خلاصه
مقدمه
چارچوب مفهومی
رویکرد روش شناختی
یافته های تجربی
بحث
محدودیت ها
نتیجه گیری و تحقیقات بیشتر
منابع
Abstract
Introduction
Conceptual framework
Methodological approach
Empirical findings
Discussion
Limitations
Conclusion and further research
References
چکیده
اطلاعات سلامت نقش مهمی در رفتار سلامت افراد دارد. تبلیغات دهان به دهان (WOM) در این زمینه ضروری است. در سالهای اخیر، اشکال جدید ارتباطات آنلاین، امکان جستجوی اطلاعات را به میزان زیادی گسترش داده و در نتیجه، رفتار ارتباطی را بهطور چشمگیری تغییر داده است. به طور مشابه، رابطه پزشک و بیمار به تدریج تکامل یافته است و عدم تقارن سنتی دانش پزشکی به طور فزاینده ای در حال اصلاح است زیرا مصرف کنندگان مراقبت های بهداشتی امروزی به خوبی آگاه می شوند. یک منبع کلیدی اطلاعات، WOM حضوری یا آنلاین است. یک شکاف تحقیقاتی از نظر تحلیل وضعیت فعلی تحقیقات WOM در مراقبت های بهداشتی وجود دارد. اگرچه مطالعات مختلف تأثیر WOM بر رفتار سلامتی را برجسته میکند، تا آنجا که ما میدانیم، هیچ مروری بر ادبیات سیستماتیک وجود ندارد که وضعیت فعلی تحقیقات در مورد WOM در مراقبتهای بهداشتی را خلاصه کند. بنابراین، این مقاله یک مرور ادبیات سیستماتیک جامع در مورد WOM در مراقبت های بهداشتی ارائه می کند. مرور ادبیات، مطالعات WOM موجود در بخش مراقبت های بهداشتی را بر اساس جستجوی سیستماتیک برای مقالات در یک بازه زمانی بیست ساله از ژانویه 2000 تا دسامبر 2019 بررسی می کند. مجموع 34 مقاله حاصل اساس این مقاله را تشکیل می دهد. این مطالعات با استفاده از مدل WOM در مراقبتهای بهداشتی تحلیل میشوند و - بر اساس تئوری ناهماهنگی شناختی، نظریه قدرت پیوندهای ضعیف و نظریه خطر درک شده - در ایجاد، گسترش و تأثیر WOM دستهبندی میشوند. مطالعات بررسی شده بر اهمیت کارکنان در فرآیند خدمات تاکید دارد. علاوه بر این، بررسیهای منفی تأثیر قویتری نسبت به بررسیهای مثبت دارند، و کیفیت خدمات دلیل اصلی WOM منفی است. علاوه بر این، اهمیت تبلیغات دهان به دهان الکترونیکی (eWOM) تاکید میشود، زیرا بررسیهای آنلاین برای فرآیندهای تصمیمگیری بیمار محبوبیت پیدا میکنند. اگرچه برخی از مطالعات به WOM در مراقبت های بهداشتی پرداخته اند، شکاف های تحقیقاتی همچنان وجود دارد. به عنوان مثال، مطالعات کمی در مورد eWOM وجود دارد و برخی از رشتههای پزشکی در بخش خصوصی در تحقیقات WOM نادیده گرفته میشوند. این مقاله با ارائه و تجزیه و تحلیل سیستماتیک ادبیات WOM در مراقبت های بهداشتی، نقطه شروع مهمی برای تحقیقات آینده است و همچنین بینش هایی در مورد نقش WOM در عملکرد مراقبت های بهداشتی ارائه می دهد.
توجه! این متن ترجمه ماشینی بوده و توسط مترجمین ای ترجمه، ترجمه نشده است.
