Early Experiences with Mobile Electronic Health Records Application in a Tertiary Hospital in Korea
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Recent advances in mobile technology have opened up possibilities to provide strongly integrated mobile-based services in healthcare and telemedicine. Although the number of mobile Electronic Health Record (EHR) applications is large and growing, there is a paucity of evidence demonstrating the usage patterns of these mobile applications by healthcare providers. This study aimed to illustrate the deployment process for an integrated mobile EHR application and to analyze usage patterns after provision of the mobile EHR service. Methods: We developed an integrated mobile application that aimed to enhance the mobility of healthcare providers by improving access to patient- and hospital-related information during their daily medical activities. The study included mobile EHR users who accessed patient healthcare records between May 2013 and May 2014. We performed a data analysis using a web server log file analyzer from the integrated EHR system. Cluster analysis was applied to longitudinal user data based on their application usage pattern. Results: The mobile EHR service named M-UMIS has been in service since May 2013. Every healthcare provider in the hospital could access the mobile EHR service and view the medical charts of their patients. The frequency of using services and network packet transmission on the M-UMIS increased gradually during the study period. The most frequently accessed service in the menu was the patient list. Conclusions: A better understanding regarding the adoption of mobile EHR applications by healthcare providers in patientcentered care provides useful information to guide the design and implementation of future applications.
Abstract
Recent advances in mobile technology have opened up possibilities to provide strongly integrated mobile-based services in healthcare and telemedicine. Although the number of mobile Electronic Health Record (EHR) applications is large and growing, there is a paucity of evidence demonstrating the usage patterns of these mobile applications by healthcare providers. This study aimed to illustrate the deployment process for an integrated mobile EHR application and to analyze usage patterns after provision of the mobile EHR service. Methods: We developed an integrated mobile application that aimed to enhance the mobility of healthcare providers by improving access to patient- and hospital-related information during their daily medical activities. The study included mobile EHR users who accessed patient healthcare records between May 2013 and May 2014. We performed a data analysis using a web server log file analyzer from the integrated EHR system. Cluster analysis was applied to longitudinal user data based on their application usage pattern. Results: The mobile EHR service named M-UMIS has been in service since May 2013. Every healthcare provider in the hospital could access the mobile EHR service and view the medical charts of their patients. The frequency of using services and network packet transmission on the M-UMIS increased gradually during the study period. The most frequently accessed service in the menu was the patient list. Conclusions: A better understanding regarding the adoption of mobile EHR applications by healthcare providers in patientcentered care provides useful information to guide the design and implementation of future applications.
참고문헌 (25)
- Weinstein RS, "Telemedicine, telehealth, and mobile health applications that work : opportunities and barriers", Am J Med, 127(3), pp.183~187 (2014)
- Burdette SD, "Surfing the web : practicing medicine in a technological age : using smartphones in clinical practice", Clin Infect Dis, 47(1), pp.117~122 (2008)
- Lottridge DM, "Group differences in physician responses to handheld presentation of clinical evidence : a verbal protocol analysis", BMC Med Inform Decis Mak, 7, pp.22~ (2007)
- 최욱진, "Development of Mobile Electronic Health Records Application in a Secondary General Hospital in Korea", Healthcare Informatics Research, 19(4), pp.307~313 (2013), 대한의료정보학회[DOI]
- "AWStats logfile analyzer documentation" (2015)[URL]
- Piek J, "Image transfer by mobile phones in neurosurgery", Zentralbl Neurochir, 67(4), pp.193~196 (2006)
- "5 Testing approaches for making successful mobile apps" (2015)[URL]
- "Security and privacy in mobile health" (2013)[URL]
- "Marrying the BYOD phenomenon to HIPAA compliance" (2013)[URL]
- Wu RC, "The use of smartphones for clinical communication on internal medicine wards", J Hosp Med, 5(9), pp.553~559 (2010)
- Kang S., "Factors influencing intention of mobile application use", Int J Mob Commun, 12(4), pp.360~379 (2014)
- "Selecting a development approach" (2008)[URL]
- Cristiano JJ, "Key factors in the successful application of quality function deployment(QFD)", IEEE Trans Eng Manag, 48(1), pp.81~95 (2001)
- Zaidan BB, "Impact of data privacy and confidentiality on developing telemedicine applications : a review participates opinion and expert concerns", Int J Pharmacol, 7(3), pp.382~387 (2011)
- World Health Organization., "mHealth: new horizons for health through mobile technologies" (2011), World Health Organization
- "Smartphone users worldwide will total 1.75billion in 2014" (2014)[URL]
- "Internet, broadband, and cell phone statistics" (2010)[URL]
- Venta L, "My phone is a part of my soul – how people bond with their mobile phones", Proceedings of the 2nd International Conference on Mobile Ubiquitous Computing, Systems, Services and Technologies (UBICOMM2008), pp.311~317 (2008)
- Boulos MN, "How smartphones are changing the face of mobile and participatory healthcare : an overview, with example from eCAALYX", Biomed Eng Online, 10, pp.1~14 (2011)
- Scherr D, "Mobile phone-based surveillance of cardiac patients at home", J Telemed Telecare, 12(5), pp.255~261 (2006)
- Rubel P, "Toward personal eHealth in cardiology: results from the EPI-MEDICS telemedicine project", J Electrocardiol, 38(4 Suppl), pp.100~106 (2005)
- Free C, "The effectiveness of M-health technologies for improving health and health services : a systematic review protocol", BMC Res Notes, 3, pp.250~ (2010)
- Kallander K, "Mobile health (mHealth) approaches and lessons for increased performance and retention of community health workers in low- and middle-income countries: a review", J Med Internet Res, 15(1), pp.17~ (2013)
- Luxton DD, "mHealth for mental health : integrating smartphone technology in behavioral healthcare", Prof Psychol, 42(6), pp.505~512 (2011)
- Lehoux P, "The theory of use behind telemedicine : how compatible with physicians' clinical routines?", Soc Sci Med, 54(6), pp.889~904 (2002)
