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The purpose of this paper is to explore the influence of a physician’s prosocial behavior on a patient's choices in the online health community (OHC) context. Moreover, the authors explore how such effects differ across different online word-of-mouth (WOM) and professional titles.

Guided by the motivation, opportunity and ability (MOA) framework, this paper develops hypotheses and an econometric model. Then this paper used spline regression to test hypotheses on 6,204 physicians at The Good Doctor (www.Haodf.com), which is one of the largest Chinese OHCs. The authors conducted the propensity score matching and difference-in-difference method (PSM-DID) to address the concern about the bias caused by possible endogeneity concerns.

The authors’ results show that a physician’s prosocial behavior improves a patient's choice only when the strength of a physician’s prosocial behavior is below the tipping point. In addition, the influence of a physician’s prosocial behavior is heterogeneous for physicians with different online WOM and professional titles. For physicians with higher online WOM, the effect of a physician's prosocial behaviors on a patient's choice is positive, while for physicians with lower online WOM, a physician’s prosocial behavior has no impact on a patient’s choice. For physicians with higher professional titles, the quantity of a physician’s prosocial behavior has a positive impact on a patient’s choice, while for physicians with lower professional titles the quality of a physician’s prosocial behavior has a positive impact on a patient’s choice.

This study contributes new knowledge and provides new perspectives to study a patient's choice by addressing the importance of physician's prosocial behavior. With the effort of explicitly explaining the complex mechanisms, this study encourages physicians' engagement in a physician’s prosocial behavior and gives some implications on how to perform the behaviors strategically.

The purpose of this study is to determine the cavitation flow characteristics of the high-pressure differential control valve. The relationship between cavitation, flow coefficient and spool angle is obtained. By analyzing the relationship between different spool angles and energy loss, the energy loss at different spool angles is predicted.

A series of numerical simulations were performed to study the cavitation problem of a high-pressure differential control valve using the RNG k–e turbulence model and the Zwart cavitation model. The flow states and energy distribution at different spool angles were analyzed under specific working conditions.

The cavitation was the weakest when the spool angle was 120° or the outlet pressure was 8 MPa. The pressure and speed fluctuations of the valve in the throttle section were greater than those at other locations. By calculating the entropy production rate, the reason and location of valve energy loss are analyzed. The energy loss near the throttling section accounts for about 92.7% of the total energy loss. According to the calculated energy loss relationship between different regions of the spool angle, the relationship between any spool angle and energy loss in the [80,120] interval is proposed.

This study analyzes the cavitation flow characteristics of the high-pressure differential control valve and provides the law of energy loss in the valve through the analysis method of entropy. The relationship between spool angle and energy loss under cavitation is finally proposed. The research results are expected to provide a theoretical basis for the optimal design of valves.