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How Team Diversity Influences Online Medical Team Service Performance Through Shared Leadership: An Input-Process-Output Perspective

Author

Listed:
  • Wenchao Du

    (Harbin Institute of Technology)

  • Wu Liu

    (Hong Kong Polytechnic University)

  • Xitong Guo

    (Harbin Institute of Technology)

  • Doug Vogel

    (Harbin Institute of Technology)

Abstract

The relationship between team diversity and team performance is an essential topic in the literature about working teams, but evidence on the issue is contradictory. It also remains unclear how shared leadership, as a team process, is affected by team composition and eventually affects team performance, especially in the online medical team context. Drawing on the input-process-output framework, this study focuses on online medical teams and investigates the relationships between team diversity, shared leadership, and team service performance, considering the mediating role of shared leadership and the moderating role of team size. Collecting data about online medical teams from a leading online health consultation platform in China, we leverage hierarchical linear models and the bias-corrected bootstrap method to examine our research questions. Our results indicate (1) gender diversity and professional competence diversity negatively influence shared leadership in online medical team service; (2) shared leadership mediates and mitigates the negative effects of gender diversity and professional competence diversity on online medical team service performance; and (3) the negative indirect effect of team diversity (including gender diversity, hospital diversity, professional background diversity, and professional competence diversity) on online medical team service performance via shared leadership is mitigated by team size. The indirect effects of team diversity become significantly positive for large teams. This study highlights the critical role of shared leadership in online medical team service and provides insights into when team diversity would benefit online medical teams. This study offers valuable theoretical and practical implications.

Suggested Citation

  • Wenchao Du & Wu Liu & Xitong Guo & Doug Vogel, 2024. "How Team Diversity Influences Online Medical Team Service Performance Through Shared Leadership: An Input-Process-Output Perspective," Group Decision and Negotiation, Springer, vol. 33(1), pages 27-54, February.
    • Handle: RePEc:spr:grdene:v:33:y:2024:i:1:d:10.1007_s10726-023-09853-x
    DOI: 10.1007/s10726-023-09853-x
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    References listed on IDEAS

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    1. Tekleab, Amanuel G. & Quigley, Narda R., 2014. "Team deep-level diversity, relationship conflict, and team members' affective reactions: A cross-level investigation," Journal of Business Research, Elsevier, vol. 67(3), pages 394-402.
    2. María del Carmen Triana & Kwanghyun Kim & Seo‐Young Byun & Dora María Delgado & Winfred Arthur, 2021. "The Relationship Between Team Deep‐Level Diversity and Team Performance: A Meta‐Analysis of the Main Effect, Moderators, and Mediating Mechanisms," Journal of Management Studies, Wiley Blackwell, vol. 58(8), pages 2137-2179, December.
    3. Xusen Cheng & Ying Bao & Xiaodan Yu & Yuanyanhang Shen, 2021. "Trust and Group Efficiency in Multinational Virtual Team Collaboration: A Longitudinal Study," Group Decision and Negotiation, Springer, vol. 30(3), pages 529-551, June.
    4. Derrick J. Neufeld & Zeying Wan & Yulin Fang, 2010. "Remote Leadership, Communication Effectiveness and Leader Performance," Group Decision and Negotiation, Springer, vol. 19(3), pages 227-246, May.
    5. Xiaofei Zhang & Xitong Guo & Kee-hung Lai & Wu Yi, 2019. "How does online interactional unfairness matter for patient–doctor relationship quality in online health consultation? The contingencies of professional seniority and disease severity," European Journal of Information Systems, Taylor & Francis Journals, vol. 28(3), pages 336-354, May.
    6. Soon Ang & Sandra Slaughter & Kok Yee Ng, 2002. "Human Capital and Institutional Determinants of Information Technology Compensation: Modeling Multilevel and Cross-Level Interactions," Management Science, INFORMS, vol. 48(11), pages 1427-1445, November.
    7. Viju Raghupathi & Raquel Benbunan-Fich, 2020. "A Social Capital Perspective on Computer-Mediated Group Communication and Performance: An Empirical Study," Group Decision and Negotiation, Springer, vol. 29(4), pages 747-801, August.
    8. Dominik Siemon, 2022. "Elaborating Team Roles for Artificial Intelligence-based Teammates in Human-AI Collaboration," Group Decision and Negotiation, Springer, vol. 31(5), pages 871-912, October.
    9. 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.
    10. Muethel, Miriam & Hoegl, Martin, 2010. "Cultural and societal influences on shared leadership in globally dispersed teams," Journal of International Management, Elsevier, vol. 16(3), pages 234-246, September.
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