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Article
Publication date: 28 May 2020

Jiaying Li, Hong Wu, Zhaohua Deng, Richard David Evans, Ziying Hong and Shan Liu

Online medical teams (MTs), involving collaboration between remote healthcare workers, can provide comprehensive and rapid healthcare to patients. The growth in MTs is…

Abstract

Purpose

Online medical teams (MTs), involving collaboration between remote healthcare workers, can provide comprehensive and rapid healthcare to patients. The growth in MTs is continuing, with popularity growing among doctors and patients, but some MTs disband, which could break the continuity of healthcare services provided. We aim to address this pressing issue by exploring the effects of team diversity and leadership types on team status (i.e. team disbandment (TD)). This paper systematically investigates the influences of team diversity, including separation, variety and disparity diversity and the effects of leadership types, including strong, equal and weak types.

Design/methodology/approach

A data set consisting 1,071 online MTs was collected from the Good Doctor website, a leading Chinese online health community (OHC), on January 10, 2018. The data captured included 206 teams which disbanded after 3 months collaboration. Logistic regression and maximum likelihood estimation (MLE) were used to examine their effects.

Findings

The results show that variety diversity, related to departments, positively affects TD, but disparity diversity, referring to clinician titles, negatively affects TD. Separation diversity, in terms of team member attitudes, exerts a negligible influence on disbandment. Although strong and equal leadership types negatively influence TD, they are seen to strengthen the positive effect of variety diversity, suggesting stable structure combinations of strong or equal-type leadership and low department diversity, as well as the match of weak-type leadership and high department diversity.

Originality/value

This paper extends the current understanding of virtual teams and OHCs by examining the role of leadership types and team diversity, and their influencing role on team status. The pairwise combinations are obtained to effectively reduce the disbandment probability of medical teams operating in OHCs, which could help platform managers, team founders and those connected with MTs deal with the team-disbandment crisis, providing both theoretical and practical implications to healthcare providers and researchers alike.

Details

Information Technology & People, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0959-3845

Keywords

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Article
Publication date: 30 June 2020

Jiaying Li, Zhaohua Deng, Richard David Evans, Shan Liu and Hong Wu

In China, healthcare services have historically been expensive and difficult to access, with resources being unfairly distributed, often being centralized in large…

Abstract

Purpose

In China, healthcare services have historically been expensive and difficult to access, with resources being unfairly distributed, often being centralized in large hospitals in major cities. In rural regions, hospitals often suffer from limited supplies, including human capital and equipment. E-health technologies have received significant attention from governments and citizens, with online healthcare communities (OHCs) providing easier communication between patients and doctors. Although doctors play a pivotal role in the success of OHCs, they are often unsure how to attract patients, with limited research focusing on this. The purpose of this paper is to explore how doctors can take initiatives in OHCs, from the joint perspectives of individual effort (i.e. intrapersonal factor) and identity in medical teams (MTs) (i.e. interpersonal factor), based on attribution theory.

Design/methodology/approach

Hierarchical linear regression was conducted on data from 3,170 doctors participating in 865 online MTs, to examine the effects of individual effort and identity in MTs on individual performance. Individual effort included central effort (log-in frequency to OHC) and peripheral effort (articles published on doctors' homepages). Identity in MTs was represented as the identity of team leader and multiple team membership (MTM).

Findings

This study found that the main variables – central and peripheral effort, and leader and MTM identity – all had significant and positive impacts on the service quantity (SQ) of both written and telephone consultations. Although positive effects could be experienced in most conditions that were congruent with the logic of identity theory, the interaction terms demonstrated complex influences. Specifically, leader identity did not moderate the effect of article effort in written consultation, while MTM identity could not moderate the relationship between frequency effort and SQ in telephone-consultation services. Further, the leader identity negatively moderated the relationship between article effort and SQ in telephone consultations. Thus, for doctors with the leader identity, the impact of article effort on SQ was weaker. In summary, both aspects were proved to play important roles in individual SQ.

Practical implications

This study provides empirical findings through focusing on the SQ of both written and telephone consultations in OHCs, thereby enabling healthcare providers to take initiatives and ultimately improve the efficiency and provision of delivered healthcare services. It is worth mentioning that doctors possessing the identity of team leader should be cautious that the more articles published by them may not lead to envisaged telephone-consultation performance, according to the negative moderating effect of leader identity on the relationship between article effort and SQ during telephone consultations.

