Title Page
Contents
ABSTRACT 10
CHAPTER 1. INTRODUCTION 12
1.1. Research Background 12
1.2. Research Objectives 14
1.3. Organization of Dissertation 15
CHAPTER 2. LITERATURE REVIEW 17
2.1. HIT (Healthcare Information Technology) 18
2.1.1. The Impact of HIT 18
2.1.2. The Adoption of HIT 20
2.1.3. HIT and Privacy Concern 23
2.2. Social Media in Healthcare 24
2.2.1. Concept of Social media 24
2.2.2. Social Media in Healthcare 25
2.3. Research on HIT and Social Media in healthcare 30
CHAPTER 3. THEORETICAL BACKGROUND 31
3.1. Self-Management 31
3.1.1. Concept of Self-Management 31
3.1.2. Self-Management Outcome 32
3.1.3. Activation as Self-Management Outcome 34
3.2. S-P-O (Structure-Process-Outcome) Framework 35
3.2.1. Quality of Healthcare 35
3.2.2. Structure-Process-Outcome Framework 36
3.3. Conceptual Framework 46
CHAPTER 4. CONTENT ANALYSIS OF HISM 47
4.1. Agenda and Procedures 47
4.1.1. Agenda for Content Analysis 47
4.1.2. Content Analysis Procedure 47
4.2. Study Method 48
4.2.1. Sample and Data Collection 48
4.2.2. Approach to Content Analysis 50
4.2.3. Generating Coding Categories and Coding Procedure 51
4.2.4. Reliability of Coding Result 54
4.3. Implications for Research Model 55
4.4. Further Analysis on Message Content in HISM 56
4.4.1. Information Providers and Format 56
4.4.2. Attributes of Each Content Type of Messages 56
CHAPTER 5. RESEARCH MODEL and HYPOTHESES 59
5.1. Research Model 59
5.2. Research Hypotheses 60
5.2.1. Outcome: Social Media Impact on Self-Management 60
5.2.2. Process and Its Relationship to Outcome 62
5.2.3. Structure and Its Relationship to Process 63
CHAPTER 6. DATA COLLECTION and ANALYSIS 69
6.1. Measurement Development 69
6.2. Administration of Survey 79
6.2.1. Sample and Data Collection 79
6.2.2. Sample Demographic 80
6.3. Survey Result 82
6.3.1. Measurement Model 82
6.3.2. Testing Result of Research Hypotheses 85
6.4. Further Analysis 88
CHAPTER 7. CONCLUSION 91
7.1. Summary and Implications 91
7.2. Limitations and Future Research 95
7.3. Contributions 96
7.3.1. Theoretical Contribution 96
7.3.2. Practical Contribution 97
REFERENCES 100
APPENDIX 121
〈APPENDIX 1〉 CODING BOOK 121
〈APPENDIX 2〉 RATING QUESTIONNAIRE 130
〈APPENDIX 3〉 SURVEY QUESTIONNAIRE 135
ABSTRACT IN KOREAN 151
Table 2.1. Existing Research on HIT 23
Table 2.2. Existing Research on Social Media in Healthcare 29
Table 3.1. SPO Framework Explanations 36
Table 3-2. Conceptual Definitions of Structure 39
Table 3-3. Conceptual Definitions of Process 43
Table 3-4. Conceptual Definitions of Outcome 45
Table 4-1. Definitions of Coding Categories 53
Tabel 4-2. Intercoder Reliability (calculated by ReCal) 55
Table 4-3. Information Providers and Message Format in HISM 56
Table 4-4. Types of Message Content in HISM 57
Table 4-5. Information Providers and Types of Message Content in HISM 58
Table 6-1. Operational Definition and Instruments for Variables 71
Table 6-2. Items measuring Variables in This Research 78
Table 6-3. Demographics of Respondents 81
Table 6-4. Results of Convergent Validity Analysis 83
Table 6-5. Results of Discriminant Validity Analysis(Correlation between variables) 84
Table 6-6. Results of Hypotheses 85
Table 6-7. t-test Results 90
Figure 1-1. Organization of Dissertation 16
Figure 2-1. Literature Review in This Research 17
Figure 3-1. Conceptual Framework in This Research 46
Figure 4-1. Content Analysis Procedure in This Research 48
Figure 4-2. Samsung Medical Center & Asan Medical Center Facebook Accounts 49
Figure 4-3. Coding Categories in this study 52
Figure 5-1. Research Model 60
Figure 6-1. Results of PLS Analysis 87
Figure 6-2. Additional Test of Influence Emotional Appeals & Non-health Topic 88
Figure 6-3. PLS Results of Modified Research Model 89