Department of Digital Health, Samsung Advanced Institute for Health Science & Technology, Sungkyunkwan University, Seoul, Republic of Korea.
Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
JMIR Mhealth Uhealth. 2020 Dec 15;8(12):e24326. doi: 10.2196/24326.
Personal health records (PHRs) can be useful in the emergency department, as they provide patient information in an accurate and timely manner and enable it to be used actively. This has an effect on patients' health outcomes and patient experience. Despite the importance of PHRs in emergencies, there are only a few studies related to PHRs in emergencies that evaluate patient experience.
This study aims to introduce the novel mobile PHR (mPHR) platform to emergency environments and assess user experience.
The study was conducted from October 2019 to November 2019. In total, 1000 patients or carers in the emergency departments of 3 hospitals were provided an application-based service called FirstER, which was developed to collect and utilize medical information for patients in the emergency department. This study was performed as a mixed methods study. After using FirstER, we investigated its usability and conducted a survey on the experience of obtaining medical information with a legacy system and with FirstER. Additionally, we interviewed 24 patients to gain insight into their experiences regarding medical information using FirstER. For the quantitative analysis, the survey results were analyzed using descriptive statistics (mean and standard deviation). For the qualitative analysis, we determined the keywords and their frequencies from each survey question and interview question.
In total, 1000 participants, consisting of both patients and carers, were recruited in this study. Their mean age was 41.4 (SD 13.3) years. We ascertained participants' satisfaction with FirstER and their mPHR needs through a survey and an in-depth interview. With the current system, participants were not well aware of their health conditions and medical information, and they were passive in the use of their medical information and treatment. However, they wanted their medical information for several reasons, such as information sharing and managing their health conditions. FirstER provided participants with their needed information and an easy way to access it. The mean System Usability Scale (SUS) value was 67.1 (SD 13.8), which was considered very near to acceptable.
This study is the first to implement mPHRs in the emergency department of large tertiary hospitals in the Republic of Korea. FirstER was found to enhance user experience in emergencies, as it provided necessary medical information and proper user experience. Moreover, the average SUS was 67.1, which means that participants found FirstER to be very near to acceptable. This is very encouraging in that FirstER was developed within a very short time, and it was a pilot study.
Clinicaltrials.gov NCT04180618; https://clinicaltrials.gov/ct2/show/NCT04180618.
个人健康记录（PHR）在急诊科非常有用，因为它们能够及时、准确地提供患者信息，并能够积极利用这些信息。这对患者的健康结果和就医体验都有影响。尽管 PHR 在紧急情况下很重要，但与急诊 PHR 相关的研究很少，这些研究评估了患者的就医体验。
本研究旨在将新型移动 PHR（mPHR）平台引入急诊环境并评估其用户体验。
该研究于 2019 年 10 月至 11 月在 3 家医院的急诊科进行。共为 1000 名患者或护理人员提供了名为 FirstER 的基于应用的服务，该服务旨在为急诊科的患者收集和利用医疗信息。本研究采用混合方法进行。在使用 FirstER 之后，我们调查了其可用性，并对使用传统系统和 FirstER 获取医疗信息的体验进行了调查。此外，我们采访了 24 名患者，以了解他们使用 FirstER 获取医疗信息的体验。对于定量分析，使用描述性统计（均值和标准差）分析调查结果。对于定性分析，我们从每个调查问题和访谈问题中确定了关键词及其出现频率。
本研究共招募了 1000 名患者或护理人员，他们的平均年龄为 41.4（SD 13.3）岁。我们通过调查和深入访谈确定了参与者对 FirstER 的满意度和他们对 mPHR 的需求。在现有系统中，参与者对自己的健康状况和医疗信息了解不充分，对医疗信息和治疗的使用也比较被动。然而，他们出于分享信息和管理健康状况等原因需要获取自己的医疗信息。FirstER 为参与者提供了他们所需的信息，并提供了一种方便的获取途径。系统可用性量表（SUS）的平均得分为 67.1（SD 13.8），这被认为非常接近可接受水平。
这是在韩国的大型三级医院的急诊科首次实施移动 PHR。研究结果表明，FirstER 增强了急诊患者的就医体验，因为它提供了必要的医疗信息和适当的用户体验。此外，平均 SUS 为 67.1，这意味着参与者认为 FirstER 非常接近可接受水平。这非常令人鼓舞，因为 FirstER 是在很短的时间内开发的，并且是一个试点研究。
Clinicaltrials.gov NCT04180618；https://clinicaltrials.gov/ct2/show/NCT04180618。
