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

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  • 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
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    References listed on IDEAS

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    1. Lu, Xun & White, Halbert, 2014. "Robustness checks and robustness tests in applied economics," Journal of Econometrics, Elsevier, vol. 178(P1), pages 194-206.
    2. 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.
    3. 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.
    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. Christen, Tatjana & Hess, Manuel & Grichnik, Dietmar & Wincent, Joakim, 2022. "Value-based pricing in digital platforms: A machine learning approach to signaling beyond core product attributes in cross-platform settings," Journal of Business Research, Elsevier, vol. 152(C), pages 82-92.
    6. 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.
    7. 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.
    8. 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.
    9. 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.
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