ArticleFrontiers in public health2026
How leadership attention is associated with online-offline healthcare service synergy: differentiated effects of noticing, interpreting, and acting.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Aim: This study examines how three types of leadership attention (noticing, interpreting, acting) are associated with online-offline healthcare service synergy (process and organizational synergy), along with motivational antecedents (credit claiming, blame avoidance) and contextual boundary conditions, using the APCC framework in the Chinese context. Methods: An exploratory sequential design was adopted. During the qualitative phase, data were triangulated from 41 interviews (hospital administrators, health bureau officials, clinicians), "Internet + Healthcare" policy documents, and literature review; items were generated via thematic analysis and expert panel validation. For the quantitative phase, quota sampling following regional distribution of China's internet healthcare users, yielding 450 valid responses from experienced professionals; data were analyzed with SPSS/AMOS (SEM) and PROCESS macro for moderation. Results: The three attention types showed differentiated patterns. Acting had the strongest positive associations with process synergy ( Conclusion: This study validates the APCC framework for digital healthcare integration, supporting the cognitive-behavioral logic of leadership attention from noticing through interpreting to acting. The findings indicate that only action-oriented attention is associated with addressing structural barriers and achieving organizational synergy, while interpretive attention is only associated with improved technical process integration. The study extends the Attention-Based View to healthcare and provides actionable strategies for advancing online-offline synergy.
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