Park Joong-Yeol, Lee Guna, Shin Soo-Yong, Kim Jeong Hun, Han Hye-Won, Kwon Tae-Wan, Kim Woo Sung, Lee Jae Ho
1 Department of Endocrinology/Metabolism, Asan Medical Center, University of Ulsan College of Medicine , Seoul, Korea.
Telemed J E Health. 2014 Mar;20(3):215-22. doi: 10.1089/tmj.2013.0192. Epub 2013 Aug 2.
Adoption of smart devices for hospital use has been increasing with the development of health applications (apps) for patient point-of-care and hospital management. To promote the use of health apps, we describe the lessons learned from developing 12 health apps in the largest tertiary hospital in Korea.
We reviewed and analyzed 12 routinely used apps in three categories-Smart Clinic, Smart Patient, and Smart Hospital-based on target users and functions. The log data for each app were collected from the date of release up until December 2012.
Medical personnel accessed a mobile electronic medical record app classified as Smart Clinic an average of 452 times per day. Smart Hospital apps are actively used to communicate with each other. Patients logged on to a mobile personal health record app categorized as Smart Patient an average of 222 times per day. As the mobile trend, the choice of supporting operating system (OS) is more difficult. By developing these apps, a monitoring system is needed for evaluation.
We described the lessons learned regarding OS support, device choice, and developmental strategy. The OS can be chosen according to market share or hospital strategic plan. Smartphones were favored compared with tablets. Alliance with an information technology company can be the best way to develop apps. Health apps designed for smart devices can be used to improve healthcare. However, to develop health apps, hospitals must define their future goals and carefully consider all the aspects.
随着用于患者床边护理和医院管理的健康应用程序（应用）的发展，医院对智能设备的采用率一直在上升。为了促进健康应用的使用，我们描述了在韩国最大的三级医院开发12款健康应用所吸取的经验教训。
我们基于目标用户和功能，对“智能诊所”“智能患者”和“智能医院”三类中12款常用应用进行了回顾与分析。从发布之日起至2012年12月收集了每个应用的日志数据。
医务人员平均每天访问一款归类为“智能诊所”的移动电子病历应用452次。“智能医院”应用被积极用于相互通信。患者平均每天登录一款归类为“智能患者”的移动个人健康记录应用222次。作为移动趋势，支持操作系统（OS）的选择更加困难。通过开发这些应用，需要一个监测系统进行评估。
我们描述了在操作系统支持、设备选择和开发策略方面吸取的经验教训。操作系统可根据市场份额或医院战略计划来选择。与平板电脑相比，智能手机更受青睐。与信息技术公司联盟可能是开发应用的最佳方式。为智能设备设计的健康应用可用于改善医疗保健。然而，要开发健康应用，医院必须明确其未来目标并仔细考虑所有方面。
