Healthc Inform Res.  2022 Oct;28(4):355-363. 10.4258/hir.2022.28.4.355.

Factors Associated with Website Operation among Small Hospitals and Medical and Dental Clinics in Korea

Affiliations
  • 1HIRA Research Institute, Health Insurance Review & Assessment Service (HIRA), Wonju, Korea
  • 2Department of Biomedical Engineering, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea

Abstract


Objectives
The objective of this study was to investigate the factors associated with website operation among medical facilities.
Methods
A cross-sectional study design was employed to investigate 1,519 hospitals, 33,043 medical clinics (MCs), and 18,240 dental clinics (DCs) as of 2020. The main outcome variable was analyzed according to technological, organizational, and environmental factors.
Results
The percentages of small hospitals, MCs, and DCs with websites were 26.4%, 9.0%, and 6.6%, respectively. For small hospitals, the nearby presence of a subway station (odds ratio [OR] = 2.772; 95% confidence interval [CI], 1.973–3.892; p < 0.0001) was the only factor significantly associated with website operation status. Among medical and dental clinics, the percentage of specialists—MCs (OR = 1.002; 95% CI, 1.000–1.004; p = 0.0175) and DCs (OR = 1.002; 95% CI, 1.001–1.004; p = 0.0061), the nearby presence of a subway station—MCs (OR = 2.954; 95% CI, 2.613–3.339; p < 0.0001) and DCs (OR = 3.444; 95% CI, 2.945–4.028; p < 0.0001), and the number of clinics in the local area—MCs (OR = 1.029; 95% CI, 1.026–1.031; p < 0.0001) and DCs (OR = 1.080; 95% CI, 1.066–1.093; p < 0.0001)—were significantly associated with website operation.
Conclusions
Clinics are critically affected by internal and external factors regarding website operation relative to small hospitals. Healthcare policymakers involved with information technologies may need to pay attention to those factors associated with website dispersion among small clinics.

