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In an attempt to enhance their effectiveness, public health institutions are making a great effort to develop online health care services targeted to all citizens. This paper considers user e-skills as the antecedents of online health care services success. This skills are indispensable to ensure that non-ICT sectors, as well as society as a whole, draws the full benefits from advances in the ICT sector, especially through productivity gains and better social integration. The main focus of this paper is to link e-skills to e-loyalty through the Seddon's information system success model. To achieve this goal, an integrated model is developed and tested by using the Structural Equation Modelling (SEM) approach in a sample of 256 healthcare end users. The results obtained suggest that e-skills dimensions (i.e. self-efficacy and innovativeness) are antecedents of perceptual dimensions of individual benefits (i.e., perceived usefulness and satisfaction) and of organizational impact dimensions (i.e. eLoyalty), as Seddon' model suggests. Consistent with prior studies, satisfaction had strong effects on eLoyalty. Thus, healthcare providers must continuously work at obtain satisfied users to encourage their continuing using of online services. In order to develop patient satisfaction, our results support that perceived usefulness plays a major role in creating a pleasant environment to facilitate the utilization of health technology services. Hence, it is very important to work to get the highest perception of usefulness in users by enhancing their e-skills. [ABSTRACT FROM AUTHOR]

In an attempt to enhance their effectiveness, public health institutions are making a great effort to develop online health care services targeted to all citizens. The initial acceptance of these services by patients is important but their success depends on its continued use, that is, on patients' electronic loyalty (eLoyalty). In this research, an integrated model combining the Technology Acceptance Model (TAM) and the Seddon's Model is developed to test online health care services success from a sample of 256 healthcare end users. The results obtained suggest that quality perception dimensions (i.e. information quality and system quality) are antecedents of perceptual dimensions of individual benefits (i.e., perceived usefulness and satisfaction) and of organizational impact dimensions (i.e. eLoyalty). Finally, the implications of the findings are discussed and useful insights to build patients' eLoyalty are provided [ABSTRACT FROM AUTHOR]