Accepted for/Published in: JMIR Formative Research
Date Submitted: Jan 16, 2023
Date Accepted: Sep 3, 2024
Patient-centric mobile medical services accessed through smartphones in the top 100 Chinese public hospitals: a cross-sectional survey
ABSTRACT
Background:
Smartphone-based technology has been employed to enhance the delivery of healthcare services to the public in numerous countries.
Objective:
The aim of this study was to investigate the application of patient-centric mobile medical services accessed through smartphones in the top 100 Chinese public hospitals.
Methods:
Data on 124 tertiary public hospitals, ranked among the top 100 by the China Hospital Science and Technology Evaluation Metrics of the Chinese Academy of Medical Sciences (2019) and China's Hospital Rankings of the Hospital Management Institute of Fudan University (2019), were collected from the WeChat platform (Tencent Inc), mobile phone applications (apps), and official websites until February 10th, 2021.
Results:
A total of 124 tertiary public hospitals, all of which were among the top 100 hospitals according to the two ranking lists, were selected for this study. Almost all (122/124, 98.39%) of the hospitals offered basic services such as appointment scheduling, registration, and health education. The majority also provided online access to test reports (95/124, 76.61%), consultations (72/124, 58.06%), and prescriptions (61/124, 49.19%). Among the hospitals offering online prescriptions, the majority (54/61, 88.52%) supported home delivery through third-party carriers. Slightly less than half (57/124, 45.97%) utilized artificial intelligence for medical guidance. Only a small fraction (8/124, 6.45%) managed chronic diseases through online monitoring and supervision by experienced doctors. Approximately half (60/124, 48.39%) of the included hospitals were officially licensed as internet hospitals approved to provide full online services. Hospitals with official internet hospital licenses provided more extensive digital health offerings. A significantly higher proportion of approved hospitals offered online consultations (29.69% vs 88.33%, r=43.741, P<0.001), test reports (62.5% vs 91.67%, r=14.703, P<0.001), and chronic disease management (1.56% vs 11.67%, r=5.238, P<0.05). These officially approved hospitals tended to provide over six mobile medical services mainly in the regions of Shanghai and Guangdong. This geographic distribution aligned with the overall layout of hospitals included in the study.
Conclusions:
Patient-centric mobile medical services offered by the top 100 Chinese public hospitals accessed through smartphones primarily focus on online appointment scheduling, registration, health education, and accessing test reports. The most popular features include online consultations, prescriptions, medication delivery, medical guidance, and early-stage chronic disease management. Approved internet hospitals offer a significantly greater variety of patient-centric mobile medical services compared to unapproved ones.
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