IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v365y2025ics0277953624009882.html
   My bibliography  Save this article

Managing medical knowledge flow: Physicians’ social media actualisation practices

Author

Listed:
  • Lee, Joyce Yi-Hui
  • Panteli, Niki
  • Lin, Jessy Chia-Yu

Abstract

Physicians have extensive clinical knowledge and are thus uniquely positioned to offer public health education through social media (SM) platforms. However, it may be challenging for them to effectively communicate complex medical information to lay people with varying levels of related knowledge. There is limited research on how physicians navigate these challenges. This study uses affordance actualisation theory to investigate how a prominent physician adapts SM features to effectively disseminate medical and scientific information. The study identifies two key SM actualisation practices in this process. First, the process involves balancing knowledge brevity to improve accessibility while maintaining information fidelity to ensure accuracy. Second, the process involves providing valuable clinical insights while adhering to legal constraints in the open SM environment through the optimisation of SM features as a compensatory mechanism. The current findings contribute to a theoretical framework on how physicians manage medical knowledge flow online, which involves not only advancing knowledge but also carefully regulating knowledge to maintain accuracy and professional standards within the open nature of SM.

Suggested Citation

  • Lee, Joyce Yi-Hui & Panteli, Niki & Lin, Jessy Chia-Yu, 2025. "Managing medical knowledge flow: Physicians’ social media actualisation practices," Social Science & Medicine, Elsevier, vol. 365(C).
  • Handle: RePEc:eee:socmed:v:365:y:2025:i:c:s0277953624009882
    DOI: 10.1016/j.socscimed.2024.117534
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953624009882
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2024.117534?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. Rueger, Jasmina & Dolfsma, Wilfred & Aalbers, Rick, 2021. "Perception of peer advice in online health communities: Access to lay expertise," Social Science & Medicine, Elsevier, vol. 277(C).
    2. Lin, Xiaolin & Kishore, Rajiv, 2021. "Social media-enabled healthcare: A conceptual model of social media affordances, online social support, and health behaviors and outcomes," Technological Forecasting and Social Change, Elsevier, vol. 166(C).
    3. Kaplan, Andreas M. & Haenlein, Michael, 2010. "Users of the world, unite! The challenges and opportunities of Social Media," Business Horizons, Elsevier, vol. 53(1), pages 59-68, January.
    4. Schneider-Kamp, Anna & Takhar, Jennifer, 2023. "Interrogating the pill: Rising distrust and the reshaping of health risk perceptions in the social media age," Social Science & Medicine, Elsevier, vol. 331(C).
    5. Samer Faraj & Georg von Krogh & Eric Monteiro & Karim R. Lakhani, 2016. "Special Section Introduction—Online Community as Space for Knowledge Flows," Information Systems Research, INFORMS, vol. 27(4), pages 668-684, December.
    6. Bernardi, Roberta & Wu, Philip F., 2022. "Online health communities and the patient-doctor relationship: An institutional logics perspective," Social Science & Medicine, Elsevier, vol. 314(C).
    7. Campbell, Patricia A., 2021. "Lay participation with medical expertise in online self-care practices: Social knowledge (co)production in the Running Mania injury forum," Social Science & Medicine, Elsevier, vol. 277(C).
    8. Wu, Hong & Deng, Zhaohua, 2019. "Knowledge collaboration among physicians in online health communities: A transactive memory perspective," International Journal of Information Management, Elsevier, vol. 49(C), pages 13-33.
    9. Déom, Noémie & Vanderslott, Samantha & Kingori, Patricia & Martin, Sam, 2023. "Online on the frontline: A longitudinal social media analysis of UK healthcare workers’ attitudes to COVID-19 vaccines using the 5C framework," Social Science & Medicine, Elsevier, vol. 339(C).
    10. Andrew Burton-Jones & Olga Volkoff, 2017. "How Can We Develop Contextualized Theories of Effective Use? A Demonstration in the Context of Community-Care Electronic Health Records," Information Systems Research, INFORMS, vol. 28(3), pages 468-489, September.
    11. Wang, Yuxi & McKee, Martin & Torbica, Aleksandra & Stuckler, David, 2019. "Systematic Literature Review on the Spread of Health-related Misinformation on Social Media," Social Science & Medicine, Elsevier, vol. 240(C).
    12. Michael Barrett & Eivor Oborn & Wanda Orlikowski, 2016. "Creating Value in Online Communities: The Sociomaterial Configuring of Strategy, Platform, and Stakeholder Engagement," Information Systems Research, INFORMS, vol. 27(4), pages 704-723, December.
    13. Williams, Allan M. & Baláz, Vladimir, 2008. "International return mobility, learning and knowledge transfer: A case study of Slovak doctors," Social Science & Medicine, Elsevier, vol. 67(11), pages 1924-1933, December.
