Müller Julia, Weinert Lina, Svensson Laura, Rivinius Rasmus, Kreusser Michael M, Heinze Oliver
Institute of Medical Informatics, Heidelberg University Hospital, Im Neuenheimer Feld 130.3, 69120 Heidelberg, Germany.
Section for Translational Health Economics, Department for Conservative Dentistry, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Life (Basel). 2022 Aug 8;12(8):1204. doi: 10.3390/life12081204.
Patient access to medical records can improve quality of care. The phellow application (app) was developed to provide patients access to selected content of their medical record. It was tested at a heart transplantation (HTx) outpatient clinic. The aims of this study were (1) to assess usability of phellow, (2) to determine feasibility of implementation in routine care, and (3) to study the effects app use had on patients' self-management.
Usability was measured quantitatively through the System Usability Scale (SUS). Furthermore, usability, feasibility, and effects on self-management were qualitatively assessed through interviews with users, non-users, and health care providers.
The SUS rating ( = 31) was 79.9, indicating good usability. Twenty-three interviews were conducted. Although appreciation and willingness-to-use were high, usability problems such as incompleteness of record, technical issues, and complex registration procedures were reported. Improved technical support infrastructure, clearly defined responsibilities, and app-specific trainings were suggested for further implementation. Patients described positive effects on their self-management.
To be feasible for implementation in routine care, usability problems should be addressed. Feedback on the effect of app use was encouraging. Accompanying research is crucial to monitor usability improvements and to further assess effects of app use on patients.
患者获取病历可提高医疗质量。开发了phellow应用程序（app），以便患者能够访问其病历的选定内容。该应用程序在心脏移植门诊进行了测试。本研究的目的是：（1）评估phellow的可用性；（2）确定在常规护理中实施的可行性；（3）研究应用程序的使用对患者自我管理的影响。
通过系统可用性量表（SUS）对可用性进行定量测量。此外，通过对用户、非用户和医疗服务提供者的访谈，对可用性、可行性以及对自我管理的影响进行定性评估。
SUS评分（=31）为79.9，表明可用性良好。进行了23次访谈。尽管认可度和使用意愿较高，但仍有报告称存在病历不完整、技术问题和注册程序复杂等可用性问题。建议进一步实施改进技术支持基础设施、明确责任以及针对该应用程序的培训。患者描述了该应用程序对其自我管理的积极影响。
为了在常规护理中可行地实施，应解决可用性问题。关于应用程序使用效果的反馈令人鼓舞。伴随研究对于监测可用性改进以及进一步评估应用程序使用对患者的影响至关重要。
