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医患互动对患者使用移动医疗应用的影响:基于移动医疗应用使用模式分析的研究结果。

Impact of encounters on patient app use: results of a tethered mobile personal health record usage pattern analysis.

机构信息

Big Data Research Center, Asan Institute for Life Science, Asan Medical Center, Seoul, Republic of Korea.

Department of Digital Innovation, Asan Medical Center, Seoul, Republic of Korea.

出版信息

BMC Health Serv Res. 2024 Nov 18;24(1):1428. doi: 10.1186/s12913-024-11881-5.

Abstract

INTRODUCTION

The adoption of tethered mobile personal health records provides not only medical information to patients but also various convenience functions related to hospital use, thereby increasing accessibility to healthcare services and promoting patient engagement. We analyse the tethered mobile personal health records app's usage logs to determine how it can contribute to improving medical service accessibility and patient engagement.

METHODS

Log data, that comprised menu type, log time, and date, were collected from the mobile personal health records app of a tertiary referral hospital. Clinical information, including patients' demographics and visit type, was collected from the clinical research warehouse system. The usage log was analysed in terms of the type of visit, service function, and time period.

RESULTS

Outpatients accounted for 34% of the total app usage and was the most app-accessed visit type. The most utilized menu functions were lab test and visit schedule for visits or non-visits. For Inpatient and Health check-ups, menu usage patterns showed a focus on lab test results. While investigations and other menu usage showed double peaks in the morning and afternoon, peak usage of lab test results correlated with inpatient blood sampling times, which was around 9 am.

DISCUSSION

App menus to access health information, particularly blood tests, emerged as the most accessed menu. Hence, when compared with blood sampling times and hospital information system usage patterns, encounters occurring in the hospital majorly impacted patient app use. For improved patient engagement, improving lab test function should be the priority.

摘要

简介

采用 tethered 移动个人健康记录不仅为患者提供了医疗信息,还提供了与医院使用相关的各种便利功能,从而增加了获得医疗保健服务的机会,并促进了患者的参与度。我们分析 tethered 移动个人健康记录应用程序的使用日志,以确定它如何有助于提高医疗服务的可及性和患者的参与度。

方法

从一家三级转诊医院的移动个人健康记录应用程序中收集了包含菜单类型、登录时间和日期的日志数据。从临床研究仓库系统中收集了患者的人口统计学和就诊类型等临床信息。根据就诊类型、服务功能和时间段对使用日志进行了分析。

结果

门诊患者占总应用程序使用量的 34%,是最常使用应用程序的就诊类型。就诊或非就诊时最常使用的菜单功能是实验室检查和就诊安排。对于住院患者和健康检查,菜单使用模式侧重于实验室检查结果。而调查和其他菜单的使用则显示出上午和下午的使用高峰,实验室检查结果的使用高峰与住院患者采血时间相关,大约在上午 9 点左右。

讨论

访问健康信息(特别是血液检查)的应用程序菜单成为最常访问的菜单。因此,与采血时间和医院信息系统使用模式相比,医院内的就诊情况主要影响了患者对应用程序的使用。为了提高患者的参与度,应优先考虑改善实验室检查功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cda/11572374/68981637313a/12913_2024_11881_Fig1_HTML.jpg

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