Kong Tracie, Scott Mary Morgan, Li Yang, Wichelman Cynthia
Fourth year medical students, Washington University School of Medicine, USA.
Department of Emergency Medicine, Washington University School of Medicine, USA.
Digit Health. 2020 Feb 20;6:2055207620907187. doi: 10.1177/2055207620907187. eCollection 2020 Jan-Dec.
Smartphone apps and mobile devices are an emerging method of healthcare data collection. This study sought to understand how physicians currently view mobile health (mHealth) technologies and use them in patient care.
A total of 186 physicians affiliated with Washington University School of Medicine in St. Louis, Missouri, USA completed a survey in 2016 regarding their current implementation of mHealth technologies for patient care and support for further development.
More than half of respondents were willing to discuss health apps and mobile devices with patients. However, most were not currently recommending them to patients. Apps/devices that encouraged a healthy diet and weight or tracked heart rate received the highest satisfaction ratings. Apps/devices that accessed the EMR (electronic medical record) remotely, provided medication reminders, or enrolled research subjects garnered the most interest despite respondents lacking prior experience. A majority agreed that collected biometrics are useful for promoting a healthy lifestyle (68%), tracking medical treatment (64%), or conducting research (56%); and agreed that proof of accuracy and precision (81%) and the efficient integration of collected data (68%) are necessary improvements. Uploading data automatically and updating physicians in real-time was the most preferred method of data integration into the EMR.
Physicians show interest in using mHealth technologies for patient care but have limited experience, usually with those specific to their specialties. Proof of quality and a method to integrate data into the EMR are necessary for a mainstream role in healthcare.
智能手机应用程序和移动设备是一种新兴的医疗数据收集方法。本研究旨在了解医生目前如何看待移动健康（mHealth）技术以及他们在患者护理中如何使用这些技术。
2016年，美国密苏里州圣路易斯华盛顿大学医学院附属的186名医生完成了一项关于他们目前在患者护理中实施mHealth技术以及对进一步发展的支持的调查。
超过一半的受访者愿意与患者讨论健康应用程序和移动设备。然而，目前大多数人并没有向患者推荐这些应用程序和设备。鼓励健康饮食和控制体重或追踪心率的应用程序/设备获得了最高的满意度评分。尽管受访者缺乏相关经验，但能够远程访问电子病历（EMR）、提供用药提醒或招募研究对象的应用程序/设备引起了他们最大的兴趣。大多数人同意收集的生物特征数据有助于促进健康的生活方式（68%）、跟踪医疗治疗（64%）或进行研究（56%）；并且同意提高准确性和精确性的证明（81%）以及所收集数据的有效整合（68%）是必要的改进。自动上传数据并实时更新医生是将数据整合到EMR中最受欢迎的方法。
医生对使用mHealth技术进行患者护理表现出兴趣，但经验有限，通常仅限于他们专业领域内的特定技术。质量证明以及将数据整合到EMR中的方法对于在医疗保健中发挥主流作用是必要的。
