The Mechanism of Online Health Information Seeking Switching to Online Medical Consultation: Cross-Sectional Study #MMPMID41337746
Zhang L; Xia J; Chen H; Bai Y; Wang J; Wang L; Ren W
JMIR Form Res 2025[Dec]; 9 (?): e78397 PMID41337746show ga
BACKGROUND: Internet health care plays a crucial role in addressing the challenge of distributing high-quality medical resources and promoting the optimal allocation of these resources and health equity in China. Online medical consultation (OMC) plays a more significant role than online health information seeking (OHIS). Currently, the proportion of Chinese patients using OMC is low. Therefore, it is essential to enhance patient engagement with OMC and fully leverage the role of internet health care in optimizing the allocation of medical resources. OBJECTIVE: This study aims to explore the correlation mechanisms of online medical community users' switching behaviors from OHIS to OMC. METHODS: This study is based on the knowledge-attitude-practice theory, which combines the social support theory and the health belief model to construct a research model of users' willingness to transition from OHIS to OMC. The study adopts a questionnaire survey and structural equation modeling method to conduct an empirical study. RESULTS: Gaining knowledge about information support has a significant positive impact on perceived susceptibility (beta=.339, P<.001), perceived severity (beta=.348, P<.001), and perceived benefits (beta=.361, P<.001), while having a significant negative impact on perceived barriers (beta=-.285, P<.001). Gaining knowledge about emotional support positively affects perceived susceptibility (beta=.220, P<.001) and perceived benefits (beta=.149, P<.01) but does not significantly influence perceived severity (beta=-.006, P>.05) or perceived barriers (beta=.099, P>.05). Perceived susceptibility (beta=.123, P<.05), perceived severity (beta=.174, P<.001), and perceived benefits (beta=.273, P<.001) positively influence patients' transition to online consultation behavior, whereas perceived barriers (beta=-.112, P<.05) negatively impact this switch. In addition, we found that gaining knowledge about information support not only directly affects patients' behavior in switching to online consultations but also impacts patients' OMCs through perceived susceptibility (14.23%), perceived severity (13.17%), and perceived benefits (25.28%). In contrast, gaining knowledge about emotional support does not directly influence patient behavior transfer; it operates only through perceived susceptibility (46.95%) and perceived benefit (52.90%). CONCLUSIONS: This study integrated the knowledge-attitude-practice framework, social support theory, and health belief model to uncover the internal logic of patients' behavioral transfers within online health communities. It confirmed the mediating role of the cognitive-emotional dual-drive pathway and health beliefs. The findings provide a scientific basis for the functional design of online health care platforms and for precise health knowledge dissemination strategies.
JMIR+Form+Res 2025 ; 9 (?): e78397
