ArticleJMIR mHealth and uHealth2019
How Resource Scarcity and Accessibility Affect Patients' Usage of Mobile Health in China: Resource Competition Perspective.
Article in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sociotechnical Factors Affecting Patients' Adoption of Mobile Health Tools: Systematic Literature Review and Narrative Synthesis.JMIR mHealth and uHealth · 2022Pooled it
- Differences in healthcare institution choice among elderly cancer patients: evidence from a cross-sectional study in Shandong Province, China.BMC cancer · 2026Article
- From facilitating conditions to intention to use internet hospitals among doctors: multiple mediators of perceived risk and performance expectancy.BMC health services research · 2026Article
- Trustworthy intelligent rooms: integrating blockchain, federated learning, and data-centric AI for healthcare 4.0.Frontiers in digital health · 2026Article
- Factors Associated With the Intention to Use mHealth Among Thai Middle-Aged Adults and Older Adults: Cross-Sectional Study.JMIR human factors · 2025Article
- Reporting a Patient Safety Culture in Global Health: Evidence From Sierra Leone.Journal of nursing management · 2025Article
- Effectiveness of Outpatient Chronic Pain Management for Middle-Aged Patients by Internet Hospitals: Retrospective Cohort Study.JMIR medical informatics · 2024Article
- From Acceptance to Dependence: Exploring Influences of Smart Healthcare on Continuous Use Intention of Mobile Health Services Among Older Adults with Chronic Illnesses in China.Behavioral sciences (Basel, Switzerland) · 2024Article
- Advancing mHealth Research in Low-Resource Settings: Young Women's Insights and Implementation Challenges with Wearable Smartwatch Devices in Uganda.Sensors (Basel, Switzerland) · 2024Article
- Equity of health resource allocation in Chongqing, China, in 2021: a cross-sectional study.BMJ open · 2024Article
- The challenges and rewards of social prescribing in family medicine.Frontiers in health services · 2024Article
- An intelligent medical guidance and recommendation model driven by patient-physician communication data.Frontiers in public health · 2023Article
- Determinants of the Mobile Health Continuance Intention of Elders with Chronic Diseases: An Integrated Framework of ECM-ISC and UTAUT.International journal of environmental research and public health · 2022Article
- The Association between mHealth App Use and Healthcare Satisfaction among Clients at Outpatient Clinics: A Cross-Sectional Study in Inner Mongolia, China.International journal of environmental research and public health · 2022Article
- The Sociodemographic Digital Divide in Mobile Health App Use Among Clients at Outpatient Departments in Inner Mongolia, China: Cross-sectional Survey Study.JMIR human factors · 2022Article
- The Digital Divide in Technologies for Autism: Feasibility Considerations for Low- and Middle-Income Countries.Journal of autism and developmental disorders · 2022Article
- Patient's behavior of selection physician in online health communities: Based on an Elaboration likelihood model.Frontiers in public health · 2022Article
- Determining Factors Affecting the Users' Participation of Online Health Communities: An Integrated Framework of Social Capital and Social Support.Frontiers in psychology · 2022Article
- Patient's decision and experience in the multi-channel appointment context: An empirical study.Frontiers in public health · 2022Article
- Attitudes and perspectives of 534 Chinese pediatricians toward internet hospitals.Frontiers in pediatrics · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 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.
objectiveThe 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.
methodsWe 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.
resultsThe 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.
conclusionsIn 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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Registered trials
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