Jianwei Deng

Drawing on protection motivation theory (PMT), this study investigates how employees respond cognitively and behaviorally to layoff threats in China's megacity Internet sector. Study 1 employed a cross-sectional survey of 423 employees from Beijing Internet firms, and Study 2 conducted a scenario-based experiment to strengthen causal inference. Structural equation modeling and path analysis were conducted to test a mediation model linking threat and coping appraisals to extra-role behavior (ERB) via protection motivation. Results show that perceived severity, vulnerability, response efficacy and self-efficacy jointly enhance protection motivation, which in turn promotes adaptive ERB. Perceived organizational support moderates this link, weakening the effect of protection motivation on ERB. These findings extend PMT from explaining defensive reactions to adaptive behaviors, highlighting how employees transform employment threats into proactive engagement. Practical implications emphasize fostering efficacy and balanced support to channel anxiety into constructive motivation.

Population ageing and digital health have become important trend and challenge in today’s world development. And previous literature has concentrated on their causes and consequences. However, less is known about the bidirectional relationship between digital inclusion and healthy ageing among older adults, which is not conducive to governance of an ageing population and realization of digital health equity. Based on CHARLS database, this study empirically examines the bidirectional relationship between digital inclusion and healthy ageing using a four-wave cross-lagged model. The results show that digital inclusion significantly positively predicts healthy ageing (β = 0.049, p < 0.001; β = 0.037, p < 0.01; β = 0.086, p < 0.001). In addition, the role of healthy ageing in predicting digital inclusion is also emphasized (β = 0.057, p < 0.01; β = 0.048, p < 0.01; β = 0.043, p < 0.01). After controlling for covariates including sociodemographic characteristics, health-related behaviors and health outcomes, the bidirectional relationships are also significant ( p < 0.05). Multi-group analyses indicate that these cross-lagged effects were invariant across gender, marital status, residence and income groups ( p < 0.05), but varied significantly by education level ( p < 0.05). And sensitivity analyses further confirm the robustness of the findings. The present study provides substantial evidence and reference for the relationship between digital inclusion and healthy ageing in Chinese context and contributes to a deeper understanding of the solution to ageing population and digital divide.

The market for healthcare data elements in China has shown strong growth, but still fails to effectively realize the value of circulation and transactions. By identifying the five major challenges, this article proposes countermeasures to accelerate the release of multidimensional value and integrative value creation of healthcare data elements.

In a highly competitive and high-pressure workplace environment, more and more employees may fall into negative work situations such as work disengagement. The actual effectiveness of avoidant job crafting as a proactive behavior of employees in coping with stress remains controversial, and the positive aspects of its impact are not explored. Based on conservation of resources theory, this study argues that avoidant job crafting mitigates employees’ self-control resource depletion, which in turn effectively helps employees to reduce work disengagement; the above process is moderated by career identity. To test the above hypotheses, this study collects 455 cross-sectional data from Internet companies in various regions of China and uses structural equation modeling to conduct an analysis. The results show the following: avoidant job crafting has a significant negative effect on work disengagement; self-control resource depletion partially mediates the effect of avoidant job crafting on work disengagement; and the negative relationship between avoidant job crafting and self-control resource depletion is stronger when employees’ career identity is higher and vice versa when it is weaker. The above results guide managers to help employees adjust avoidant job crafting correctly and escape negative work situations.

In the face of the profound impacts of global digitization, aging, and major public health emergencies on work patterns, occupational health in the workplace is of inescapable importance for the achievement of the Sustainable Development Goals

Objectives: Under the guidance of the job demands‐resources (JD‐R) model, this study is aimed at exploring the relationship between job challenge, presenteeism, end‐user computing satisfaction, and innovative work behaviour by establishing a chain mediation model. Methods: We invited 617 healthcare workers from China to participate in the survey during 2020. We obtained 566 valid data by sifting out invalid data and used SPSS 26.0 and Amos 21.0 for correlation analysis and structural equation model testing to test the chained mediation model. Results: The results show that presenteeism partially mediates job challenge and innovative work behaviour. The end‐user computing satisfaction of the information system and the presenteeism of the medical staff play a chain mediating role between job challenge and innovative work behaviour. Conclusions: This study provides policy suggestions and theoretical guidance for promoting innovative work behaviours of medical staff, improving medical service levels, and improving medical information systems reasonably and efficiently.

