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How professional capital and team heterogeneity affect the demands of online team-based medical service

BACKGROUND: The provision of medical services by Medical Teams (MT) on Online Healthcare Communities (OHCs) is a novel method employed by geographically-dispersed healthcare professionals to serve one patient simultaneously, allowing patients to receive more specific, targeted and comprehensive advi...

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Autores principales: Li, Jiaying, Wu, Hong, Deng, Zhaohua, Lu, Naiji, Evans, Richard, Xia, Chenxi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604171/
https://www.ncbi.nlm.nih.gov/pubmed/31262282
http://dx.doi.org/10.1186/s12911-019-0831-y
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author Li, Jiaying
Wu, Hong
Deng, Zhaohua
Lu, Naiji
Evans, Richard
Xia, Chenxi
author_facet Li, Jiaying
Wu, Hong
Deng, Zhaohua
Lu, Naiji
Evans, Richard
Xia, Chenxi
author_sort Li, Jiaying
collection PubMed
description BACKGROUND: The provision of medical services by Medical Teams (MT) on Online Healthcare Communities (OHCs) is a novel method employed by geographically-dispersed healthcare professionals to serve one patient simultaneously, allowing patients to receive more specific, targeted and comprehensive advice. As a relatively new method of service delivery, little attention has been paid to identifying the determinants of Team-based Service Demands (TSD). Based on Upper Echelons Theory and Social Exchange Theory, this study examines the impact of both professional capital (status capital and decisional capital) and team heterogeneity (team size and dispersion) on TSD. METHODS: This study uses data collected from 890 MTs, employing 3994 team members, operating on haodf.com, a Chinese OHC, to examine effects of both leader and team characteristics on TSD. RESULTS: Our findings suggest that a MT’s characteristics have a significant impact on TSD. Firstly, the decisional capital of both leaders and teams were positively related with TSD, while only the status capital of leaders saw a positive impact. Secondly, team heterogeneity influenced TSD in two ways: (1) provided a direct negative impact and (2) positively moderated the relationship between professional capital and TSD. CONCLUSION: This paper comprehensively studies the impact of TSD from the perspectives of professional capital and team heterogeneity, expanding current theoretical understanding of team heterogeneity and social capital in OHCs. Further, it provides practical suggestions for platform development and team leaders managing MTs in online environments.
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spelling pubmed-66041712019-07-12 How professional capital and team heterogeneity affect the demands of online team-based medical service Li, Jiaying Wu, Hong Deng, Zhaohua Lu, Naiji Evans, Richard Xia, Chenxi BMC Med Inform Decis Mak Research Article BACKGROUND: The provision of medical services by Medical Teams (MT) on Online Healthcare Communities (OHCs) is a novel method employed by geographically-dispersed healthcare professionals to serve one patient simultaneously, allowing patients to receive more specific, targeted and comprehensive advice. As a relatively new method of service delivery, little attention has been paid to identifying the determinants of Team-based Service Demands (TSD). Based on Upper Echelons Theory and Social Exchange Theory, this study examines the impact of both professional capital (status capital and decisional capital) and team heterogeneity (team size and dispersion) on TSD. METHODS: This study uses data collected from 890 MTs, employing 3994 team members, operating on haodf.com, a Chinese OHC, to examine effects of both leader and team characteristics on TSD. RESULTS: Our findings suggest that a MT’s characteristics have a significant impact on TSD. Firstly, the decisional capital of both leaders and teams were positively related with TSD, while only the status capital of leaders saw a positive impact. Secondly, team heterogeneity influenced TSD in two ways: (1) provided a direct negative impact and (2) positively moderated the relationship between professional capital and TSD. CONCLUSION: This paper comprehensively studies the impact of TSD from the perspectives of professional capital and team heterogeneity, expanding current theoretical understanding of team heterogeneity and social capital in OHCs. Further, it provides practical suggestions for platform development and team leaders managing MTs in online environments. BioMed Central 2019-06-28 /pmc/articles/PMC6604171/ /pubmed/31262282 http://dx.doi.org/10.1186/s12911-019-0831-y Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Li, Jiaying
Wu, Hong
Deng, Zhaohua
Lu, Naiji
Evans, Richard
Xia, Chenxi
How professional capital and team heterogeneity affect the demands of online team-based medical service
title How professional capital and team heterogeneity affect the demands of online team-based medical service
title_full How professional capital and team heterogeneity affect the demands of online team-based medical service
title_fullStr How professional capital and team heterogeneity affect the demands of online team-based medical service
title_full_unstemmed How professional capital and team heterogeneity affect the demands of online team-based medical service
title_short How professional capital and team heterogeneity affect the demands of online team-based medical service
title_sort how professional capital and team heterogeneity affect the demands of online team-based medical service
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604171/
https://www.ncbi.nlm.nih.gov/pubmed/31262282
http://dx.doi.org/10.1186/s12911-019-0831-y
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