Influence of type and source of electronic word-of-mouth on consumers’ health care-seeking decisions

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Xiaohong Chen
Ming Chen
Shih-Heng Yu
Yinxia Wu
Anqian Tao
Cite this article:  Chen, X., Chen, M., Yu, S.-H., Wu, Y., & Tao, A. (2020). Influence of type and source of electronic word-of-mouth on consumers’ health care-seeking decisions. Social Behavior and Personality: An international journal, 48(11), e9535.


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We examined the influence of the type (positive vs. negative) and source (patients’ online community vs. general online community) of electronic word-of-mouth (eWOM) on consumers’ health care-seeking decisions. Participants in this 2 × 2 between-subjects study comprised 160 patients who had sought medical advice at a large Tier 3, Class A hospital in China in 2019. The results show that negative (vs. positive) eWOM had a greater influence on consumers’ health care-seeking decisions, with similar results for the patients’ (vs. general) online community. In addition, positive eWOM from the patients’ (vs. general) online community had a greater influence on participants’ health care-seeking decisions but the result was not significant for negative eWOM. Credibility of eWOM also mediated the relationship between eWOM and health care-seeking decision. Practical and theoretical implications are discussed.

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