Understanding the determinants of online medical crowdfunding project success in China

Understanding unmet medical needs through medical crowdfunding in China

OBJECTIVES

Online medical crowdfunding has gained popularity in recent years in China. The objective of this study was to identify unmet medical needs in the public healthcare system through analysis of Chinese medical crowdfunding data.

STUDY DESIGN

Text information extraction and statistical analysis based on large-scale data.

METHODS

From 19 June 2011 to 15 March 2020, data from 30,704 medical crowdfunding projects were collected from Tencent GongYi, which is one of the largest Chinese medical crowdfunding platforms. Text mining methods were used to extract data on the medical conditions and locations of the applicants of medical crowdfunding. In addition, 125 medical crowdfunding projects initiated by leukaemia patients in Chongqing and Nanyang were further investigated through manual data extraction, and the factors impacting the fundraising goals were explored using a generalised linear model.

RESULTS

The most common conditions using medical crowdfunding to raise funds were as follows: cancer (31.87%), chronic conditions (18.14%), accidental injury (7.80%) and blood system-related conditions (7.75%). Treatments for cancer and blood system-related conditions are expensive and have serious long-term impacts on the lives of patients. Results showed that the cities of Nanyang and Chongqing had the largest number of crowdfunding projects.

CONCLUSIONS

This study found that the medical conditions that prompted individuals to apply for crowdfunding were those with long treatment cycles, complexities and expensive medical or non-medical costs. Furthermore, discrepancies in health insurance policies between different regions and residents seeking treatments outside their insurance locations were also important factors that triggered medical crowdfunding applications. Adjusting health insurance policies accordingly may improve the efficiency of utilising health insurance resources and reduce the financial burden on patients.

Inducing collective action intentions for healthcare reform through medical crowdfunding framing

As a response to the shortcomings of the U.S. healthcare system, Americans are increasingly turning to crowdfunding platforms to bankroll their health-related costs. However, although medical crowdfunding has rapidly become institutionalized as part of the U.S. healthcare financing landscape, empirical evidence on how Americans perceive its role in healthcare and the impact it might have on public attitudes is scarce. To shed more light on the above, we analyze data from one correlational and one experimental study conducted over September-November 2021. Our correlational study reveals that political orientation is associated with Americans' views on medical crowdfunding. Specifically, we find that those who self-identified as conservative perceived medical crowdfunding as a valid part of the system, and more positively than a universal healthcare system. In contrast, medical crowdfunding is perceived less positively, as hindering a system of universal and affordable healthcare by those more liberally-oriented. In our experimental study, we explore how medical crowdfunding narratives can induce social attitudes conducive to change. Specifically, we test the effect of politicized narratives (vs. control) on group efficacy and subsequently on collective action intentions for healthcare reform, as a function of political orientation. Our results show that politicized narratives might induce collective action intentions through higher group efficacy, but only among those who self-identified as conservative. Liberally-oriented individuals held high collective action intentions for healthcare reform and were not affected by the manipulation. Our work is the first to establish empirically that medical crowdfunding, when employing politicized narratives, can induce collective action intentions, but this effect is moderated by political ideology.

A matter of life and death: The power of personal networks for medical crowdfunding performance

Medical crowdfunding is an accessible alternative for individuals to meet their unaffordable health needs. This study explores the role of personal networks in medical crowdfunding performance from the perspective of tie strength and whether gender inequality persists in the returns of personal networks in this survival context, using bilateral data of both the ego and the alters collected from a large representative medical crowdfunding platform in China. It is found that kin ties play a fundamental and predominant role while pseudo-kin ties, being less strong than kin ties in terms of mutual sentiment and reciprocal obligations to help each other, play an accumulative role and are more influential in increasing crowdfunding performance, and neighbour and other role relations have the weakest effect and contribution. Importantly, women are not discriminated against when mobilizing personal networks for medical crowdfunding as they enjoy the same returns of most personal ties as men do.

Do expressions of sadness, anxiety and fear have different impacts on attracting donations? Evidence from a Chinese online charitable crowdfunding platform

Purpose

Extant research shows mixed results on the impact of expressed negative emotions on donations in online charitable crowdfunding. This study solves the puzzle by examining how different types of negative emotions (i.e. sadness, anxiety and fear) expressed in crowdfunding project descriptions affect donations.

Design/methodology/approach

Data on 15,653 projects across four categories (medical assistance, education assistance, disaster assistance and poverty assistance) from September 2013 to May 2019 come from a leading online crowdfunding platform in China. Text analysis and regression models serve to test the hypotheses.

Findings

In the medical assistance category, the expression of sadness has an inverted U-shaped effect on donations, while the expression of anxiety has a negative effect. An appropriate number of sadness words is helpful but should not exceed five times. In the education assistance and disaster assistance categories, the expression of sadness has a positive effect on donations, but disclosure of anxiety and fear has no influence on donations. Expressions of sadness, anxiety and fear have no impact on donations in the poverty assistance category.

Research limitations/implications

This work has important implications for fundraisers on how to regulate the fundraisers' expressions of negative emotions in a project's description to attract donations. These insights are also relevant for online crowdfunding platforms.

