An Investigation of Patient Decisions to Use eHealth

Abstract

eHealth service has received increasing attention. Patients can consult online doctors via the Internet, and then physically visit the doctors for further diagnosis and treatments. Although extant research has focused on the adoption of eHealth services, the decision-making process from online to offline health services still remains unclear. This study aims to examine patients’ decisions to use online and offline health services by integrating the extended valence framework and the halo effect. By analyzing 221 samples with online consultation experiences, the results show that trust significantly influences perceived benefits and perceived risks, while trust, perceived benefits, and perceived risks significantly influence the intention to consult. The intention to consult positively influences the intention to visit. Considering the moderating effects of payment types, the influence of perceived risks on the intention to consult is larger for the free group than for the paid group. The findings are useful to better understand patients’ decisions to use eHealth.