Factors influencing adoption intentions to use AIGC for health information: findings from SEM and fsQCA

With the rapid advancement of artificial intelligence technologies, AI-generated content (AIGC) was increasingly applied in the health information sector, becoming a vital tool to enhance the efficiency and quality of health information exchange. This research investigated the motivations behind users' adoption with AIGC during health information searches, aiming to advance public health management and technological innovation in health information. The study employed a model constructed from the UTAUT and the Health Belief Model. Comprehensive analysis of survey data was conducted using Structural Equation Modeling (SEM) and Fuzzy-Set Qualitative Comparative Analysis (fsQCA). Data handling and model verification were performed using SPSS 27, SmartPLS 4, and fsQCA 4.1 software tools. The SEM results reveal that performance expectancy, effort expectancy, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and self-efficacy significantly positively influence adoption intentions, while facilitating conditions showed no significant effect. Fuzzy-Set Qualitative Comparative Analysis identifies two pathways that trigger adoption intention: Comprehensive Support and Health-Dominated. The study integrates the UTAUT and HBM in the context of health information technology adoption intention and employs a hybrid approach to deepen understanding of user behavior in the health information environment. Further exploration of emerging theories suitable for the rapidly evolving field of health information technology is still needed.