Originality/value

This study contributes to the OHC literature by investigating how doctors' efforts and identity in OHCs affect individual performance, based on attribution theory and identity theory. Further, we provide healthcare practitioners with an improved understanding of these dimensions to improve autonomy regarding service provision in OHCs.

Details

Industrial Management & Data Systems, vol. 120 no. 7
Type: Research Article
ISSN: 0263-5577

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Article
Publication date: 9 February 2015

Shan Liu and Zhaohua Deng

The purpose of this paper is to investigate trends in the dimensions of low, medium, and high knowledge management (KM) capability of business process outsourcing (BPO…

Abstract

Purpose

The purpose of this paper is to investigate trends in the dimensions of low, medium, and high knowledge management (KM) capability of business process outsourcing (BPO) firms. It also explores the trends in BPO performance with different levels of KM capabilities of BPO firms. Moreover, the study determines how firm characteristics, such as size, age, industry, and outsourcing age, affect KM capability.

Design/methodology/approach

A survey was employed to collect data on managers from 605 firms. K-means cluster analysis was performed on the aggregate measures of the four KM capability dimensions and BPO performance to reveal trends. Subsequently, MANOVA was used to evaluate the effects of four firm characteristics on KM capability, and individual ANOVA tests were performed to examine the specific differences among the four dimensions.

Findings

Among the four dimensions of KM capability, knowledge application is the most significant. Knowledge protection is the second highest in terms of expressing the profile for low KM capability firms, but the lowest among the four dimensions of KM capability for medium and high KM capability firms. Each dimension of KM capability affects BPO performance positively. Firm size, age, industry, and outsourcing age differentially affect the dimensions of KM capability.

Originality/value

This study presents a theoretical model of firm characteristics, KM capability, and BPO performance. Through the model, ideas are offered: firms with high KM capability significantly differ from those with low and medium KM capabilities; different firms exhibit different KM capabilities; developing knowledge application capability should be the priority in managing BPO; and improving KM capability is an effective means to enhance BPO performance.

Details

Management Decision, vol. 53 no. 1
Type: Research Article
ISSN: 0025-1747

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Article
Publication date: 1 June 2015

Zhaohua Deng, Shan Liu and Oliver Hinz

Although the health information seeking behavior of consumers through the internet has received great attention, limited attempt has been made to integrate both the health…

Abstract

Purpose

Although the health information seeking behavior of consumers through the internet has received great attention, limited attempt has been made to integrate both the health information seeking behavior and the usage behavior in a mobile online context. The purpose of this paper is to explore the factors that influence consumer mobile health information seeking (MHIS) and usage behavior based on information quality, perceived value, personal health value, and trust.

Design/methodology/approach

A survey was conducted to collect data. A two-step approach of structure equation modeling based was used to test the measurement model and hypothesis model.

Findings

Information quality, perceived value, and trust were found to have positive effects on both the intention to seek and to use health information, and that the intention to seek affects the intention to use. Among the three components of perceived value, the utilitarian and epistemic values were found to have significant effects on intention to seek. In addition, the current health status of health consumers moderates the relationships between MHIS and usage intention and their determinants.

Originality/value

Studies have primarily focussed on online health information seeking behavior, whereas a few of these studies have examined the seeking behavior intention and the usage behavior intention in a general model. The results indicate that health information usage behavior intention is closely related to the seeking behavior intention in the mobile context, which enriches the research on the relationship between information seeking and its outcomes. Furthermore, this study highlights the impact of information quality, perceived value, and trust on the intention to seek, and the impacts of information quality and trust on the intention to use, which have been overlooked in previous studies on MHIS.

Details

Information Technology & People, vol. 28 no. 2
Type: Research Article
ISSN: 0959-3845

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Article
Publication date: 6 August 2018

Weizhuo Wang, Christopher Gan, Zhiyou Chang, David A. Cohen and Zhaohua Li

This paper aims to develop and estimate a logit model of whether homeownership could be promoted by participation in and use of the Housing Provident Fund (HPF) program…

Abstract

Purpose

This paper aims to develop and estimate a logit model of whether homeownership could be promoted by participation in and use of the Housing Provident Fund (HPF) program, with a focus on factors that influence the use of HPF loans.

