基于web的健康社区中患者对医生忠诚度的预测因素卡塔尔世界杯8强波胆分析横断面研究吴a，邓泰来，陈兆华，张卓，吴东兰，王翔，王若曦，华中科技大学同济医学院医学与卫生管理学院，武汉航空路13号，430030,86 13071253919wuhsiang@hust.edu.cn %K医学信息学%K远程医疗%K患者%K医生%K社区网络%K心理理论%K社会理论%K卫生服务%D 2019 %7 03.09.2019 %9原论文%J J医学互联网研究%G英语%X背景:基于网络的卫生社区不仅为患者提供了寻求护理的手段，而且还促进了他们与医生的关系。然而，人们对基于网络的健康社区中患者对医生忠诚度的预测因素知之甚少。目的:本研究旨在探讨网络健康社区中患者对医生忠诚的预测因素。方法:基于社会技术系统理论和依恋理论，提出情感互动、感知专业知识和社会规范等社会因素通过情感依恋影响患者的忠诚，而社交性、个性化和感知安全等技术因素通过功能依赖影响患者的忠诚。为了验证我们提出的研究模型，我们使用了调查方法，收集了373个有效答案。采用偏最小二乘法对数据进行分析。结果:我们的实证分析结果表明，包括情感互动在内的所有社会因素(β =。257年,t350 = 2.571;P=.01)，感知专业知识(β =。288年,t350 = 3.412; P=.001), and social norm (beta=.210, t350=2.017; P=.04) affect patients’ emotional attachment toward doctors significantly, whereas except sociability (beta=.110, t350=1.152; P=.25), technical factors such as personalization (beta=.242, t350=2.228; P=.03) and perceived security (beta=.328, t350=3.438; P=.001) impact functional dependence significantly. Considering the effect of working mechanisms, both emotional attachment (beta=.443, t350=4.518; P<.001) and functional dependence (beta=.303, t350=2.672; P=.008) influence patients’ loyalty toward doctors in Web-based health communities significantly. Conclusions: Patients’ loyalty toward doctors in Web-based health communities is important for the effectiveness of doctors’ advice or service in Web-based health communities. The research results not only fill the gaps in the literature of the patient-doctor relationship and Web-based health communities but also has many implications for establishing patients’ loyalty on Web-based health communities and in physical context. %M 31482855 %R 10.2196/14484 %U //www.mybigtv.com/2019/9/e14484/ %U https://doi.org/10.2196/14484 %U http://www.ncbi.nlm.nih.gov/pubmed/31482855