Originality/value

Online crowdfunding research often studies negative emotions as a whole and does not differentiate project types. The current work contributes by empirically testing the impact of three types of negative emotions on donations across four major online crowdfunding categories.

Online users’ donation behavior to medical crowdfunding projects: Mediating analysis of social presence and perceived differences in trust

Perceived trust is a key factor affecting the behavior to donate online. In order to further explore the factors and influencing mechanisms that affect the success of medical crowdfunding projects, this paper, combined with the Stimulus-Organism-Response (S-O-R) theory, introduces the mediating variable of social presence and perceived differences in trust, and constructs a model of online users’ donation behavior to medical crowdfunding projects. We collected 437 valid samples through a questionnaire survey, and processed the data with SPSS and Amos software to test and analyze the theoretical model. The research results showed that project description and user participation have a significant positive effect on social presence; project transparency and patient identity have a significant negative effect on perceived differences in trust; social presence has a positive effect on donation behavior, while the perceived difference in trust has a negative effect; social presence and perceived differences in trust play a mediating role respectively; there is no significant effect of patient status on social presence. This study further expands the application of social presence and perceived differences in trust in medical crowdfunding, and provides a theoretical basis for the success of medical crowdfunding projects.

An overview of Fintech applications to solve the puzzle of health care funding: state-of-the-art in medical crowdfunding

Crowdfunding is emerging as an alternative form of funding for medical purposes, with capital being raised directly from a broader and more diverse audience of investors. In this paper, we have systematically researched and reviewed the literature on medical crowdfunding to determine how crowdfunding connects with the health care industry. The health care industry has been struggling to develop sustainable research and business models for economic systems and investors alike, especially in pharmaceuticals. The research results have revealed a wealth of evidence concerning the way crowdfunding is applied in real life. Patients and caregivers utilize web platform-based campaigns all over the world to fund their medical expenses, generally on a spot basis, using donation-based or even reward-based schemes, regardless of the health care system archetype (public, private insurance-based or hybrid). Academics have also focused on funding campaigns and the predictors of success (which range from social behaviour and environment to the basic demographics of the campaigners and their diseases) and on social and regulatory concerns, including heightened social inequality and stigma. While equity crowdfunding is disrupting the way many ventures/businesses seek capital in the market, our research indicates that there are no relevant or consistent data on the practice of medical equity crowdfunding in health care, apart from a few anecdotal cases.

Exploring subjective well-being and ecosystem services perception in the agro-pastoral ecotone of northern China

Understanding stakeholders' perceptions about human well-being and ecosystem services is essential for designing efficient public policies and sustainable environmental management that help to improve people's quality of life. Despite the fragile ecosystem and poverty concentration in the agro-pastoral ecotone, research in this field remains scarce. We selected a typical agro-pastoral ecotone, Duolun County, Inner Mongolia, China, to explore how socioeconomic and demographic factors affect subjective well-being and perceptions of ecosystem services through structural equation modelling (SEM) and canonical correspondence analysis (CCA). Our results showed that health had the highest correlation with subjective well-being among the five dimensions, but respondents were least satisfied with it. Formal education had the greatest effect on subjective well-being, followed by age, income, and livelihood. Gender had no effect on subjective well-being. Older respondents with lower formal education who had a lower level of subjective well-being considered supporting and provisioning services more important for well-being. In contrast, younger respondents with higher education levels (mostly jobs not associated with working the land) mainly valued cultural services. Finally, we discussed the factors that influence subjective well-being and perceptions of ecosystem services and their implications for local management decision-making.

Factors Influencing Donation Intention to Personal Medical Crowdfunding Projects Appearing on MSNS

This purpose of this study is to develop a research model by extending the theory of planned behavior in a new application context, and applies it to investigate the extrinsic factors influencing people’s attitude towards donating to medical crowdfunding projects appearing on mobile social networking sites (MSNS) and their intention to donate. A survey of 356 Chinese users was conducted and structural equation modeling was used to validate the proposed model and hypotheses. The results indicate that project information, retweeter information and MSNS information all have the significant effect on the general attitude towards donating to medical crowdfunding projects, and general attitude positively affects people’s donation intention. In addition, perceived behavioral control also has positive effect on people’s donation intention, while experienced donating to medical crowdfunding projects has negative effect on people’s donation intention. The research findings provide important theoretical and practical implications.

Medical Crowdfunding Campaign Sharing Behaviour on Mobile Social Media

This study explores factors influencing the sharing behaviour of medical crowdfunding campaigns on mobile social media regarding retweeter and retweeted text features from the social influence perspective and verifies the moderating effect of potential supporter donations. Two scenario-based surveys of medical crowdfunding users are conducted in China. The first (524 samples) and second (510 samples) surveys emphasize scenarios without and with retweeted text, respectively. These surveys are tested by PLS-SEM and suggest that the credibility of retweeters and the strength of their relationship with supporters can positively promote potential supporters' sharing behaviour, regardless of whether retweeters provide retweeted text. Three features of retweeted text significantly influence medical crowdfunding sharing behaviour. Retweeted text can promote sharing behaviour among individuals. With retweeted text available, if potential supporters donate before sharing the campaign, then the influences of retweeter and retweeted text features can be increased.