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15(2)2025

The impact of Firm Generated Content (FGC) and User Generated Content (UGC) on the intention to use telehealth services


Author - Affiliation:
Tuan Van Pham - National Economics University, Hanoi , Vietnam
My Ha Nguyen - National Economics University, Hanoi , Vietnam
Linh Khanh Nguyen - National Economics University, Hanoi , Vietnam
Yen Phi Hoang - National Economics University, Hanoi , Vietnam
Thu Hoai Tran - National Economics University, Hanoi
Linh Ngoc Khanh Hoang - National Economics University, Hanoi , Vietnam
Corresponding author: My Ha Nguyen - hamy16032002@gmail.com
Submitted: 10-03-2024
Accepted: 10-06-2024
Published: 12-09-2024

Abstract
The purpose of this paper is to explore the ability of the combination of Theory of Reasoned Action (TRA) and Information Adoption Model (IAM); to predict and explain how Firm-Generated Content (FGC) and User-Generated Content (UGC) influence the intention to use telehealth services in Vietnam. A total of 751 citizens participated in this study based on the non-probability convenience sampling method. They completed the survey questionnaires, which consisted of 31 items rated on a 5-point Likert scale. The authors analyzed the quantitative data by using structural equation modeling. The results from SEM demonstrated the positive relationships in the proposed research model. This study adds to existing research on how FGC and UGC affect citizen intentions, particularly within the healthcare industry. Based on the study findings, the authors propose several recommendations for the application of FGC and UGC in telehealth services offered by hospitals and healthcare facilities.

JEL codes
E00; I12; M31

Keywords
firm generated content; user generated content; theory of reasoned action; information adoption model; telehealth services

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References

Ajzen, I. (1991). Attitudes, personality and behavior. Milton Keynes Open University. Press.


Alhemimah, A. (2019). The influence of online reviews on saudi consumers’ tourism destination choices [Doctoral dissertation, University of Plymouth]. https://dx.doi.org/10.24382/904


Asvinigita, L. R. M., Piartrini, P. S., Suprapti, N. W. S., & WidagdaK, I. G. N. J. A. (2022). Application of Theory of Reasoned Action (TRA) to explain Continued Intention to Adopt (CIA) mhealth services. Webology, 19(1), 4952-4966. https://doi.org/10.14704/web/v19i1/web19332


Bagozzi, R. P., & Foxall, G. R. (1996). Construct validation of a measure of adaptive-innovative cognitive styles in consumption. International Journal of Research in Marketing, 13(3), 201-213. https://doi.org/10.1016/0167-8116(96)00010-9


Chang, M.-Y., Kuo, F.-L., Lin, T.-R., Li, C.-C., & Lee, T.-Y. (2021). The intention and influence factors of nurses’ participation in telenursing. Informatics, 8(2), 1-14. https://doi.org/10.3390/informatics8020035


Chaniotakis, I. E., Lymperopoulos, C., & Soureli, M. (2010). Consumers’ intentions of buying own‐label premium food products. Journal of Product & Brand Management, 19(5), 327-334. https://doi.org/10.1108/10610421011068568


Cheng, M., Liu, J., Qi, J., & Wan, F. (2021). Differential effects of firm generated content on consumer digital engagement and firm performance: An outside-in perspective. Industrial Marketing Management, 98(2021), 41-58. https://doi.org/10.1016/j.indmarman.2021.07.001


Cheung, C. M. K., & Thadani, D. R. (2012). The impact of electronic word-of-mouth communication: A literature analysis and integrative model. Decision Support Systems, 54(1), 461-470. https://doi.org/10.1016/j.dss.2012.06.008


Colicev, A., Kumar, A., & O’Connor, P. (2019). Modeling the relationship between firm and user generated content and the stages of the marketing funnel. International Journal of Research in Marketing, 36(1), 100-116. https://doi.org/10.1016/j.ijresmar.2018.09.005


Davis, F. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 18(3), 319-340. https://doi.org/10.1023/a:1011156710779


Do, T. T., Caldicott, R., & Kamal, M. A. (2023). Electronic Word of Mouth (Ewom) and the travel intention of social networkers post-Covid-19: A Vietnam case. International Journal of Professional Business Review, 8(11), e03856-e03856. https://doi.org/10.26668/businessreview/2023.v8i11.3856


Elwalda, A., Erkan, İ., Rahman, M., & Zeren, D. (2021). Understanding mobile users’ information adoption behaviour: An extension of the information adoption model. Journal of Enterprise Information Management, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/jeim-04-2020-0129


Erkan, I., & Evans, C. (2016). The influence of eWOM in social media on consumers’ purchase intentions: An extended approach to information adoption. Computers in Human Behavior, 61(1), 47-55. https://doi.org/10.1016/j.chb.2016.03.003


Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Addison-Wesley.


