Abstract
BackgroundAlthough mobile health (mHealth) has the potential to transform health care by delivering better outcomes at a much lower cost than traditional health care services, little is known about mHealth adoption by hospitals.ObjectiveThis study aims to explore the determinants of mHealth adoption by hospitals using the technology-organization-environment (TOE) framework.MethodsWe conducted an interviewer-administered survey with 87 managers in Chinese public hospitals and analyzed the data using logistic regression.ResultsThe results of our survey indicate that perceived ease of use (β=.692; P<.002), system security (β=.473; P<.05), top management support (β=1.466; P<.002), hospital size (β=1.069; P<.004), and external pressure (β=.703; P<.005) are significantly related to hospitals’ adoption of mHealth. However, information technology infrastructure (β=.574; P<.02), system reliability (β=−1.291; P<.01), and government policy (β=2.010; P<.04) are significant but negatively related to hospitals’ adoption of mHealth.ConclusionsWe found that TOE model works in the context of mHealth adoption by hospitals. In addition to technological predictors, organizational and environmental predictors are critical for explaining mHealth adoption by Chinese hospitals.
Highlights
IntroductionBackgroundThe aging population and the high prevalence of complex long-term conditions are placing unprecedented pressure on hospital services in China [1,2]
BackgroundThe aging population and the high prevalence of complex long-term conditions are placing unprecedented pressure on hospital services in China [1,2]
We found that TOE model works in the context of mobile health (mHealth) adoption by hospitals
Summary
BackgroundThe aging population and the high prevalence of complex long-term conditions are placing unprecedented pressure on hospital services in China [1,2]. Mobile health (mHealth) has the potential to alleviate pressure on hospital services but can increase accessibility and meet individual patient demands. It has been advocated as a complementary approach to traditional (ie, offline) health care services [3]. Defined as “the use of mobile devices—such as mobile phones, patient monitoring devices, personal digital assistants (PDAs) and wireless devices—for medical and public health practice” [6], mHealth has the potential to transform health care by delivering better outcomes at a lower cost [7]. Mobile health (mHealth) has the potential to transform health care by delivering better outcomes at a much lower cost than traditional health care services, little is known about mHealth adoption by hospitals
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