Parshuram G. Dangwal, 2022. "Measuring the Effectiveness of the Project Management Information System (PMIS) on the Financial Wellness of Rural Households in the Hill Districts of Uttarakhand, India: An IS-FW Model," Sustainability, MDPI, vol. 14(21), pages 1-29, October.

    More about this item

    Statistics

    Access and download statistics

    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:bla:bstrat:v:35:y:2026:i:5:p:6668-6690. 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: Wiley Content Delivery (email available below). General contact details of provider: http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1099-0836 .

    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.