Design/methodology/approach

This paper develops and estimates a logit model of whether homeownership could be promoted by participation in and use of the HPF program, with a focus on factors that influence the use of HPF loans.

Findings

The results show that coefficients of marital status, educational level, age, duration of employment and employer are significantly related to the use of HPF loan for homeownership.

Research limitations/implications

Because of the chosen research approach, the research results may lack generalizability.

Practical implications

The research findings provide a better understanding of homeowners’ characteristics.

Originality/value

To manage the HPF program effectively, it is important for government to have a better understanding of the underlying demand for homeownership, especially with respect to the different demographic variables and accessibility to HPF loans and the HPF.

Details

Journal of Asia Business Studies, vol. 12 no. 3
Type: Research Article
ISSN: 1558-7894

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Article
Publication date: 20 April 2012

Yuan Zhang, Christopher Gan and Zhaohua Li

The purpose of this paper is to examine the effects of borrowers' quality on the size of market reaction to bank loan announcements in the Chinese financial market, where…

Abstract

Purpose

The purpose of this paper is to examine the effects of borrowers' quality on the size of market reaction to bank loan announcements in the Chinese financial market, where poor quality borrowers are prevalent and the banking system is highly controlled by the Chinese government.

Design/methodology/approach

The paper uses different measures to proxy for borrower quality, including the borrowers' information opaqueness, possibility of expropriation and their financial status. A cross‐sectional regression analysis was conducted to investigate the relationship between the market response to bank loan announcements and the borrowers' quality.

Findings

It is revealed that the negative market response to bank loan announcements is particularly significant for borrowing firms with lower quality, including firms that are opaque, have a higher possibility of expropriation or tunnelling, have ineffective expropriation‐reduction mechanisms, are controlled by the state and are in financial distress, for the sample period 1996 to 2009. Furthermore, to test whether there is any significant difference on the effects of the borrowers' quality on the size of the market response to bank loan announcements following China's announcement of share‐split reform in 2005, this paper splits the sample period into sub samples, 1996 to 2004 and 2004 to 2005. The results on the effects of the borrowers' quality on the size of market response to bank loan announcements for the sub sample period 1996 to 2004 are similar to those for the full sample 1996 to 2009.

Research limitations/implications

The paper's findings imply that the reforms in the Chinese financial market since 2005 do not have any significant effects on the borrowers' quality on the size of the market response to bank loan announcements for the full sample period.

Originality/value

This paper differs from previous studies in regards to the sample period and the measurements of the possibility of expropriation or tunnelling. The paper contributes to the banking and corporate governance literature.

Details

Management Research Review, vol. 35 no. 5
Type: Research Article
ISSN: 2040-8269

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Article
Publication date: 28 September 2012

Christopher Gan, Zhaohua Li, Weizhuo Wang and Betty Kao

This paper aims to investigate the determinants of default mortgage in China and the factors affecting the mortgage amount granted by Chinese banks.

Abstract

Purpose

This paper aims to investigate the determinants of default mortgage in China and the factors affecting the mortgage amount granted by Chinese banks.

Design/methodology/approach

This paper employs the credit scoring model to investigate the determinants of default mortgage in China and the factors affecting the mortgage amount granted by Chinese banks.

Findings

Using a proprietary dataset from branches of the Construction Bank of China containing information on all mortgages offered to borrowers from 2004 to 2009 1st quarter, the paper documents that borrower rating, mortgage rate and mortgage duration are significantly related to default rate and mortgage amount. These findings suggest that Chinese banks' mortgage lending are based on commercial basis. This helps to reduce the likelihood of a real estate bubble in China.

Research limitations/implications

The findings in this paper argued that a good credit scoring model has the ability to detect bad loans; this could help the bank to reduce the loan losses from loan default. Consequently, it can improve the profitability and the financial stability of the bank.

Originality/value

This research would benefit both lender and borrowers. Lenders can apply an objective evaluation technique with a standard process and criteria to appraise their customer's credit risks and creditworthiness. A good credit risk management tool can effectively control risk selection, manage credit losses, evaluate new loan programs, improve loan approval processing time, and ensure that existing credit criteria are sound and consistently applied.

Details

International Journal of Housing Markets and Analysis, vol. 5 no. 4
Type: Research Article
ISSN: 1753-8270

Keywords

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