abstract: 'Objectives The growth and development of smartphones and eHealth

  technologies have enabled the potential for extended care hospitals

  (e-hospitals) in China in order to facilitate the success of a primary

  healthcare centre (PHC)-based integrated delivery model. Although the

  adoption of e-hospitals is essential, few studies have directed their

  research towards understanding the perspectives of healthcare providers.

  This study aims to identify the current readiness of healthcare

  providers to adopt e-hospital technologies, determine the factors

  influencing this adoption and describe the perceived facilitators and

  barriers in regard to working at e-hospitals. Design A cross-sectional

  study conducted in Sichuan, China, between June and September 2019.

  Settings Information was collected from healthcare providers who have

  more than 3 years of work experience from a tertiary hospital, secondary

  hospital, PHCs and private hospital. Participants 2298 medical

  professionals were included in this study. Outcome measure This study

  included a self-administered questionnaire that was used to assess

  participants'' sociodemographic characteristics, online medical

  practices, willingness to use e-hospitals and perceived

  facilitators/barriers to working at e-hospitals. Multivariate regression

  analysis was performed in order to evaluate the independent factors

  associated with e-hospital work. Results Overall, 86.3\% had a positive

  response towards working at e-hospitals. Age (p<0.05), familiarity with

  e-hospitals (p<0.001) and prior work practices in online healthcare

  settings (p<0.001) were associated with participants'' readiness to work

  at e-hospitals. Gender, education level, professional level, the tier of

  their affiliated hospital and workload were not statistically

  associated. Healthcare providers who had positive attitudes towards

  e-hospitals considered improved efficiency, patient satisfaction,

  communication among physicians, increased reputation and income, and

  alleviated workload to be advantages of adoption. The participants who

  were unwilling to work at e-hospitals perceived lack of time,

  insufficient authenticity/reliability and underdeveloped policies as

  potential barriers. Conclusion Improving operative proficiency in

  electronic devices, accommodating to work schedules, increasing

  familiarity with e-hospitals and regulating practices will improve the

  readiness of healthcare providers to work at e-hospitals.'
affiliation: 'Li, WM (Corresponding Author), Sichuan Univ, Dept Resp \& Crit Care
  Med, West China Hosp, Chengdu, Peoples R China.

  Li, WM (Corresponding Author), Sichuan Univ, West China Hosp, Frontiers Sci Ctr
  Dis Related Mol Network, Inst Resp Hlth, Chengdu, Sichuan, Peoples R China.

  Li, WM (Corresponding Author), Sichuan Univ, West China Hosp, Precis Med Res Ctr,
  Chengdu, Sichuan, Peoples R China.

  Li, Peiyi, Sichuan Univ, Dept Anesthesiol, West China Hosp, Chengdu, Sichuan, Peoples
  R China.

  Li, Peiyi, Sichuan Univ, West China Hosp, Natl Local Joint Engn Res Ctr Translat
  Med Anesth, Lab Anesthesia \& Crit Care Med, Chengdu, Sichuan, Peoples R China.

  Li, Peiyi, Sichuan Univ, West China Hosp, Res Units West China 2018RU012, Chinese
  Acad Med Sci, Chengdu, Sichuan, Peoples R China.

  Luo, Yunmei, Sichuan Univ, West China Hosp, West China Med Publishers, Chengdu,
  Sichuan, Peoples R China.

  Yu, Xuexin, Sichuan Univ, Biomed Big Data Ctr, West China Hosp, Chengdu, Sichuan,
  Peoples R China.

  Mason, Elizabeth; Jalali, Mohammad S., Harvard Med Sch, MGH Inst Technol Assessment,
  Boston, MA 02115 USA.

  Zeng, Zhi; Wen, Jin, Sichuan Univ, West China Hosp, Inst Hosp Management, Chengdu,
  Sichuan, Peoples R China.

  Li, Weimin, Sichuan Univ, Dept Resp \& Crit Care Med, West China Hosp, Chengdu,
  Peoples R China.

  Li, Weimin, Sichuan Univ, West China Hosp, Frontiers Sci Ctr Dis Related Mol Network,
  Inst Resp Hlth, Chengdu, Sichuan, Peoples R China.

  Li, Weimin, Sichuan Univ, West China Hosp, Precis Med Res Ctr, Chengdu, Sichuan,
  Peoples R China.

  Jalali, Mohammad S., MIT, Sloan Sch Management, 77 Massachusetts Ave, Cambridge,
  MA 02139 USA.'
article-number: e054169
author: Li, Peiyi and Luo, Yunmei and Yu, Xuexin and Mason, Elizabeth and Zeng, Zhi
  and Wen, Jin and Li, Weimin and Jalali, Mohammad S.
author-email: weimi003@scu.edu.cn
author_list:
- family: Li
  given: Peiyi
- family: Luo
  given: Yunmei
- family: Yu
  given: Xuexin
- family: Mason
  given: Elizabeth
- family: Zeng
  given: Zhi
- family: Wen
  given: Jin
- family: Li
  given: Weimin
- family: Jalali
  given: Mohammad S.
da: '2023-09-28'
doi: 10.1136/bmjopen-2021-054169
files: []
issn: 2044-6055
journal: BMJ OPEN
keywords: health policy; health informatics; telemedicine
keywords-plus: PRIVATE HOSPITALS; EFFICIENCY
language: English
month: FEB
number: '2'
number-of-cited-references: '48'
orcid-numbers: 'Yu, Xuexin/0000-0002-6484-6035

  Jalali, Mohammad/0000-0001-6769-2732

  Luo, Yunmei/0000-0002-2661-3214'
papis_id: 9133d6bb26bf4c65779b6580b0f00e2f
ref: Li2022readinesshealthcare
researcherid-numbers: 'Yu, Xuexin/ABA-8080-2021

  '
times-cited: '2'
title: 'Readiness of healthcare providers for e-hospitals: a cross-sectional analysis
  in China before the COVID-19 period'
type: article
unique-id: WOS:000759753300014
usage-count-last-180-days: '3'
usage-count-since-2013: '22'
volume: '12'
web-of-science-categories: Medicine, General \& Internal
year: '2022'