Yoo Sooyoung, Kim Seok, Kim Taegi, Kim Jon Soo, Baek Rong-Min, Suh Chang Suk, Chung Chin Youb, Hwang Hee
Center for Medical Informatics, Seoul National University Bundang Hospital, Seongnam, Korea.
Healthc Inform Res. 2012 Dec;18(4):259-565. doi: 10.4258/hir.2012.18.4.259. Epub 2012 Dec 31.
The cloud computing-based virtual desktop infrastructure (VDI) allows access to computing environments with no limitations in terms of time or place such that it can permit the rapid establishment of a mobile hospital environment. The objective of this study was to investigate the empirical issues to be considered when establishing a virtual mobile environment using VDI technology in a hospital setting and to examine the utility of the technology with an Apple iPad during a physician's rounds as a case study.
Empirical implementation issues were derived from a 910-bed tertiary national university hospital that recently launched a VDI system. During the physicians' rounds, we surveyed patient satisfaction levels with the VDI-based mobile consultation service with the iPad and the relationship between these levels of satisfaction and hospital revisits, hospital recommendations, and the hospital brand image. Thirty-five inpatients (including their next-of-kin) and seven physicians participated in the survey.
Implementation issues pertaining to the VDI system arose with regard to the highly availability system architecture, wireless network infrastructure, and screen resolution of the system. Other issues were related to privacy and security, mobile device management, and user education. When the system was used in rounds, patients and their next-of-kin expressed high satisfaction levels, and a positive relationship was noted as regards patients' decisions to revisit the hospital and whether the use of the VDI system improved the brand image of the hospital.
Mobile hospital environments have the potential to benefit both physicians and patients. The issues related to the implementation of VDI system discussed here should be examined in advance for its successful adoption and implementation.
基于云计算的虚拟桌面基础设施(VDI)允许在时间或地点上不受限制地访问计算环境,从而能够快速建立移动医院环境。本研究的目的是调查在医院环境中使用VDI技术建立虚拟移动环境时需要考虑的实际问题,并以医生查房时使用苹果iPad为例,检验该技术的实用性。
实际实施问题源自一家拥有910张床位的国家级三级大学医院,该医院最近推出了VDI系统。在医生查房期间,我们调查了患者对基于VDI的iPad移动会诊服务的满意度,以及这些满意度水平与再次入院、医院推荐和医院品牌形象之间的关系。35名住院患者(包括其家属)和7名医生参与了调查。
VDI系统的实施问题涉及高可用性系统架构、无线网络基础设施和系统的屏幕分辨率。其他问题与隐私和安全、移动设备管理以及用户教育有关。当该系统用于查房时,患者及其家属表示高度满意,并且在患者再次入院的决定以及VDI系统的使用是否改善了医院品牌形象方面发现了积极的关系。
移动医院环境有可能使医生和患者都受益。为了成功采用和实施VDI系统,这里讨论的与VDI系统实施相关的问题应提前进行研究。