Patient distrust toward doctors in online health communities: integrating distrust construct model and social-technical systems theory
研究了在线健康社区中患者对医生不信任的影响因素，发现不信任信念、感知利己主义、缺乏专业知识、缺乏结构保障和缺乏第三方认可显著相关，对改善医患关系有参考价值。
Purpose This article aims to explore the factors influencing patients' distrust toward doctors in online health community. Design/methodology/approach This study leveraged the distrust construct model and socio-technical systems theory to establish a research model. The authors used the survey method to validate the research model by developing and distributing questionnaires to online health community users. 518 valid responses were collected. Findings The data analysis results showed that patients' distrusting beliefs were significantly related to their distrust toward doctors in online health communities. Meanwhile, social factors included perceived egoism and lack of expertise; whereas technical factors included no structural assurance, and lack of third-party recognition. Originality/value This study not only provides a solid and comprehensive theoretical understanding of patient distrust toward doctors in online health communities but also could serve as the basis to relieve the distrust between patients and doctors in online health communities, or even in the offline environment.