Which Users Should Be the Focus of Mobile Personal Health Records? Analysis of User Characteristics Influencing Usage of a Tethered Mobile Personal Health Record.
Which Users Should Be the Focus of Mobile Personal Health Records? Analysis of User Characteristics Influencing Usage of a Tethered Mobile Personal Health Record.
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DOI：
10.1089/tmj.2015.0137
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发表时间：
2016-05
期刊：
影响因子：
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通讯作者：
Bates DW
中科院分区：
文献类型：
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作者：
Lee G;Park JY;Shin SY;Hwang JS;Ryu HJ;Lee JH;Bates DW
背景：本研究旨在分析一款名为My Chart in My Hand （MCMH）的医院系带移动个人健康记录（m-PHR）应用程序的使用模式，并确定影响m-PHR使用的用户特征。材料与方法：收集MCMH及其菜单的访问日志，时间为2011年8月至2013年1月，共18个月。比较了没有患者识别码（ID）的用户和有患者识别码的用户之间的使用模式。根据每月访问的中位数，将具有患者ID的用户分为轻度和重度用户组。采用多元线性回归模型，根据患者ID的MCMH使用者特征评估MCMH使用模式。结果：MCMH总登录次数为105603次，中位数为15次。用户（n = 7096）主要访问“我的病历”菜单，但“OPD[门诊]服务支持”和“健康管理”菜单也经常使用。在使用患者ID的用户中，慢性病患者、就诊经历（包括急诊室和OPD）和年龄0-19岁的患者更为常见（n = 2186） （p < 0.001）。在重度用户组（n = 1123）中也发现了类似的趋势。主要由具有患者ID的用户访问的实验室结果、在线预约和药物清单的子菜单与门诊就诊和慢性疾病相关。结论：本研究表明，以慢性病患者为中心，增加系留式m-PHR的就诊次数和授权功能，有助于推广使用。
Background: This study was conducted to analyze the usage pattern of a hospital-tethered mobile personal health records (m-PHRs) application named My Chart in My Hand (MCMH) and to identify user characteristics that influence m-PHR usage. Materials and Methods: Access logs to MCMH and its menus were collected for a total of 18 months, from August 2011 to January 2013. Usage patterns between users without a patient identification number (ID) and users with a patient ID were compared. Users with a patient ID were divided into light and heavy user groups by the median number of monthly access. Multiple linear regression models were used to assess MCMH usage pattern by characteristics of MCMH user with a patient ID. Results: The total number of MCMH logins was 105,603, and the median number of accesses was 15 times. Users (n = 7,096) mostly accessed the “My Chart” menu, but “OPD [outpatient department] Service Support” and “Health Management” menus were also frequently used. Patients with chronic diseases, experience of hospital visits including emergency room and OPD, and age group of 0–19 years were more frequently found among users with a patient ID (n = 2,186) (p < 0.001). A similar trend was found in the heavy user group (n = 1,123). Submenus of laboratory result, online appointment, and medication lists that were accessed mostly by users with a patient ID were associated with OPD visit and chronic diseases. Conclusions: This study showed that focuses on patients with chronic disease and more hospital visits and empowerment functions in a tethered m-PHR would be helpful to pursue the extensive use.