Keyword

Informatics; Medical Informatics; Adoption; Social Media; Internet; Software

Reference

References

1. Ricciardi W, Pita Barros P, Bourek A, Brouwer W, Kelsey T, Lehtonen L. How to govern the digital transformation of health services. Eur J Public Health. 2019; 29(Supplement_3):7–12. https://doi.org/10.1093/eurpub/ckz165 .
Article
2. Gopal G, Suter-Crazzolara C, Toldo L, Eberhardt W. Digital transformation in healthcare: architectures of present and future information technologies. Clin Chem Lab Med. 2019; 57(3):328–35. https://doi.org/10.1515/cclm-2018-0658 .
Article
3. Choi BK, Park YT, Kwon LS, Kim YS. Analysis of platforms and functions of mobile-based personal health record systems. Healthc Inform Res. 2020; 26(4):311–20. https://doi.org/10.4258/hir.2020.26.4.311 .
Article
4. Choi BK, Park YT, Park HA, Lane C, Jo EC, Kang S. Factors of quality of care and their association with smartphone based PHR adoption in South Korean hospitals. BMC Med Inform Decis Mak. 2021; 21(1):296. https://doi.org/10.1186/s12911-021-01666-9 .
Article
5. Huang E, Wu K, Edwards K. Integrated patient education on U.S. hospital web sites. Stud Health Technol Inform. 2016; 223:215–22.
6. Nath C, Huh J, Adupa AK, Jonnalagadda SR. Website sharing in online health communities: a descriptive analysis. J Med Internet Res. 2016; 18(1):e11. https://doi.org/10.2196/jmir.5237 .
Article
7. Yang PC, Chu FY, Liu HY, Shih MJ, Chen TJ, Chou LF, et al. Features of online hospital appointment systems in Taiwan: a nationwide survey. Int J Environ Res Public Health. 2019; 16(2):171. https://doi.org/10.3390/ijerph16020171 .
Article
8. Krasuska M, Williams R, Sheikh A, Franklin BD, Heeney C, Lane W, et al. Technological capabilities to assess digital excellence in hospitals in high performing health care systems: international eDelphi exercise. J Med Internet Res. 2020; 22(8):e17022. https://doi.org/10.2196/17022 .
Article
9. Kind T, Wheeler KL, Robinson B, Cabana MD. Do the leading children’s hospitals have quality web sites? A description of children’s hospital web sites. J Med Internet Res. 2004; 6(2):e20. https://doi.org/10.2196/jmir.6.2.e20 .
Article
10. Boon-itt S. Quality of health websites and their influence on perceived usefulness, trust and intention to use: an analysis from Thailand. Journal of Innovation and Entrepreneurship. 2019; 8:4. https://doi.org/10.1186/s13731-018-0100-9 .
Article
11. Benedikt S, Tuca AC, Palackic A, Wurzer P, Popp D, Tapking C, et al. Re-evaluation of websites from burn centers in Austria, Germany and Switzerland. Burns. 2019; 45(1):220–7. https://doi.org/10.1016/j.burns.2018.08.013 .
Article
12. Coleman JJ, McDowell SE. The potential of the internet. Br J Clin Pharmacol. 2012; 73(6):953–8. https://doi.org/10.1111/j.1365-2125.2012.04245.x .
Article
13. Graetz I, Huang J, Brand RJ, Hsu J, Yamin CK, Reed ME. Bridging the digital divide: mobile access to personal health records among patients with diabetes. Am J Manag Care. 2018; 24(1):43–8.
14. Tapuria A, Porat T, Kalra D, Dsouza G, Xiaohui S, Curcin V. Impact of patient access to their electronic health record: systematic review. Inform Health Soc Care. 2021; 46(2):192–204. https://doi.org/10.1080/17538157.2021.1879810 .
Article
15. Chen AT, Taylor-Swanson L, Buie RW, Park A, Conway M. Characterizing websites that provide information about complementary and integrative health: systematic search and evaluation of five domains. Interact J Med Res. 2018; 7(2):e14. https://doi.org/10.2196/ijmr.9803 .
Article
16. Gurtin ZB, Tiemann E. The marketing of elective egg freezing: a content, cost and quality analysis of UK fertility clinic websites. Reprod Biomed Soc Online. 2020; 12:56–68. https://doi.org/10.1016/j.rbms.2020.10.004 .
Article
17. Okan Y, Smith SG, Bruine de Bruin W. How is cervical cancer screening information communicated in UK websites? Cross-sectional analysis of content and quantitative presentation formats. BMJ Open. 2019; 9(10):e029551. https://doi.org/10.1136/bmjopen-2019-029551 .
Article
18. Maifredi G, Orizio G, Bressanelli M, Domenighini S, Gasparotti C, Perini E, et al. Italian hospitals on the web: a cross-sectional analysis of official websites. BMC Med Inform Decis Mak. 2010; 10:17. https://doi.org/10.1186/1472-6947-10-17 .
Article
19. Hsu YC, Chen TJ, Chu FY, Liu HY, Chou LF, Hwang SJ. Official websites of local health centers in Taiwan: a nationwide study. Int J Environ Res Public Health. 2019; 16(3):399. https://doi.org/10.3390/ijerph16030399 .
Article
20. Beier M, Fruh S. Technological, organizational, and environmental factors influencing social media adoption by hospitals in Switzerland: cross-sectional study. J Med Internet Res. 2020; 22(3):e16995. https://doi.org/10.2196/16995 .
Article
21. Otte-Trojel T, de Bont A, Rundall TG, van de Klundert J. What do we know about developing patient portals? a systematic literature review. J Am Med Inform Assoc. 2016; 23(e1):e162–8. https://doi.org/10.1093/jamia/ocv114 .
Article
22. Sugawara Y, Murakami M, Narimatsu H. Use of Social Media by Hospitals and Clinics in Japan: Descriptive Study. JMIR Med Inform. 2020; 8(11):e18666. https://doi.org/10.2196/18666 .
Article
23. Song YJ. The South Korean health care system. Japan Med Assoc J. 2009; 52(3):206–9.
24. Jung M, Lee KH, Choi M. Perceived service quality among outpatients visiting hospitals and clinics and their willingness to re-utilize the same medical institutions. J Prev Med Public Health. 2009; 42(3):151–9. https://doi.org/10.3961/jpmph.2009.42.3.151 .
Article
25. Ock M, Kim JE, Jo MW, Lee HJ, Kim HJ, Lee JY. Perceptions of primary care in Korea: a comparison of patient and physician focus group discussions. BMC Fam Pract. 2014; 15:178. https://doi.org/10.1186/s12875-014-0178-5 .
Article
26. Vaughan L, Edwards N. The problems of smaller, rural and remote hospitals: separating facts from fiction. Future Healthc J. 2020; 7(1):38–45. https://doi.org/10.7861/fhj.2019-0066 .
Article
27. Monitor. Facing the future: smaller acute providers [Internet]. London, UK: Monitor;2014. [cited at 2022 Jul 10]. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/320075/smalleracuteproviders-report.pdf .
28. Gaughan J, Siciliani L, Gravelle H, Moscelli G. Do small hospitals have lower quality? Evidence from the English NHS. Soc Sci Med. 2020; 265:113500. https://doi.org/10.1016/j.socscimed.2020.113500 .
Article
29. Vaughan L, Edwards N, Imison C, Collins B. Rethinking acute medical care in smaller hospitals [Internet]. London, UK: Nuffield Trust;2018. [cited at 2022 Jul 25]. Available from: https://www.nuffieldtrust.org.uk/files/2018-10/nuffield-trust-summary-rethinking-acute-medical-care-in-smaller-hospitals-web.pdf .
30. Huppertz JW, Bowman RA, Bizer GY, Sidhu MS, McVeigh C. Hospital Advertising, Competition, and HCAHPS: Does It Pay to Advertise? Health Serv Res. 2017; 52(4):1590–611. https://doi.org/10.1111/1475-6773.12549 .
Article
Full Text Links
  • HIR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr