Perceptions of Digital Health App Usage Among Women Attending Obstetrics and Gynecology Outpatient Department in a Tertiary Care Setting

Introduction Digitalization is transforming healthcare, with tools like digital health apps and platforms becoming integral. India's Ayushman Bharat Digital Mission (ABDM) aims to create a digitally empowered healthcare system, utilizing the Ayushman Bharat Health Account (ABHA) for seamless access to health services. This study evaluates patients' perceptions of digital healthcare services, specifically ABHA, in a tertiary care setting, and identifies factors influencing adoption. Methods A cross-sectional study was conducted over six months (September 2024-March 2025) among 250 women (aged 18-80) attending the Obstetrics and Gynecology outpatient department (OPD). A validated questionnaire assessed patient perceptions of ABHA registration and digital health records. Demographic data and awareness of digital platforms were collected. Statistical analysis included descriptive statistics, chi-square tests, and logistic regression. Results The mean age of participants was 28 ± 3.2 years. Awareness of digital platforms varied, with 125 (60%) being aware of digital India platforms, 87 (35%) of ABHA, and 50 (20%) of the Swasthya app. The majority of participants (100 (40%)) belonged to the upper lower class of the Kuppuswamy socioeconomic scale. Overall, patients reported high satisfaction with ABHA registration (satisfaction index (SI) = 87.9), perceiving it as simple and efficient. Logistic regression showed no significant influence of age, education, socioeconomic status, or ABHA awareness on digital health app usage. However, the scan and share feature had a lower SI (78.7). Discussion While patients generally viewed ABHA positively, awareness gaps and usability challenges, particularly with the scan and share feature, were identified. Socioeconomic factors did not significantly impact adoption, suggesting effective integration of ABDM into public healthcare. Targeted educational programs and technological improvements are necessary to enhance digital health literacy and adoption. Conclusion This study highlights the importance of addressing awareness and usability barriers to optimize digital health adoption in tertiary care settings. Enhancing patient education and improving digital interfaces can improve healthcare delivery through digital platforms.