scholarly journals User Experience of Mobile Personal Health Records for the Emergency Department: Mixed Methods Study

10.2196/24326 ◽  
2020 ◽  
Vol 8 (12) ◽  
pp. e24326
Author(s):  
Su Min Kim ◽  
Taerim Kim ◽  
Won Chul Cha ◽  
Jae-Ho Lee ◽  
In Ho Kwon ◽  
...  
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
User Experience ◽  
Patient Experience ◽  
Medical Information ◽  
Personal Health Records ◽  
Mixed Methods Study ◽  
Health Conditions ◽  
Personal Health ◽  
Health Records

Background 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. Objective This study aims to introduce the novel mobile PHR (mPHR) platform to emergency environments and assess user experience. Methods 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. Results 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. Conclusions 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. Trial Registration Clinicaltrials.gov NCT04180618; https://clinicaltrials.gov/ct2/show/NCT04180618

scholarly journals User Experience of Mobile Personal Health Records for the Emergency Department: Mixed Methods Study (Preprint)

2020 ◽  
Author(s):  
Su Min Kim ◽  
Taerim Kim ◽  
Won Chul Cha ◽  
Jae-Ho Lee ◽  
In Ho Kwon ◽  
...  
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
User Experience ◽  
Patient Experience ◽  
Medical Information ◽  
Personal Health Records ◽  
Mixed Methods Study ◽  
Health Conditions ◽  
Personal Health ◽  
Health Records

BACKGROUND 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. OBJECTIVE This study aims to introduce the novel mobile PHR (mPHR) platform to emergency environments and assess user experience. METHODS 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. RESULTS 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. CONCLUSIONS 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. CLINICALTRIAL Clinicaltrials.gov NCT04180618; https://clinicaltrials.gov/ct2/show/NCT04180618

Patient perspectives on the digitization of personal health information in the emergency department: a mixed-methods study during the COVID-19 pandemic (Preprint)

2021 ◽  
Author(s):  
Sophia Ly ◽  
Ricky Tsang ◽  
Kendall Ho
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
Electronic Health Records ◽  
Health Information ◽  
Mixed Methods Study ◽  
Personal Health Information ◽  
Personal Health ◽  
Patient Portals ◽  
Health Records ◽  
Key Informant

BACKGROUND While the digitization of personal health information (PHI) has been shown to improve patient engagement in the primary care setting, patient perspectives on its impact in the emergency department (ED) are unknown. OBJECTIVE The primary objective was to characterize the views of British Columbia (BC) ED users on the impacts of PHI digitization on ED care. METHODS This was a mixed-methods study consisting of an online survey followed by key informant interviews with a subset of survey respondents. ED users in British Columbia were asked about their ED experiences and attitudes towards PHI digitization in the ED. RESULTS One hundred and eight participants submitted survey responses between January and April 2020. Most survey respondents were interested in the use of electronic health records (75%) and patient portals (85%) in the ED and were amenable to sharing their ED PHI with ED staff (up to 90% in emergencies), family physicians (up to 91%), and family caregivers (up to 75%). Sixteen survey respondents provided key informant interviews in August 2020. Interviewees expected PHI digitization in the ED to enhance PHI access by health providers, patient-provider relationships, patient self-advocacy, and post-discharge care management, although some voiced concerns about privacy risk and limited access to digital technologies (eg, smart devices, internet connection). COVID-19 was thought to provide momentum for the digitization of healthcare. CONCLUSIONS Patients overwhelmingly support PHI digitization in the form of electronic health records and patient portals in the ED. The COVID-19 pandemic may represent a critical moment for the development and implementation of these tools.

scholarly journals Is Blockchain Technology Suitable for Managing Personal Health Records? Mixed-Methods Study to Test Feasibility

10.2196/12533 ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. e12533 ◽  
Author(s):  
Yu Rang Park ◽  
Eunsol Lee ◽  
Wonjun Na ◽  
Sungjun Park ◽  
Yura Lee ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Personal Health Records ◽  
Mixed Methods Study ◽  
Personal Health ◽  
Health Records ◽  
Blockchain Technology ◽  
Test Feasibility

scholarly journals Continuity of care in Ghana: the promise of smart-med

2014 ◽  
Vol 3 (4) ◽  
pp. 473
Author(s):  
Henry Ogoe ◽  
Odame Agyapong ◽  
Fredrick Troas Lutterodt
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Continuity Of Care ◽  
Medical Information ◽  
Care Delivery ◽  
Personal Health Records ◽  
Personal Health ◽  
Care Providers ◽  
Health Records ◽  
Fragmentation Of Care

Individuals tend to receive medical care from different health care providers as they drift from one location to another. Oftentimes, multiple providers operate disparate systems of managing patients medical records. These disparate systems, which are unable to share and/or exchange information, have the propensity to create fragmentation of care, which poses a serious threat to the realization of continuity of care in the Ghanaian health care delivery. Continuity of care, which is the ability to seamlessly access, update, and manage patients medical information as they visit multiple providers, is a crucial component of quality of care in any health delivery system. The current system of managing patients records in Ghanapaper-basedmakes continuity of care difficult to actualize. To this end, we have developed a smartcard based personal health records system, SMART-MED, which can effectively promote continuity of care in Ghana. SMART-MED is platform-independent; it can run as standalone or configured to plug into any Java-based electronic medical record system. Results of a lab simulation test suggest that it can effectively promote continuity of care through improved data security, support interoperability for disparate systems, and seamless access and update of patients health records. Keywords: Continuity of Care, Fragmentation of Care, Interoperability, Personal Health Records, Smartcard.

