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.
基金:
National Natural Science Foundation of China [71671073, 71810107003]; Natural Science Foundation of Hubei Province [2018CFB739]
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
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
JCR分区:
出版当年[2017]版:
Q1MEDICAL INFORMATICSQ1HEALTH CARE SCIENCES & SERVICES
最新[2023]版:
Q1HEALTH CARE SCIENCES & SERVICESQ1MEDICAL INFORMATICS
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
通讯作者:
推荐引用方式(GB/T 7714):
Ye Qing,Deng Zhaohua,Chen Yanyan,et al.How Resource Scarcity and Accessibility Affect Patients' Usage of Mobile Health in China: Resource Competition Perspective[J].JMIR MHEALTH AND UHEALTH.2019,7(8):doi:10.2196/13491.
APA:
Ye, Qing,Deng, Zhaohua,Chen, Yanyan,Liao, Jiazhi,Li, Gang&Lu, Yaobin.(2019).How Resource Scarcity and Accessibility Affect Patients' Usage of Mobile Health in China: Resource Competition Perspective.JMIR MHEALTH AND UHEALTH,7,(8)
MLA:
Ye, Qing,et al."How Resource Scarcity and Accessibility Affect Patients' Usage of Mobile Health in China: Resource Competition Perspective".JMIR MHEALTH AND UHEALTH 7..8(2019)