Fornell, C., & Larcker, D. F. (1981). Structural equation models with unobservable variables and measurement error: Algebra and statistics. Journal of Marketing Research, 18(3), 382-388. https://doi.org/10.2307/3150980


Gao, J., Zhang, C., Wang, K., & Ba, S. (2012). Understanding online purchase decision making: The effects of unconscious thought, information quality, and information quantity. Decision Support Systems, 53(4), 772-781. https://doi.org/10.1016/j.dss.2012.05.011


Hair, J. F. (2016). A primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). Sage.


Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis. Pearson College Division.


Herr, P. M., Kardes, F. R., & Kim, J. (1991). Effects of word-of-mouth and product-attribute information on persuasion: An accessibility-diagnosticity perspective. Journal of Consumer Research, 17(4), 454-462. https://doi.org/10.1086/208570


Hoa Ngan (2022, November 4). Application of technology in medical examination and treatment to ensure public healthcare. Báo Kinh Tế Đô Thị - Đọc Tin Tức Thời Sự Kinh Tế 24h Mới Nhất. https://kinhtedothi.vn/ung-dung-cong-nghe-trong-kham-chua-benh-dam-bao-cham-soc-suc-khoe-nguoi-dan.html


Hoque, M., Alam, Md., & Nahid, K. (2018). Health consciousness and its effect on perceived knowledge, and belief in the purchase intent of liquid milk: Consumer insights from an emerging market. Foods, 7(9), 150-171. https://doi.org/10.3390/foods7090150


Hoyle, R. H. (Ed.). (1995). Structural equation modeling: Concepts, issues, and applications. Sage Publications.


Hsieh, H.-L., Lai, J.-M., Chuang, B.-K., & Tsai, C.-H. (2022). Determinants of telehealth continuance intention: A multi-perspective framework. Healthcare, 10(10), 2038-2055. https://doi.org/10.3390/healthcare10102038


Ismagilova, E., Slade, E. L., Rana, N. P., & Dwivedi, Y. K. (2020). The effect of electronic word of mouth communications on intention to buy: A meta-analysis. Information Systems Frontiers, 22(5), 1203-1226. https://doi.org/10.1007/s10796-019-09924-y


Kettinger, W. J., Lee, C. C., & Lee, S. (1995). Global measures of information service quality: A cross-national study. Decision Sciences, 26(5), 569-588. https://doi.org/10.1111/j.1540-5915.1995.tb01441.x


Leong, C.-M., Loi, A. M.-W., & Woon, S. (2021). The influence of social media eWOM information on purchase intention. Journal of Marketing Analytics, 10(2), 145-157. https://doi.org/10.1057/s41270-021-00132-9


Lim, Y. J., Osman, A., Salahuddin, S. N., Romle, A. R., & Abdullah, S. (2016). Factors influencing online shopping behavior: The mediating role of purchase intention. Procedia Economics and Finance, 35(35), 401-410. https://doi.org/10.1016/s2212-5671(16)00050-2


MacCallum, R. C., & Austin, J. T. (2000). Applications of structural equation modeling in psychological research. Annual Review of Psychology, 51(1), 201-226. https://doi.org/10.1146/annurev.psych.51.1.201


Mensah, I. K., Adams, S., Adjei, J. K., & Mwakapesa, D. S. (2021). Drivers of e-government adoption amidst Covid-19 pandemic: The Information Adoption Model (IAM) approach. Information Development, 38(4), 494-509. https://doi.org/10.1177/02666669211010872


Michaelidou, N., & Hassan, L. M. (2008). The role of health consciousness, food safety concern and ethical identity on attitudes and intentions towards organic food. International Journal of Consumer Studies, 32(2), 163-170. https://doi.org/10.1111/j.1470-6431.2007.00619.x


Moorman, C., & Matulich, E. (1993). A model of consumers’ preventive health behaviors: The role of health motivation and health ability. Journal of Consumer Research, 20(2), 208-228. https://doi.org/10.1086/209344


Nunnally, J., & Bernstein, I. H. (1978). Psychometric theory. McGraw-Hill Humanities/Social Sciences/Languages.