Abstract
Health information plays a significant role in the health behavior of individuals. Word-of-mouth (WOM) is essential in this context. In recent years, new forms of online communication have greatly expanded the possibilities for seeking information and, in consequence, significantly changed communication behavior. Similarly, the doctor-patient relationship has gradually evolved and the traditional asymmetry of medical knowledge is increasingly being corrected as today’s health care consumers are becoming more well-informed. A key source of information is either in-person or online WOM. A research gap exists in terms of analyzing the current state of research of WOM in health care. Although various studies highlight the influence of WOM on health behavior, to the best of our knowledge there exists no systematic literature review that summarizes the current state of research on WOM in health care. Therefore, this paper presents a comprehensive systematic literature review on WOM in health care. The literature review investigates existing WOM studies in the health care sector based on a systematic search for articles in a twenty-year timeframe from January 2000 to December 2019. The resulting total of 34 articles constitutes the basis of this paper. These studies are analyzed using a model of WOM in health care and – based on the theory of cognitive dissonance, the theory of the strength of weak ties, and the theory of perceived risk – clustered into the creation, spread, and impact of WOM. The investigated studies emphasize the importance of the staff in the service process. Furthermore, negative reviews have a stronger impact than positive ones, with service quality representing the main reason for negative WOM. In addition, the importance of electronic word-of-mouth (eWOM) is underlined, as online reviews are gaining popularity for patient decision-making processes. Although some studies have addressed WOM in health care, research gaps remain. For example, there are few studies on eWOM and some medical disciplines in private practice are neglected in WOM research. By systematically presenting and analyzing the literature on WOM in health care, this paper represents an important starting point for future research and also provides insights into the role of WOM in health care practice.
Introduction
Health information plays a significant role in the health behavior of individuals. Patients increasingly want to have an active say in the choice of their physician and the treatment methods they choose (Dobele & Lindgreen, 2011; Liang & Scammon, 2011). However, such co-determination is only possible on the basis of sufficient information. Because the actual medical service is difficult for patients to assess, there is a growing demand for simple medical information they can understand (Argan, 2012, 2016; Martin, 2017b). In addition, the doctor-patient relationship has gradually evolved. The traditional asymmetry of medical knowledge is increasingly being corrected as today’s health care consumers are becoming well-informed (Loane & D’Allesandro, 2014). New forms of online communication have greatly expanded information-seeking options in recent years, significantly changing communication behavior (Cao et al., 2017; Drevs & Hinz, 2014; Gheorghe & Liao, 2012; Hinz et al., 2012; Liang & Scammon, 2011; Lin & Lin, 2018).
Conclusion and further research
To the best of our knowledge, there exist no up-to-date literature reviews focusing on the state of WOM research in the health care sector. To provide an overview of the recent literature, the paper investigates the importance of WOM in the health care sector. Further, the importance of future research on this topic is outlined. Martin’s approach regarding the classification of the articles in terms of creation, spread, and impact dimensions is supported. With respect to the investigated articles and databases, this research is necessarily limited. The literature review identified 34 articles related to WOM and health care. Most of the studies concern the creation and impact of WOM, and only a few studies deal with the spread of WOM. Compared to the WOM content, the allocation between hospitals, physicians, health care providers, online communities, and others is rather balanced.
Nevertheless, several research gaps remain. For example, it is noteworthy that not a single study explicitly deals with prevention, despite the increasing importance of preventive health care. Because of this major research gap, WOM in preventive health care represents a future field of research. In addition, although a reasonable number of studies address WOM and eWOM, there are still fewer studies on eWOM, and no study has yet compared WOM and eWOM. The investigation of differences between WOM and eWOM communication is an important future research field and could be examined in future studies. Approximately half of the eWOM studies were conducted in Asia, while only few studies on this subject were carried out in North America and Europe, clearly indicating a need to catch up. Furthermore, only two studies involved a comparison between countries. Research into cultural differences could be more focused. Cultural components differ strongly, also in WOM. Therefore, additional WOM studies comparing countries would likely provide new scientific insights. Regarding medical disciplines, there exist few studies on general practitioners, gynecologists, and osteopaths, but no studies could be found on medical disciplines like dermatologists, ophthalmologists, otolaryngologists, and pediatricians, to mention only a few neglected fields.