    14. Islam, A.K.M. Najmul & Laato, Samuli & Talukder, Shamim & Sutinen, Erkki, 2020. "Misinformation sharing and social media fatigue during COVID-19: An affordance and cognitive load perspective," Technological Forecasting and Social Change, Elsevier, vol. 159(C).
    15. Raymond F. Zammuto & Terri L. Griffith & Ann Majchrzak & Deborah J. Dougherty & Samer Faraj, 2007. "Information Technology and the Changing Fabric of Organization," Organization Science, INFORMS, vol. 18(5), pages 749-762, October.
    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. Smailhodzic, Edin & Boonstra, Albert & Langley, David J., 2021. "Social media enabled interactions in healthcare: Towards a taxonomy," Social Science & Medicine, Elsevier, vol. 291(C).
    2. Rodrigo, Laura & Palacios, Miguel & Martínez-Corral, Alberto & Tafur, Javier, 2025. "Virtual virtuous cycles. Mapping value structure in digital platforms and online communities realms," Technological Forecasting and Social Change, Elsevier, vol. 211(C).
    3. Ying Guo & Xiantao Xiao, 2022. "Author-level altmetrics for the evaluation of Chinese scholars," Scientometrics, Springer;Akadémiai Kiadó, vol. 127(2), pages 973-990, February.
    4. Ronnie Das & Wasim Ahmed, 2022. "Rethinking Fake News: Disinformation and Ideology during the time of COVID-19 Global Pandemic," IIM Kozhikode Society & Management Review, , vol. 11(1), pages 146-159, January.
    5. Xing, Yunfei & Zhang, Justin Zuopeng & Teng, Guangqing & Zhou, Xiaotang, 2024. "Voices in the digital storm: Unraveling online polarization with ChatGPT," Technology in Society, Elsevier, vol. 77(C).
    6. Alaimo, Cristina & Kallinikos, Jannis, 2022. "Organizations decentered: data objects, technology and knowledge," LSE Research Online Documents on Economics 112470, London School of Economics and Political Science, LSE Library.
    7. Adhikari, Pawan & Upadhaya, Bedanand & Wijethilake, Chaminda & Dhakal Adhikari, Shovita, 2023. "The sociomateriality of digitalisation in Nepalese NGOs," The British Accounting Review, Elsevier, vol. 55(5).
    8. Godé, Cécile & Brion, Sébastien, 2024. "The affordance-actualization process of predictive analytics: Towards a configurational framework of a predictive policing system," Technological Forecasting and Social Change, Elsevier, vol. 204(C).
    9. Steffi Siegert & Mikael Holmgren Caicedo & Maria Mårtensson Hansson, 2020. "Boundaryless Twitter Use: On the Affordances of Social Media," Social Sciences, MDPI, vol. 9(11), pages 1-18, November.
    10. Richet, Jean-Loup & Currás-Móstoles, Rosa & Martín, José María Martín, 2024. "Complexity in online collective assessments: Implications for the wisdom of the crowd," Technological Forecasting and Social Change, Elsevier, vol. 200(C).
    11. Qing Ye & Hong Wu, 2023. "Offline to online: The impacts of offline visit experience on online behaviors and service in an Internet hospital," Electronic Markets, Springer;IIM University of St. Gallen, vol. 33(1), pages 1-21, December.
    12. Zihao Deng & Zhaohua Deng & Shan Liu & Richard Evans, 2025. "Knowledge transfer between physicians from different geographical regions in China’s online health communities," Information Technology and Management, Springer, vol. 26(1), pages 83-100, March.
    13. Huarng, Kun-Huang & Lee, Cheng-Fang & Yu, Tiffany Hui-Kuang, 2023. "Case study of a healthcare virtual community model," Technological Forecasting and Social Change, Elsevier, vol. 188(C).
    14. Tim, Yenni & Hallikainen, Petri & Pan, Shan L & Tamm, Toomas, 2020. "Actualizing business analytics for organizational transformation: A case study of Rovio Entertainment," European Journal of Operational Research, Elsevier, vol. 281(3), pages 642-655.
    15. Becker, Markus C. & Rullani, Francesco & Zirpoli, Francesco, 2021. "The role of digital artefacts in early stages of distributed innovation processes," Research Policy, Elsevier, vol. 50(10).
    16. Tymoteusz Doligalski, 2025. "Common typology of multi-sided platforms and virtual communities: analysis of business models using qualitative system dynamics," Electronic Commerce Research, Springer, vol. 25(2), pages 951-985, April.
    17. Sirola, Anu & Nuckols, Julia & Nyrhinen, Jussi & Wilska, Terhi-Anna, 2022. "The use of the Dark Web as a COVID-19 information source: A three-country study," Technology in Society, Elsevier, vol. 70(C).
    18. Liu, Jialing & Wei, Jiang & Liu, Yang & Jin, Duo, 2022. "How to channel knowledge coproduction behavior in an online community: Combining machine learning and narrative analysis," Technological Forecasting and Social Change, Elsevier, vol. 183(C).
    19. Charry, Karine & Tessitore, Tina, 2021. "I tweet, they follow, you eat: Number of followers as nudge on social media to eat more healthily," Social Science & Medicine, Elsevier, vol. 269(C).
    20. Shwartz-Asher, Daphna & Chun, Soon & Adam, Nabil R. & Snider, Keren LG., 2020. "Knowledge sharing behaviors in social media," Technology in Society, Elsevier, vol. 63(C).

    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:365:y:2025:i:c:s0277953624009882. 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.