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How Resource Scarcity and Accessibility Affect Patients' Usage of Mobile Health in China: Resource Competition Perspective

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单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Informat Management,Wuhan,Hubei,Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Med & Hlth Management, 13 Hangkong Rd, Wuhan 430030, Hubei, Peoples R China [3]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Wuhan,Hubei,Peoples R China [4]Huazhong Univ Sci & Technol, Sch Management, Wuhan, Hubei, Peoples R China
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DOI: 10.2196/13491
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关键词: mobile health technology adoption moderating effect resource scarcity resource accessibility resource competition

摘要:
Background: The last decade has witnessed many achievements in China's health care industry, but the industry still faces major challenges among which the uneven distribution of medical resources and the imbalance between supply and demand are the most pressing problems. Although mobile health (mHealth) services play a significant role in mitigating problems associated with health care delivery, their adoption rates have been low. Objective: The objective of this study was to explore the impact of resource scarcity and resource accessibility on the adoption of mHealth from the perspective of resource competition, to examine the concerning factors, and to provide a theoretical basis for promoting mHealth in China. Methods: We used 229,516 original registration records of outpatients to conduct an empirical analysis to examine the adoption of mHealth services from the perspective of resource competition. Results: The adoption rate of mobile services for outpatients was low, accounting for only 31.5% (N=71,707). The empirical results indicated that resource scarcity (beta=.435, P=.01) and accessibility (beta=-.134, P=.02) have a significant impact on the adoption of mHealth. In addition, gender (beta=.073, P=.01) and age (beta=-.009, P<.001) are significantly related to adoption of mHealth. Experience with mHealth has a moderating role in the relationship between resource scarcity (beta= -.129, P=.02), accessibility (beta=.138, P=.04), and adoption of mHealth. Conclusions: In this study we demonstrate that the external environment (resource scarcity and resource accessibility) has a significant impact on the adoption of mHealth. This study also demonstrates that experience with mHealth has a moderating role in the relationship between the elements of the external environment. Finally, we confirm that mHealth is a key factor in the delivery and allocation of medical resources and provide a theoretical basis for government agencies to develop policies on mHealth.

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出版当年[2018]版:
大类 | 2 区 医学
小类 | 1 区 医学:信息 2 区 卫生保健与服务
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 卫生保健与服务 2 区 医学:信息
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出版当年[2017]版:
Q1 MEDICAL INFORMATICS Q1 HEALTH CARE SCIENCES & SERVICES
最新[2023]版:
Q1 HEALTH CARE SCIENCES & SERVICES Q1 MEDICAL INFORMATICS

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Informat Management,Wuhan,Hubei,Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Med & Hlth Management, 13 Hangkong Rd, Wuhan 430030, Hubei, Peoples R China
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