Establishing a Personal Health Record System in an Academic Hospital: One Year's Experience

Ro, Hyun Jung; Jung, Sung Il; Lee, Kee Hyuck; Yoo, Soo Young; Baek, Hyunyoung; Lee, Ki Heon; Bae, Woo Kyung; Han, Junhee; Kim, Sarah; Park, Hwayeon

doi:10.4082/kjfm.2015.36.3.121

Cited by 16 publications

(6 citation statements)

References 16 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The participants in our study using the e-health system were mostly looking for prescription and examination information, followed by report and appointment information. Similarly, in a study conducted in Korea, according to the results of use features of patient records and health information, the most used part of the system is the part where the patient examinations are recorded (17). In our study, one-third of the participants stated that the need to go to a health facility decreased after the use of health records.…”

Section: Discussionsupporting

confidence: 54%

The Increasing Importance of the e-Health System after the COVID-19 Outbreak with New Healthcare Expectations

2021

View full text Add to dashboard Cite

Aim: The health system is undergoing a rapid transformation with the constantly developing world. The Covid-19 pandemic that threatens humanity seems to change the health system as in every field. The study aimed to determine the use of the e-Health system before and after the pandemic and how health services have changed after the pandemic. Methods: The study was designed with a mixed method that includes analysis of qualitative and quantitative data. The quantitative data of the study were collected with the help of a questionnaire before the pandemic. Qualitative data acquisition and analysis were carried out after the pandemic. Results: According to the results of the study, the rate of participants who did not use the e-Health system before the pandemic was 73.5% (n=155). When asked about the reasons for not using the e-Health system; 43.2% of the participants (n=67) stated that they did not need it, 28.4% (n=44) were not aware of the system and 28.4% (n=44) stated that they did not know how to use the system. According to the qualitative data results, five main themes were obtained after the Covid -19 outbreak. The themes were; getting health information and guidance remotely during the pandemic is the best alternative, creating a sense of trust, compliance with the new situation, expectations from the health system in the new period, and expectations for guidance in accessing e-health information. Conclusion: The most important result of this study, the increase in the use of distance health and e-health, seems to be the framework of the new health service. When the results are read in this context, it can be predicted that a large share of the investments in the field of health will be shifted to digital health systems. Keywords: e-Health, digital health, COVID-19, expectations, pandemics

show abstract

Section: Discussionsupporting

confidence: 54%

The Increasing Importance of the e-Health System after the COVID-19 Outbreak with New Healthcare Expectations

2021

View full text Add to dashboard Cite

show abstract

“…Health4U was established based on the needs of users, mainly composed of five parts: visit history, prescription history, drug notification, laboratory results, and management of self-administered component (called the Health Notes ). Patients can record their daily blood pressure, blood sugar, amount of exercise, and body weight in the Health Notes [ 8 ].…”

Section: Methodsmentioning

confidence: 99%

Support for Sustainable Use of Personal Health Records: Understanding the Needs of Users as a First Step Towards Patient-Driven Mobile Health

Jung¹,

Lee²,

Yoo³

et al. 2017

JMIR Mhealth Uhealth

Self Cite

View full text Add to dashboard Cite

BackgroundThe tethering of a personal health record (PHR) to an electronic medical record (EMR) may serve as a catalyst in accelerating the distribution of integrated PHRs. Creating shared health records for patients and their health care professionals using self-administered functions of EMR-tethered PHRs is crucial to support sustainable use of the system.ObjectiveThis study assesses the factors related to active use of a self-administered function (Health Notes) in an EMR-tethered PHR (Health4U) in a tertiary academic hospital.MethodsThis research is a cross-sectional study conducted in a tertiary academic hospital in South Korea. The enrollees included adults aged 19 years and older with experience accessing Health4U in the 13-month period after June 2013. The primary outcome was the adoption of Health Notes in accordance with the number of chronic diseases. Socio-demographic variables were included as confounding factors.ResultsSubjects 71 years of age and older were less likely to become active users of Health Notes than those 30 years and younger. Moreover, compared with men, women had 44% and 40% lower tendencies to become Health Notes users and active users, respectively. Those who accessed the desktop page and/or mobile page had higher tendencies to become users of Health Notes. We found a consistent increase in the odds ratio as the number of chronic diseases increased in the active users. When considering specific diseases, patients who had cancer or chronic kidney disease had higher tendencies to become users of Health Notes.ConclusionsPatients with a greater number of chronic diseases tended to use PHR more actively, and used the self-administered function. Women and the elderly may have lower tendencies to actively use PHR. Therefore, items specific to the health of each demographic—women, the elderly, and those with chronic diseases—should be carefully considered to support sustainable use of PHRs.

