Factors Influencing the Adoption of Online Health Consultation Services: The Role of Subjective Norm, Trust, Perceived Benefit, and Offline Habit

Zepeng Gong; Ziqiang Han; Xudan Li; Chao Yu; Jan D Reinhardt

doi:10.3389/fpubh.2019.00286

Factors Influencing the Adoption of Online Health Consultation Services: The Role of Subjective Norm, Trust, Perceived Benefit, and Offline Habit

Front Public Health. 2019 Oct 4:7:286. doi: 10.3389/fpubh.2019.00286. eCollection 2019.

Authors

Zepeng Gong^{1

2}, Ziqiang Han³, Xudan Li^{1

2}, Chao Yu⁴, Jan D Reinhardt^{1

5

6}

Affiliations

¹ Institute for Disaster Management and Reconstruction, Sichuan University, Chengdu, China.
² West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
³ School of Political Science and Public Administration, Shandong University, Qingdao, China.
⁴ School of Public Administration, Sichuan University, Chengdu, China.
⁵ Swiss Paraplegic Research, Nottwil, Switzerland.
⁶ Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland.

Abstract

The cyberspace plays an important role in improving the quality, equity, and efficiency of health services. Studying people's adoption of online health services, such as online health consultation services (OHCS) can benefit both industry and policy in the health service sector. This paper investigates influencing factors and paths of people's intention of adopting OHCS by employing the extended valence framework, with our new contribution of integrating subjective norm and offline habit into the model. Five hundred forty-three university students participated in the survey. Structural equation models and Sobel-Goodman tests were applied to test the models. The results show that subjective norm (β = 0.077, p = 0.041), trust in providers (β = 0.194, p = 0.002) and perceived benefit (β = 0.463, p < 0.001) positively affect the intention to adopt OHCS, while offline habit (β = -0.111, p = 0.026) has a negative effect. However, the association of perceived risk (β = -0.062, p = 0.315) and adoption is not supported. Moreover, trust in providers plays a mediating role between subjective norm and the intention of adopting, while perceived benefit mediates the relationship between trust in providers and the intention of adopting. This study highlights the importance of trust, subjective norm, perceived benefit, and persisting habits in promoting the adoption of OHCS.

Keywords: adoption; extended valence framework; habit; online health consultation service; subjective norm.