Department of Neurosurgery, School of Medicine, Pusan National University, 2 Busandaehak-ro 63beon-gil, Geumjeong-gu, Busan, 46241, Republic of Korea.
HIRA Research Institute, Health Insurance Review and Assessment Service (HIRA), 60 Hyeoksin-ro, HIRA building 9th floor, Wonju-si, Gangwon-do, 26465, Republic of Korea.
BMC Med Inform Decis Mak. 2021 Oct 29;21(1):296. doi: 10.1186/s12911-021-01666-9.
Healthcare organizations have begun to adopt personal health records (PHR) systems to engage patients, but little is known about factors associated with the adoption of PHR systems at an organizational level. The objective of this study is to investigate factors associated with healthcare organizations' adoption of PHR systems in South Korea.
The units of analysis were hospitals with more than 100 beds. Study data of 313 hospitals were collected from May 1 to June 30, 2020. The PHR adoption status for each hospital was collected from PHR vendors and online searches. Adoption was then confirmed by downloading the hospital's PHR app and the PHR app was examined to ascertain its available functions. One major outcome variable was PHR adoption status at hospital level. Data were analysed by logistic regressions using SAS 9.4 version.
Out of 313 hospitals, 103 (32.9%) hospitals adopted PHR systems. The nurse-patient ratio was significantly associated with PHR adoption (OR 0.758; 0.624 to 0.920, p = 0.005). The number of health information management staff was associated with PHR adoption (OR 1.622; 1.228 to 2.141, p = 0.001). The number of CTs was positively associated with PHR adoption (OR 5.346; 1.962 to 14.568, p = 0.001). Among the hospital characteristics, the number of beds was significantly related with PHR adoption in the model of standard of nursing care (OR 1.003; 1.001 to 1.005, p < 0.001), HIM staff (OR 1.004; 1.002 to 1.006, p < 0.001), and technological infrastructure (OR 1.050; 1.003 to 1.006, p < 0.001).
One-third of study hospitals had adopted PHR systems. Standard of nursing care as well as information technology infrastructure in terms of human resources for health information management and advanced technologies were significantly associated with adoption of PHR systems. A favourable environment for adopting new technologies in general may be associated with the adoption and use of PHR systems.
医疗机构已开始采用个人健康记录 (PHR) 系统来参与患者，但对于组织层面上与 PHR 系统采用相关的因素知之甚少。本研究旨在调查韩国医疗机构采用 PHR 系统的相关因素。
分析单位为床位超过 100 张的医院。2020 年 5 月 1 日至 6 月 30 日，从 PHR 供应商和在线搜索中收集了 313 家医院的研究数据。通过下载医院的 PHR 应用程序来确认每家医院的 PHR 采用情况，并检查 PHR 应用程序以确定其可用功能。主要结果变量是医院层面的 PHR 采用情况。使用 SAS 9.4 版本通过逻辑回归进行数据分析。
在 313 家医院中，有 103 家（32.9%）医院采用了 PHR 系统。护士与患者的比例与 PHR 的采用显著相关（OR 0.758；0.624 至 0.920，p=0.005）。卫生信息管理员工人数与 PHR 的采用相关（OR 1.622；1.228 至 2.141，p=0.001）。CT 数量与 PHR 的采用呈正相关（OR 5.346；1.962 至 14.568，p=0.001）。在医院特征中，在护理标准（OR 1.003；1.001 至 1.005，p<0.001）、卫生信息管理员工（OR 1.004；1.002 至 1.006，p<0.001）和技术基础设施（OR 1.050；1.003 至 1.006，p<0.001）模型中，床位数量与 PHR 的采用显著相关。
三分之一的研究医院已经采用了 PHR 系统。护理标准以及人力资源管理和先进技术方面的信息技术基础设施与 PHR 系统的采用显著相关。一般来说，有利于采用新技术的环境可能与 PHR 系统的采用和使用有关。
