@Article{信息:doi 10.2196 / / jmir。9082，作者=“王菊楠、邱雅玲、俞雅玲、徐海燕、袁腾”，标题=“了解网络医疗社区医师报酬与贡献的非线性因果关系:纵向研究”，期刊=“J医学互联网研究”，年=“2017”，月=“12”，日=“21”，卷=“19”，数=“12”，页数=“e427”，关键词=“网络医疗社区;医生在线投稿;心理上的奖励;背景:在线医疗社区不仅仅是一个供公众分享医生评论或医学知识的地方，也是一个医患交流的平台。发展中国家的医疗资源相对不足，在线医疗社区是缓解农村地区医院排长队和医疗资源匮乏现象的潜在解决方案。然而，在线医疗社区的成功依赖于医生的在线贡献。目的:本研究旨在探讨网络健康社区中激励机制对医生在线贡献行为的影响。我们探讨了以下问题:(1)来自哪个专业领域的医生更有可能参与在线医疗社区活动，(2)影响医生在线贡献的因素是什么，(3)心理和物质奖励等激励机制是否导致医生在线贡献的差异?方法:我们设计了一项纵向研究，涉及三波数据样本。 All data were collected from the Good Doctor website, which is the largest online health care community in China. We first used descriptive statistics to investigate the physician online contribution behavior in its entirety. Then multiple linear and quadratic regression models were applied to verify the causal relationship between rewards and physician online contribution. Results: Our sample included 40,300 physicians from 3607 different hospitals, 10 different major specialty areas, and 31 different provinces or municipalities. Based on the multiple quadratic regression model, we found that the coefficients of the control variables, past physician online contributions, doctor review rating, clinic title, hospital level, and city level, were .415, .189, --.099, --.106, and --.143, respectively. For the psychological (or material) rewards, the standardized coefficient of the main effect was 0.261 (or 0.688) and the standardized coefficient of the quadratic effect was --0.015 (or --0.049). All estimates were statistically significant (P<.001). Conclusions: Physicians with more past physician online contribution, with higher review ratings, coming from lower level clinics, not coming from tertiary hospitals, and not coming from big cities were more willing to participate in online health care community activities. To promote physician online contribution, it is necessary to establish an appropriate incentive mechanism including psychological and material rewards. Finally, our findings suggest two guidelines for designing a useful incentive mechanism to facilitate physician online contribution. First, material reward is more useful than psychological reward. Second, as indicated by the concave-down-increasing causal relationship between rewards and physician online contribution, although an appropriate reward is effective in encouraging willingness on the part of physicians to contribute to the online health care community, the effect of additional rewards is limited. ", issn="1438-8871", doi="10.2196/jmir.9082", url="//www.mybigtv.com/2017/12/e427/", url="https://doi.org/10.2196/jmir.9082", url="http://www.ncbi.nlm.nih.gov/pubmed/29269344" }