Petty, R. E., & Cacioppo, J. T. (1986). Communication and persuasion. Springer Science & Business Media.


Pinero De Plaza, M. A., Beleigoli, A., Mudd, A., Tieu, M., McMillan, P., Lawless, M., Feo, R., Archibald, M., & Kitson, A. (2021). Not well enough to attend appointments: Telehealth versus health marginalisation. Healthier Lives, Digitally Enabled, 276(2021), 72-79. https://doi.org/10.3233/shti210013


Pope, Z., Gao, Y., Bolter, N., & Pritchard, M. (2015). Validity and reliability of eating disorder assessments used with athletes: A review. Journal of Sport and Health Science, 4(3), 211-221. https://doi.org/10.1016/j.jshs.2014.05.001


Poulis, A., Rizomyliotis, I., & Konstantoulaki, K. (2019). Do firms still need to be social? Firm generated content in social media. Information Technology & People, 32(2), 387-404. https://doi.org/10.1108/itp-03-2018-0134


PricewaterhouseCoopers. (2022). Emerging trends in healthcare and their implications for Vietnam. https://www.pwc.com/vn/vn/publications/vietnam-publications/healthcare-vietnam.html


Rahaman, Md. A., Hassan, H. M. K., Asheq, A. A., & Islam, K. M. A. (2022). The interplay between eWOM information and purchase intention on social media: Through the lens of IAM and TAM theory. Plos One, 17(9), e0272926-0272945. https://doi.org/10.1371/journal.pone.0272926


Rigdon, E. E. (1998). Structural equation modeling. In Modern methods for business research (pp. 251-294). Erlbaum.


Song, B. L., Liew, C. Y., Sia, J. Y., & Gopal, K. (2021). Electronic word-of-mouth in travel social networking sites and young consumers’ purchase intentions: an extended information adoption model. Young Consumers, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/yc-03-2021-1288


Statista Market Insights. (2024). Digital health - worldwide. https://www.statista.com/outlook/hmo/digital-health/worldwide#users


Steenkamp, J.-B. E. M., & van Trijp, H. C. M. (1991). The use of Lisrel in validating marketing constructs. International Journal of Research in Marketing, 8(4), 283-299. https://doi.org/10.1016/0167-8116(91)90027-5


Sussman, S. W., & Siegal, W. S. (2003). Informational influence in organizations: An integrated approach to knowledge adoption. Information Systems Research, 14(1), 47-65. https://doi.org/10.1287/isre.14.1.47.14767


Tang, T., Fang, E., & Wang, F. (2014). Is neutral really neutral? The effects of neutral user-generated content on product sales. Journal of Marketing, 78(4), 41-58.


Thai Binh (2023, November 21). Youth in the health sector discuss promoting digital transformation and serving people better. https://suckhoedoisong.vn/tuoi-tre-nganh-y-te-thao-luan-thuc-day-chuyen-doi-so-phuc-vu-nguoi-dan-tot-hon-16923112119161071.htm


Thanh nien Magazine. (2021, April 19). Dr. OH pocket general hospital and MB signed a strategic cooperation agreement. https://thanhnien.vn/dr-oh-benh-vien-da-khoa-bo-tui-va-mb-ky-ket-hop-tac-chien-luoc-1851058657.htm


Velázquez, B. M., Blasco, M. F., & Saura, I. G. (2023). Motivations and attitudes towards consulting eWOM when booking accommodation. Service Business, 17(2023), 558-578. https://doi.org/10.1007/s11628-023-00533-z


Vietnam Prime Minister. (2020). The Prime Minister of Vietnam’s decision no. 749/QĐ-TTg on the “National Digital Transformation Program until 2025, Vision to 2030.” https://chinhphu.vn/default.aspx?pageid=27160&docid=200163


Vnetwork. (2023, August 12). Internet Vietnam 2023: Latest figures and development trends. https://www.vnetwork.vn/news/internet-viet-nam-2023-so-lieu-moi-nhat-va-xu-huong-phat-trien/


Watts, S., & Zhang, W. (2008). Capitalizing on content: Information adoption in two online communities. Journal of the Association for Information Systems, 9(2), 73-94. https://doi.org/10.17705/1jais.00149



DOI: https://doi.org/10.46223/HCMCOUJS.econ.en.15.2.3294.2025
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