The widespread availability of vaccines has profound implications for sustainable public health. Positive recommendation on vaccination is one of the most effective ways to increase the willingness to vaccinate against COVID-19. This study aims to investigate the factors influencing the intentions to recommend COVID-19 vaccination for specific groups (IRCVSG) and the intentions to recommend COVID-19 vaccination for non-specific groups (IRCVNSG) in China and explore the mediating role of vaccine hesitancy and perception of vaccination information. This study conducted a cross-sectional anonymous online survey of adults (N = 903) in 28 provincial-level administrative regions in China in May 2022. The prevalence of IRCVSG and IRCVNSG was 60.5% and 93.0%, respectively. Health information literacy has a significant direct and indirect impact on IRCVSG through safety hesitancy and the perceived adequacy and usefulness of vaccination information. The relationship between health information literacy and IRCVNSG is entirely mediated via hesitation about the effectiveness and perceived usefulness of vaccination information. Special attention should be paid to the safety hesitation of COVID-19 vaccination for specific groups. This study tests these effects from both theoretical and practical perspectives, helping to address barriers to promoting the vaccination of specific groups for COVID-19 in clinical practice, improving health and sustainability.

The spread and application of enterprise information systems (EISs) has provided scholars and managers with a new perspective to enhance the work–family enrichment. Based on the work–family enrichment theory, this research aims to examine the ability of female employees to enhance their work–family enrichment by applying the resources accumulated through the use of EISs by combining the technology acceptance model with the DeLone & McLean Information Systems Success Model. The findings based on a survey of 823 full-time female employees in China indicated that the information systems quality factors (including information quality, system quality, and service quality) were positively associated with female employees’ work–family enrichment. In addition, the chained mediating effect of perceived ease of use and perceived usefulness was examined. The results can help female employees to perform positively in both work and family spheres and provide positive support for the promotion of the social fertility policies.

Background: The swift shift toward internet hospitals has relied on the willingness of medical practitioners to embrace new systems and workflows. Low engagement or acceptance by medical practitioners leads to difficulties in patient access. However, few investigations have focused on barriers and facilitators of adoption of internet hospitals from the perspective of medical practitioners. Objective: This study aims to identify both enabling and inhibiting predictors associated with resistance and behavioral intentions of medical practitioners to use internet hospitals by combining the conservation of resources theory with the Unified Theory of Acceptance and Use of Technology and technostress framework. Methods: A mixed methods research design was conducted to qualitatively identify the factors that enable and inhibit resistance and behavioral intention to use internet hospitals, followed by a quantitative survey-based study that empirically tested the effects of the identified factors. The qualitative phase involved conducting in-depth interviews with 16 experts in China from June to August 2022. Thematic analysis was performed using the qualitative data analysis software NVivo version 10 (QSR International). On the basis of the findings and conceptual framework gained from the qualitative interviews, a cross-sectional, anonymous, web-based survey of 593 medical practitioners in 28 provincial administrative regions of China was conducted. The data collected were analyzed using the partial least squares method, with the assistance of SPSS 27.0 (IBM Corp) and Mplus 7.0 (Muthen and Muthen), to measure and validate the proposed model. Results: On the basis of qualitative results, this study identified 4 facilitators and inhibitors, namely performance expectancy, social influence, work overload, and role ambiguity. Of the 593 medical practitioners surveyed in the quantitative research, most were female (n=364, 61.4%), had a middle title (n=211, 35.6%) or primary title (n=212, 35.8%), and had an average use experience of 6 months every year. By conducting structural equation modeling, we found that performance expectancy (β=−.55; P<.001) and work overload (β=.16; P=.005) had the most significant impact on resistance to change. Resistance to change fully mediated the influence of performance expectancy and partially mediated the influences of social influence (variance accounted for [VAF]=43.3%; P=.002), work overload (VAF=37.2%; P=.03), and role ambiguity (VAF=12.2%; P<.001) on behavioral intentions to use internet hospitals. In addition, this study found that the sex, age, professional title, and use experience of medical practitioners significantly moderated the aforementioned influencing mechanisms. Conclusions: This study investigated the factors that facilitate or hinder medical practitioners’ resistance to change and their behavioral intentions to use internet hospitals. The findings suggest that policy makers avoid the resistance and further promote the adoption of internet hospitals by ensuring performance expectancy and social influence and eliminating work overload and role ambiguity.

Hierarchical medical policies are widely used worldwide to reduce healthcare costs, rationalize the use of healthcare resources, and improve accessibility and fairness of healthcare services. However, few case studies have evaluated the effects and prospects of such policies. Medical reform efforts in China have distinct goals and characteristics. Therefore, we investigated the effects of a hierarchical medical policy in Beijing and assessed the future potential of the policy to yield insights for other countries, especially developing countries. Different methods were used to analyze multidimensional data from official statistics, a questionnaire survey of 595 healthcare workers from 8 representative public hospitals in Beijing, a questionnaire survey of 536 patients, and 8 semi-structured interview records. The hierarchical medical policy had strong positive effects on improving access to healthcare services, balancing the workload of healthcare workers in various levels of public hospitals, and improving the management of public hospitals. The remaining obstacles include severe job stress among healthcare workers, the high cost of some healthcare services, and the need for improvement in the development level and service capacity of primary hospitals. This study provides useful policy recommendations regarding the implementation and extension of the hierarchical medical policy, including the need for governments to improve the hospital assessment system and for hospitals to actively participate in developing medical partnerships.