show abstract

“…Seoul National University Bundang Hospital (SNUBH) has had its own onsite electronic medical record (EMR) solution since 2003. It also started an EMR-tethered PHR system called Health4U in June 2013, integrating PGHD such as daily steps, sleep patterns, weight, and blood pressure directly from Samsung S-Health and Apple Health apps for the first time beginning in November 2017, and was the first hospital in the world to do so [14,17,18]. In particular, daily steps are recorded automatically by the mere use of a smartphone in everyday life, and the information can be streamed into Health4U without much effort.…”

Section: Introductionmentioning

confidence: 99%

Development of Comprehensive Personal Health Records Integrating Patient-Generated Health Data Directly From Samsung S-Health and Apple Health Apps: Retrospective Cross-Sectional Observational Study

Jung¹,

Kim²,

Lee³

et al. 2019

JMIR Mhealth Uhealth

Self Cite

View full text Add to dashboard Cite

Background Patient-generated health data (PGHD), especially lifelog data, are important for managing chronic diseases. Additionally, personal health records (PHRs) have been considered an effective tool to engage patients more actively in the management of their chronic diseases. However, no PHRs currently integrate PGHD directly from Samsung S-Health and Apple Health apps. Objective The purposes of this study were (1) to demonstrate the development of an electronic medical record (EMR)–tethered PHR system (Health4U) that integrates lifelog data from Samsung S-Health and Apple Health apps and (2) to explore the factors associated with the use rate of the functions. Methods To upgrade conventional EMR-tethered PHRs, a task-force team (TFT) defined the functions necessary for users. After implementing a new system, we enrolled adults aged 19 years and older with prior experience of accessing Health4U in the 7-month period after November 2017, when the service was upgraded. Results Of the 17,624 users, 215 (1.22%) integrated daily steps data, 175 (0.99%) integrated weight data, 51 (0.29%) integrated blood sugar data, and 90 (0.51%) integrated blood pressure data. Overall, 61.95% (10,919/17,624) had one or more chronic diseases. For integration of daily steps data, 48.3% (104/215) of patients used the Apple Health app, 43.3% (93/215) used the S-Health app, and 8.4% (18/215) entered data manually. To retrieve medical documentation, 324 (1.84%) users downloaded PDF files and 31 (0.18%) users integrated their medical records into the Samsung S-Health app via the Consolidated-Clinical Document Architecture download function. We found a consistent increase in the odds ratios for PDF downloads among patients with a higher number of chronic diseases. The age groups of ≥60 years and ≥80 years tended to use the download function less frequently than the others. Conclusions This is the first study to examine the factors related to integration of lifelog data from Samsung S-Health and Apple Health apps into EMR-tethered PHRs and factors related to the retrieval of medical documents from PHRs. Our findings on the lifelog data integration can be used to design PHRs as a platform to integrate lifelog data in the future.

show abstract

Establishing a Personal Health Record System in an Academic Hospital: One Year's Experience

Cited by 16 publications

References 16 publications

The Increasing Importance of the e-Health System after the COVID-19 Outbreak with New Healthcare Expectations

The Increasing Importance of the e-Health System after the COVID-19 Outbreak with New Healthcare Expectations

Support for Sustainable Use of Personal Health Records: Understanding the Needs of Users as a First Step Towards Patient-Driven Mobile Health

Development of Comprehensive Personal Health Records Integrating Patient-Generated Health Data Directly From Samsung S-Health and Apple Health Apps: Retrospective Cross-Sectional Observational Study

Contact Info

Product

Resources

About