Development of Personal Health Records (PHR) for Patiets with Malignancies Using Interactive Internet Service: Experience at National Center for Hematology in Moscow.

Blood ◽  
2009 ◽  
Vol 114 (22) ◽  
pp. 1407-1407
Author(s):  
Nikita E Shklovskiy-Kordi ◽  
Boris V Zingerman ◽  
Lyuba Varticovski ◽  
Alexandra Kremenetskya ◽  
Andrei Vorobjov
Keyword(s):  
Medical Records ◽  
Medical Information ◽  
Conflicts Of Interest ◽  
Meaningful Use ◽  
Personal Health Records ◽  
National Standard ◽  
The Internet ◽  
Personal Health ◽  
Health Records ◽  
Internet Service

Abstract Abstract 1407 Poster Board I-429 Purpose. To compare the requirements of physicians and patients for the Internet interactive service which allows patients to manage their own medical records and communicate with physician via the Internet. Background. USA federal rule defining “the Meaningful Use of Electronic Health Records” is similar to that of the National Standard of Russian Federation “The Electronic Case History (EHR)”, operating since 2008. This National Standard was developed based on experience of EHR system at the National Center for Hematology in Moscow (NCH). In 2009, we started the Personal Health Records service (PHR service) that allows patients to manage their own medical records and have internet-based communication with physicians. Simple interface for patients which blocks the full capacity of the PHR service is similar to that of EHR system of NCH. It permits integrated data presentations on a uniform axis of time and access to additional information (reported to ASH in 2001). The PHR service raises question of “meaningful use” requirements not only for EHR provider organization, but for the service users - patients and doctors. Methods. Using questionnaires and interviews, we compared expectations and acceptance of the PHR service by doctors and their patients. Results and Discussion. Preliminary results indicate that doctors are more likely to use the PHR service than the System of HER. Although the entire format of PHR service is familiar to physicians at NCH, they mostly use its information capabilities (viewing the results of the analysis, making appointments for research and planning patient's visits). The patients use PHR service with great enthusiasm (increasing with younger age and higher level of education). The complexity of integration interfaces, which we leave for the patients in the second term, gives them more inspiration than that the physicians. However, few patients take seriously the responsibilities that exist in relation to the accurate maintenance of their records. Conclusion. PHR can be widely used if integration of sources for medical information and unification format can simplify the “manual” work of PHR management. Key Words: Telemedicine, PHR, EHR Disclosures: No relevant conflicts of interest to declare.

scholarly journals Assessing commercially available personal health records for home health

2016 ◽  
Vol 07 (02) ◽  
pp. 355-367 ◽  
Author(s):  
Yong Choi ◽  
George Demiris ◽  
Laura Kneale
Keyword(s):  
Information Needs ◽  
Medical Information ◽  
Healthcare Providers ◽  
Study Data ◽  
Home Health ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Records ◽  
Home Health Nurses

SummaryHome health nurses and clients experience unmet information needs when transitioning from hospital to home health. Personal health records (PHRs) support consumer-centered information management activities. Previous work has assessed PHRs associated with healthcare providers, but these systems leave home health nurses unable to access necessary information.To evaluate the ability of publically available PHRs to accept, manage, and share information from a home health case study.Two researchers accessed the publically available PHRs on myPHR.com, and attempted to enter, manage, and share the case study data. We qualitatively described the PHR features, and identified gaps between the case study information and PHR functionality.Eighteen PHRs were identified in our initial search. Seven systems met our inclusion criteria, and are included in this review. The PHRs were able to accept basic medical information. Gaps occurred when entering, managing, and/or sharing data from the acute care and home health episodes. The PHRs that were reviewed were unable to effectively manage the case study information. Therefore, increasing consumer health literacy through these systems may be difficult. The PHRs that we reviewed were also unable to electronically share their data.The gap between the existing functionality and the information needs from the case study may make these PHRs difficult to use for home health environments. Additional work is needed to increase the functionality of the PHR systems to better fit the data needs of home health clients.

scholarly journals Patient and Physician Willingness to Use Personal Health Records in the Emergency Department

2012 ◽  
Vol 13 (2) ◽  
pp. 172-175 ◽  
Author(s):  
Anil Menon ◽  
Sally Greenwald ◽  
Trisha Ma ◽  
Shoreh Kooshesh ◽  
Ram Duriseti
Keyword(s):  
Emergency Department ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Records ◽  
Willingness To Use
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