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Determining factors affecting the user's intention to disclose privacy in online health communities: a dual-calculus model

BACKGROUND: As a new type of medical service application for doctor-patient interaction, online health communities (OHCs) have alleviated the imbalance between the supply and demand of medical resources in different regions and the problems of “difficult and expensive access to medical care”, but al...

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Autores principales: Sun, Zhuo, Zang, Guoquan, Wang, Zongshui, Ge, Shuang, Liu, Wei, Wang, Kaiyang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10394383/
https://www.ncbi.nlm.nih.gov/pubmed/37538265
http://dx.doi.org/10.3389/fpubh.2023.1109093
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author Sun, Zhuo
Zang, Guoquan
Wang, Zongshui
Ge, Shuang
Liu, Wei
Wang, Kaiyang
author_facet Sun, Zhuo
Zang, Guoquan
Wang, Zongshui
Ge, Shuang
Liu, Wei
Wang, Kaiyang
author_sort Sun, Zhuo
collection PubMed
description BACKGROUND: As a new type of medical service application for doctor-patient interaction, online health communities (OHCs) have alleviated the imbalance between the supply and demand of medical resources in different regions and the problems of “difficult and expensive access to medical care”, but also raised the concern of patients about the risk of disclosure of their health privacy information. METHODS: In this study, a dual-calculus model was developed to explore users' motivation and decision-making mechanism in disclosing privacy information in OHCs by combining risk calculus and privacy calculus theories. RESULTS: In OHCs, users' trust in physicians and applications is a prerequisite for their willingness to disclose health information. Meanwhile, during the privacy calculation, users' perceived benefits in OHCs had a positive effect on both trust in doctors and trust in applications, while perceived risks had a negative effect on both trusts in doctors and trust in applications. Furthermore, in the risk calculation, the perceived threat assessment in OHCs had a significant positive effect on perceived risk, while the response assessment had a significant negative effect on perceived risk, and the effect of users' trust in physicians far exceeded the effect of trust in applications. Finally, users' trust in physicians/applications is a mediating effect between perceived benefits/risks and privacy disclosure intentions. CONCLUSION: We combine risk calculus and privacy calculus theories to construct a dual-calculus model, which divides trust into trust in physicians and trust in applications, in order to explore the intrinsic motivation and decision-making mechanism of users' participation in privacy disclosure in OHCs. On the one hand, this theoretically compensates for the fact that privacy computing often underestimates perceived risk, complements the research on trust in OHCs, and reveals the influencing factors and decision transmission mechanisms of user privacy disclosure in OHCs. On the other hand, it also provides guidance for developing reasonable privacy policies and health information protection mechanisms for platform developers of OHCs.
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spelling pubmed-103943832023-08-03 Determining factors affecting the user's intention to disclose privacy in online health communities: a dual-calculus model Sun, Zhuo Zang, Guoquan Wang, Zongshui Ge, Shuang Liu, Wei Wang, Kaiyang Front Public Health Public Health BACKGROUND: As a new type of medical service application for doctor-patient interaction, online health communities (OHCs) have alleviated the imbalance between the supply and demand of medical resources in different regions and the problems of “difficult and expensive access to medical care”, but also raised the concern of patients about the risk of disclosure of their health privacy information. METHODS: In this study, a dual-calculus model was developed to explore users' motivation and decision-making mechanism in disclosing privacy information in OHCs by combining risk calculus and privacy calculus theories. RESULTS: In OHCs, users' trust in physicians and applications is a prerequisite for their willingness to disclose health information. Meanwhile, during the privacy calculation, users' perceived benefits in OHCs had a positive effect on both trust in doctors and trust in applications, while perceived risks had a negative effect on both trusts in doctors and trust in applications. Furthermore, in the risk calculation, the perceived threat assessment in OHCs had a significant positive effect on perceived risk, while the response assessment had a significant negative effect on perceived risk, and the effect of users' trust in physicians far exceeded the effect of trust in applications. Finally, users' trust in physicians/applications is a mediating effect between perceived benefits/risks and privacy disclosure intentions. CONCLUSION: We combine risk calculus and privacy calculus theories to construct a dual-calculus model, which divides trust into trust in physicians and trust in applications, in order to explore the intrinsic motivation and decision-making mechanism of users' participation in privacy disclosure in OHCs. On the one hand, this theoretically compensates for the fact that privacy computing often underestimates perceived risk, complements the research on trust in OHCs, and reveals the influencing factors and decision transmission mechanisms of user privacy disclosure in OHCs. On the other hand, it also provides guidance for developing reasonable privacy policies and health information protection mechanisms for platform developers of OHCs. Frontiers Media S.A. 2023-07-19 /pmc/articles/PMC10394383/ /pubmed/37538265 http://dx.doi.org/10.3389/fpubh.2023.1109093 Text en Copyright © 2023 Sun, Zang, Wang, Ge, Liu and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Sun, Zhuo
Zang, Guoquan
Wang, Zongshui
Ge, Shuang
Liu, Wei
Wang, Kaiyang
Determining factors affecting the user's intention to disclose privacy in online health communities: a dual-calculus model
title Determining factors affecting the user's intention to disclose privacy in online health communities: a dual-calculus model
title_full Determining factors affecting the user's intention to disclose privacy in online health communities: a dual-calculus model
title_fullStr Determining factors affecting the user's intention to disclose privacy in online health communities: a dual-calculus model
title_full_unstemmed Determining factors affecting the user's intention to disclose privacy in online health communities: a dual-calculus model
title_short Determining factors affecting the user's intention to disclose privacy in online health communities: a dual-calculus model
title_sort determining factors affecting the user's intention to disclose privacy in online health communities: a dual-calculus model
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10394383/
https://www.ncbi.nlm.nih.gov/pubmed/37538265
http://dx.doi.org/10.3389/fpubh.2023.1109093
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