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- Title
Quality of Care in Hospitals and the Use of Mobile-Based Personal Health Record Applications: An Exploratory Study Using National Hospital Evaluation Data.
- Authors
Park, Young-Taek; Lee, Mi-Joon; Kim, Sang Mi
- Abstract
The use of mobile-based personal health record (m-PHR) applications at the hospital level has been minimally studied. This study aimed to investigate the relationship between m-PHR use and quality of care. A cross-sectional study design was employed, analyzing data from 99 hospitals. Two data sources were utilized: a previous m-PHR investigation conducted from 26 May to 30 June 2022 and a hospital evaluation dataset on quality of care. The use of m-PHR applications was measured by the number of m-PHR application downloads. Three independent variables were assessed: quality of care in the use of antibiotic drugs, injection drugs, and polypharmacy with ≥6 drugs. A generalized linear model was used for the analysis. The hospitals providing high-quality care, as evaluated based on the rate of antibiotic prescription (relative risk [RR], 3.328; 95% confidence interval [CI], 1.840 to 6.020; p < 0.001) and polypharmacy (RR, 2.092; 95% CI, 1.027 to 4.261; p = 0.042), showed an increased number of m-PHR downloads. Among the hospital covariates, public foundation status and being part of multi-hospital systems were associated with the number of m-PHR downloads (p < 0.05). This exploratory study found a positive relationship between quality of care and m-PHR use. Hospitals providing high-quality care may also excel in various activities, including m-PHR application use.
- Subjects
SOUTH Korea; ANTIBIOTICS; MOBILE apps; CROSS-sectional method; STATISTICAL models; MEDICAL quality control; T-test (Statistics); MEDICAL record access control; HOSPITALS; POLYPHARMACY; RELATIVE medical risk; MANN Whitney U Test; INJECTIONS; MEDICAL records; RESEARCH; LEGAL status of patients; CONFIDENCE intervals; DATA analysis software
- Publication
Healthcare (2227-9032), 2024, Vol 12, Issue 11, p1064
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare12111064