Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor | Department of Management and Marketing | en_US |
| dc.contributor.advisor | Xu, Xin (MM) | en_US |
| dc.contributor.advisor | Mei, Xiaowei (MM) | en_US |
| dc.creator | Liu, Yinghao | - |
| dc.identifier.uri | https://theses.lib.polyu.edu.hk/handle/200/13846 | - |
| dc.language | English | en_US |
| dc.publisher | Hong Kong Polytechnic University | en_US |
| dc.rights | All rights reserved | en_US |
| dc.title | Improving digital resilience in the healthcare domain via effective use of online healthcare communities | en_US |
| dcterms.abstract | Many entities apply information systems to bolster resilience to internal or external shocks, referred to as information technology resilience or digital resilience. Literature has suggested that resilience contains three dimensions—prevention, resistance, and recovery. This thesis focuses on the resistance and recovery dimensions of digital resilience of certified physicians who adopted an online healthcare community (OHC) to acquire patients and conduct telemedicine services under two types of shocks that healthcare entities may face—external shocks (e.g., the sudden outbreak of COVID-19), and internal shocks (e.g., outpatient price change). | en_US |
| dcterms.abstract | Three empirical studies were conducted. The first study was conducted in a scenario where the COVID-19 pandemic (a significant external shock) underscored the urgent need for healthcare entities to develop resilient strategies to cope with disruptions caused by the pandemic. I synthesize the resilience literature and identify two effects of digital resilience—the resistance effect and the recovery effect. I use a proprietary dataset that matches online and offline data sources to study the digital resilience of physicians. A difference-in-differences (DID) analysis shows that physicians who adopted an OHC had strong resistance and recovery effects during the pandemic. Remarkably, after the COVID-19 outbreak, these physicians had 35.0% less reduction in medical consultations in the immediate period and 31.0% more bounce-back in the subsequent period as compared to physicians who did not adopt the OHC. I further analyze the sources of physicians’ digital resilience by distinguishing between new and existing patients from both online and offline channels. The subgroup analysis shows that digital resilience is more pronounced when physicians have a higher online reputation rating or have more positive interactions with patients on the OHC platform, providing further support for the mechanisms underlying digital resilience. | en_US |
| dcterms.abstract | The second study focuses on the joint effects of OHC use and the change of medical consultation price (a significant internal shock) on digital resilience. I synthesize the literature and identify two effects of physicians’ use of OHC on increasing physicians’ digital resilience: 1) amplifying the positive impact of increased outpatient consultation price on medication adherence, and 2) attenuating the negative impact of increased outpatient consultation price on outpatient visits. I construct a proprietary dataset that matches online and offline data sources. I run a difference-in-differences (DID) analysis to test these effects. Moreover, I analyze the moderating role of physician title on the amplifying and attenuating effects using a DDD analysis. | en_US |
| dcterms.abstract | The third study focuses on digital resilience when shocks haven’t occurred. I investigate the effects of physicians’ use of OHC on patients’ trust in physicians. Given the importance of trust in the healthcare domain, increasing patients’ trust would improve physicians’ digital resilience. I theorize that OHC use would increase physicians’ trust in the physicians before the patients visit the outpatient. Two laboratory experiments were conducted to test these effects. | en_US |
| dcterms.abstract | This thesis significantly contributes to research and practice. This thesis provides a broad and deep understanding of digital resilience in the healthcare context. Furthermore, this thesis investigates how healthcare entities can apply information systems to increase digital resilience. Another important contribution of this thesis is its exploration of the heterogeneous effects of physicians’ use of OHC on their digital resilience, which bears implications for practitioners to effectively utilize information systems to build digital resilience. | en_US |
| dcterms.extent | 104 pages : color illustrations | en_US |
| dcterms.isPartOf | PolyU Electronic Theses | en_US |
| dcterms.issued | 2023 | en_US |
| dcterms.educationalLevel | Ph.D. | en_US |
| dcterms.educationalLevel | All Doctorate | en_US |
| dcterms.accessRights | open access | en_US |
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