Hospitals’ Adoption of Mobile-Based Personal Health Record Systems and Patients’ Characteristics: A Cross-Sectional Study Analyzing National Healthcare Big Data

Abstract

Insufficient information exists on the associations between hospitals’ adoption of mobile-based personal health record (mPHR) systems and patients’ characteristics. This study explored the associations between patients’ characteristics and hospitals’ adoption of mPHR systems in Korea. This cross-sectional study used 316 hospitals with 100 or more beds as the unit of analysis. Previously collected data on mPHR adoption from May 1 to June 30, 2020 were analyzed. National health insurance claims data for 2019 were also used to analyze patients’ characteristics. The dependent variable was mPHR system adoption (0 vs 1) and the main independent variables were the number of patients, age distribution, and proportions of patients with cancer, diabetes, and hypertension among inpatients and outpatients. The number of inpatients was significantly associated with mPHR adoption (adjusted odds ratio [aOR]: 1.174; 1.117-1.233, P