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Online health communities (OHCs) have been recognized as emerging platforms on the Internet used for health purposes. Despite its emergence, developing a successful OHC is still a challenge. Prior studies identified that value co-creation behavior (VCB) of members is an essential factor for sustaining OHCs; however, little is known about how members’ behavior drives to co-create value? Therefore, this study aims to discover the inclusive mechanism for members’ VCB in OHCs.

The authors develop the study model and hypothesis based on the service-dominant logic of value co-creation theory and social support (SS) literature. The survey data of 608 active OHCs users in China were analyzed using partial least squares structural equation modeling (PLS-SEM).

The results revealed that SS positively affects members’ VCBs. Ethical aspects; Trust and ethical interaction (EI) partially mediate their relationships. In addition, community members’ current health status (CHS) negatively moderates the relationships between SS and VCB. From the findings, it becomes evident that only SS is not enough; developing an ethical environment in OHCs, i.e. trust and ethically rich interactions among members, significantly helps OHCs to promote co-creation. Also, the negative moderation of CHS findings provides novel insights when cramming health conditions.

Exploring the complex mechanism of co-creation in OHC, the authors illustrate the potential of service-dominant logic to create new theoretical insight for healthcare and provide the framework of co-creation with ethics for the first time. This will extend the application of ethics in healthcare services and offer a robust platform from which the understanding of drivers of members’ VCB can be advanced in the OHC context.

Driven by the dual-carbon target and the widespread digital transformation, leveraging digital technology (DT) to facilitate sustainable, green and high-quality development in heavy-polluting industries has emerged as a pivotal and timely research focus. However, existing studies diverge in their perspectives on whether DT’s impact on green innovation is synergistic or leads to a crowding-out effect. In pursuit of optimizing the synergy between DT and green innovation, this paper aims to investigate the mechanisms that can be harnessed to render DT a more constructive force in advancing green innovation.

Drawing from the theoretical framework of resource orchestration, the authors offer a comprehensive elucidation of how DT intricately influences the green innovation efficiency of enterprises. Given the intricate interplay within the synergistic relationship between DT and green innovation, the authors use the fuzzy-set qualitative comparative analysis method to explore diverse configurations of antecedent conditions leading to optimal solutions. This approach transcends conventional linear thinking to provide a more nuanced understanding of the complex dynamics involved.

The findings reveal that antecedent configurations fostering high green innovation efficiency actually differ across various stages. First, there are three distinct configuration patterns that can enhance the green technology research and development (R&D) efficiency of enterprises, namely, digitally driven resource integration (RI), digitally driven resource synergy (RSy) and high resource orchestration capability. Then, the authors also identify three configuration patterns that can bolster the high green achievement transfer efficiency of enterprises, including a digitally optimized resource portfolio, digitally driven RSy and efficient RI. The findings not only contribute to advancing the resource orchestration theory in the digital ecosystem but also provide empirical evidence and practical insights to support the sustainable development of green innovation.

The findings can offer valuable insights for enterprise managers, providing decision-making guidance on effectively harnessing the innovation-driven value of internal and external resources through resource restructuring, bundling and leveraging, whether with or without the support of DT.

The research findings contribute to heavy-polluting enterprises addressing the paradoxical tensions between digital transformation and resource constraints under environmental regulatory pressures. It aims to facilitate the simultaneous achievement of environmental and commercial success by enhancing their green innovation capabilities, ultimately leading to sustainability across profit and the environment.

Compared with previous literature, this research introduces a distinctive theoretical perspective, the resource orchestration view, to shed light on the paradoxical relationship on resource-occupancy between DT application and green innovation. It unveils the “black box” of how digitalization impacts green innovation efficiency from a more dynamic resource-based perspective. While most studies regard green innovation activities as a whole, this study delves into the impact of digitalization on green innovation within the distinct realms of green technology R&D and green achievement transfer, taking into account a two-stage value chain perspective. Finally, in contrast to previous literature that predominantly analyzes influence mechanisms through linear impact, the authors use configuration analysis to intricately unravel the complex influences arising from various combinatorial relationships of digitalization and resource orchestration behaviors on green innovation efficiency.

This study is aimed at making an inspection of the effects of collaborative innovation network characteristics on firm innovation performance, and the intermediary roles of knowledge transfer efficiency is taken into account.

This study used a convenient sampling method to obtain population and samples. Using data obtained by publishing online and paper questionnaires, and using on-site interviews in Anhui Province in the Yangtze River Delta region of China, descriptive analysis, regression analysis and correlation analysis are utilized to study the direct influence of collaborative innovation network characteristics on knowledge transfer efficiency as well as firm innovation performance, and the intermediary roles of knowledge transfer efficiency on firm innovation performance, respectively. In this study, 3,000 questionnaires were distributed to the employees of enterprises engaged in research and development (R&D) activities, of which 2,560 were valid. With the help of SPSS24.0 software, the reliability and validity of the questionnaire was analyzed.

The results are indicative of that network centrality and relationship strength positively affect knowledge transfer efficiency and firm innovation performance. Nevertheless, network scale has no significant correlation with knowledge transfer efficiency and enterprise innovation performance. In addition, knowledge transfer efficiency is an intermediary between collaborative innovation network characteristics and enterprise innovation performance, and positively affects enterprise innovation performance, which demonstrated that managers should take advantage of collaborative innovation network characteristics to elevate knowledge transfer efficiency because well-realized transferals of knowledge can help accelerate the coordination of resources in knowledge, and finally bring about the advancement of firm's innovation abilities and performance.

There are few previous studies that fully examined the relationships among collaborative innovation network characteristics, knowledge transfer efficiency and firm innovation performance. This paper developed previous researches on the relationships between collaborative innovation network characteristics, knowledge transfer efficiency and firm innovation performance. The mediation of knowledge transfer efficiency on the relationship between collaborative innovation network characteristics and firm innovation performance is analyzed. Further, studies on collaborative innovation network characteristics using data obtained from employees engaged in R&D activities are very limited in the literature. On account of that, the findings in this study may make sense to the innovation ability of innovative enterprise and expand the literature in the field of enterprise strategic management and knowledge management.

This analysis shows that collaborative innovation network characteristics have both positive and negative effects on firm innovation performance. Therefore, business managers should pay attention to their position in the collaborative innovation network and maintain the relationship strength with other innovation subjects. Special consideration should be given to the knowledge transfer of innovative enterprises, so as to improve firm innovation performance practically.

The study may provide additional understandings for researchers, government managers, universities and enterprises with regard to strategic management from the visual angle of innovation ecosystems. It is instrumental in the exploration of the mechanisms enabling firm innovation performance.