Assessing the impact of physicians' social capital on decision making quality mediated by knowledge sharing in a virtual community of practice: an empirical quantitative analysis

Abstract

Purpose - Healthcare (HC) is a globally expensive investment, suffering from service quality, due to medical errors caused by physicians’ poor decisions making (DM). Current published literature: (1) encourages clinical DM research to reduce diagnostic errors and (2) stresses on the dearth of means for practitioners’ knowledge shared DM; this research focuses on knowledge sharing for improving medical DM quality through physicians’ social capital (SC) in a virtual community of practice (VCoP). Physicians join a virtual community (VC) to share clinical practice knowledge to aid medical DM. This study aims to assess the effect of physicians’ SC on medical DM and assess the mediating role of knowledge sharing quality, between physicians’ SC and medical DM quality since research lacks to investigate the impact of knowledge management (KM) tools in a HC context. VCoP is a KM tool and medical DM quality is a HC topic of this study. Design/methodology/approach – This positivist, quantitative research utilizes non-experimental survey to empirically assess its conceptual framework. After attaining an ethical approval, from Brunel Business School Research Ethics Committee, online survey was pre-tested and pilot tested for clarity and validity. 10 non-physician Ph.D. academics voluntarily participated during the survey’s pre-test phase. The survey was amendment for its pilot study phase; conducted in “plastic surgery yahoo group” VC. 31 physician VC members voluntarily participated. Again, the survey was amended and distributed for main data collection from 204 voluntary SurveyMonkey’s VC’s physician members. Findings – Data was analysed using SPSS 20 and LISREL 8.80 by means of confirmatory factor analysis and Structural Equation Modeling. Empirical findings supported this study’s four main hypotheses as well as supported this study’s initially proposed conceptual framework. Originality/value – This study customized the Honeycomb framework to establish a definition of professional physicians; HC VCs followed by identifying 51 VCs from social networking platforms like LinkedIn, Facebook, etc. This study also fulfilled its aim and hence proposed a structurally fit conceptual framework. Keywords –Virtual Community of Practice; Healthcare Knowledge Management; Confirmatory Factor Analysis; Structural Equation Modeling