Institute for Community Care and Health Equity, Chung-Ang University, Seoul, Republic of Korea.
Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea.
BMC Health Serv Res. 2023 Dec 16;23(1):1427. doi: 10.1186/s12913-023-10434-6.
The role of visiting health services has been proven to be effective in promoting the health of older populations. Hence, developing a web system for nurses may help improve the quality of visiting health services for community-dwelling frail older adults. This study was conducted to develop a web application that reflects the needs of visiting nurses.
Visiting nurses of public health centers and community centers in South Korea participated in the design and evaluation process. Six nurses took part in the focus group interviews, and 21 visiting nurses and community center managers participated in the satisfaction evaluation. Focus group interviews were conducted to identify the needs of visiting nurses with respect to system function. Based on the findings, a web application that can support the effective delivery of home visiting services in the community was developed. An artificial intelligence (AI) algorithm was also developed to recommend health and welfare services according to each patient's health status. After development, a structured survey was conducted to evaluate user satisfaction with system features using Kano's model.
The new system can be used with mobile devices to increase the mobility of visiting nurses. The system includes 13 features that support the management of patient data and enhance the efficiency of visiting services (e.g., map, navigation, scheduler, protocol archives, professional advice, and online case conferencing). The user satisfaction survey revealed that nurses showed high satisfaction with the system. Among all features, the nurses were most satisfied with the care plan, which included AI-based recommendations for community referral.
The system developed from the study has attractive features for visiting nurses and supports their essential tasks. The system can help with effective case management for older adults requiring in-home care and reduce nurses' workload. It can also improve communication and networking between healthcare and long-term care institutions.
探访健康服务的作用已被证明可有效促进老年人群的健康。因此，开发护士专用的网络系统可能有助于提高社区居住的体弱老年人探访健康服务的质量。本研究旨在开发一款反映探访护士需求的网络应用程序。
韩国公共卫生中心和社区中心的探访护士参与了设计和评估过程。6 名护士参加了焦点小组访谈，21 名探访护士和社区中心经理参加了满意度评估。焦点小组访谈旨在确定探访护士对系统功能的需求。根据研究结果，开发了一款可支持社区内有效提供上门探访服务的网络应用程序。还开发了一种人工智能 (AI) 算法，可根据每位患者的健康状况推荐健康和福利服务。开发完成后，使用卡诺模型对系统功能的用户满意度进行了结构化调查。
新系统可与移动设备配合使用，提高探访护士的机动性。该系统包括 13 项功能，可支持患者数据管理并提高探访服务效率（如地图、导航、日程安排、协议档案、专业建议和在线病例会议）。用户满意度调查显示，护士对系统满意度较高。在所有功能中，护士对包括社区转介 AI 推荐的护理计划最满意。
本研究开发的系统对探访护士具有吸引力，并支持其基本任务。该系统有助于对需要居家护理的老年人进行有效的病例管理，减轻护士的工作量。它还可以改善医疗保健和长期护理机构之间的沟通和网络联系。
