Lee Jisan, Kim James G Boram, Jin Meiling, Ahn Kiwhan, Kim Byungjun, Kim Sukwha, Kim Jeongeun
Author Affiliations: Interdisciplinary Program of Medical Informatics (Ms Lee, Mr Kim, and Dr J. Kim), College of Nursing (Jin and Dr J. Kim), and Research Institute of Nursing Science (Dr J. Kim), Seoul National University; KT Corporation, Seoul (Dr Ahn); Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University; and Department of Plastic and Reconstructive Surgery, Seoul National University Hospital (Drs B. Kim and S. Kim), Korea.
Comput Inform Nurs. 2017 Nov;35(11):574-581. doi: 10.1097/CIN.0000000000000362.
Healthcare consumers must be able to make decisions based on accurate health information. To assist with this, we designed and developed an integrated system connected with electronic medical records in hospitals to ensure delivery of accurate health information. The system-called the Consumer-centered Open Personal Health Record platform-is composed of two services: a portal for users with any disease and a mobile application for users with cleft lip/palate. To assess the benefits of these services, we used a quasi-experimental, pretest-posttest design, assigning participants to the portal (n = 50) and application (n = 52) groups. Both groups showed significantly increased knowledge, both objective (actual knowledge of health information) and subjective (perceived knowledge of health information), after the intervention. Furthermore, while both groups showed higher information needs satisfaction after the intervention, the application group was significantly more satisfied. Knowledge changes were more affected by participant characteristics in the application group. Our results may be due to the application's provision of specific disease information and a personalized treatment plan based on the participant and other users' data. We recommend that services connected with electronic medical records target specific diseases to provide personalized health management to patients in a hospital setting.
医疗保健消费者必须能够基于准确的健康信息做出决策。为了协助实现这一点，我们设计并开发了一个与医院电子病历相连的集成系统，以确保提供准确的健康信息。该系统名为以消费者为中心的开放式个人健康记录平台，由两项服务组成：一个面向患有任何疾病的用户的门户网站，以及一个面向唇腭裂患者的移动应用程序。为了评估这些服务的益处，我们采用了准实验性的前测-后测设计，将参与者分为门户网站组（n = 50）和应用程序组（n = 52）。干预后，两组在客观（对健康信息的实际了解）和主观（对健康信息的感知了解）知识方面均有显著增加。此外，虽然两组在干预后对信息需求的满意度都有所提高，但应用程序组的满意度明显更高。应用程序组的知识变化受参与者特征的影响更大。我们的结果可能是由于该应用程序提供了特定疾病信息以及基于参与者和其他用户数据的个性化治疗方案。我们建议与电子病历相连的服务针对特定疾病，以便在医院环境中为患者提供个性化的健康管理。
