Mobile Health Applications for Pediatric Care: Review and Comparison

Morse, Samantha Sangie; Murugiah, Muthu Kumar; Soh, Yee Chang; Wong, Tin Wui; Ming, Long Chiau

doi:10.1177/2168479017725557

Cited by 50 publications

(31 citation statements)

References 22 publications

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“…A long waiting time for a medical consultation has become an important factor affecting outpatient satisfaction [21, 22]. It was necessary to conduct more research on medical health applications in children’s health care centers to ensure the quality and reliability of mobile health applications [23].…”

Section: Discussionmentioning

confidence: 99%

Effects of a comprehensive reservation service for non-emergency registration on appointment registration rate, patient waiting time, patient satisfaction and outpatient volume in a tertiary hospital in China

Xie

Yang

Cao

et al. 2019

BMC Health Serv Res

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Background: In China, a long waiting time for registration is a common occurrence in many tertiary hospitals. This study aimed to analyze the effects of a comprehensive reservation service for non-emergency registration on appointment registration rate, patient waiting time, patient satisfaction and outpatient volume at the Guangzhou Women and Children's Medical Center. Methods: This was a cross-sectional study. This study investigated the effects of a comprehensive reservation service for non-emergency registration in Guangzhou Women and Children's Medical Center in China starting in October 2015. In total, 2194 patients completed a satisfaction survey administered by the Guangdong Situation Research Center. The content of the questionnaire consisted of six aspects: general impression, service attitude, service quality, hospital environment, price perception and medical ethics. A Likert 5-point rating scale was used in the questionnaire; answers were classified as "very satisfied", "relatively satisfied", "neutral", "unsatisfied" and "very unsatisfied". The method of application was paper-based. T-tests were used to compare the sample means, and chisquare tests were used to compare the rates. A multiple-test procedure was performed to evaluate the differences in the reservation rates during a 12-month period. Results: After the implementation of the comprehensive reservation service for non-emergency registration in our hospital, which has an annual outpatient volume of approximately 4 million, the monthly appointment registration rate increased from (34.95 ± 2.91)% to(89.13 ± 3.12)%,P < 0.01. The patient waiting time was significantly reduced (P < 0.01), and the proportion of patients who believed that the waiting time required improvement was decreased significantly (P < 0.01). Moreover, the third-party evaluation result of outpatient satisfaction significantly improved (P < 0.01). The total hospital outpatient volume decreased(P < 0.01). The outpatient volume of the Department of General Pediatrics decreased.

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Section: Discussionmentioning

confidence: 99%

Effects of a comprehensive reservation service for non-emergency registration on appointment registration rate, patient waiting time, patient satisfaction and outpatient volume in a tertiary hospital in China

Xie

Yang

Cao

et al. 2019

BMC Health Serv Res

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“…The included mobile apps were assessed based on their basic features and functionalities. The basic features were modified from the outline of developed classification of mHealth apps evaluation criteria proposed by Nouri et al [ 21 ] and in the literature [ 11 , 16 , 22 ]. The included seven basic features were (1) no internet requirement, (2) size of app less than 50 MB, (3) no subscription needed (ie, free), (4) educational content (COVID-19 teaching), (5) export data (sharing of user’s data with other platforms), (6) automated data entry (automatic update of data without user interference), and (7) advisory function.…”

Section: Methodsmentioning

confidence: 99%

“…It is more effective to deliver health-related information through mHealth apps, as information can be exchanged rapidly and updated dynamically [ 10 ]. Mobile apps can potentially prevent the occurrence of a particular disease, as exchanged texts through a mobile app can promote communication, storage of information, and message delivery that drives users to make healthy lifestyle changes [ 11 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Mobile Health Apps on COVID-19 Launched in the Early Days of the Pandemic: Content Analysis and Review

Ming¹,

Untong²,

Aliudin³

et al. 2020

JMIR Mhealth Uhealth

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538

140

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Background Mobile health (mHealth) app use is a major concern because of the possible dissemination of misinformation that could harm the users. Particularly, it can be difficult for health care professionals to recommend a suitable app for coronavirus disease (COVID-19) education and self-monitoring purposes. Objective This study aims to analyze and evaluate the contents as well as features of COVID-19 mobile apps. The findings are instrumental in helping health care professionals to identify suitable mobile apps for COVID-19 self-monitoring and education. The results of the mobile apps’ assessment could potentially help mobile app developers improve or modify their existing mobile app designs to achieve optimal outcomes. Methods The search for the mHealth apps available in the android-based Play Store and the iOS-based App Store was conducted between April 18 and May 5, 2020. The region of the App Store where we performed the search was the United States, and a virtual private network app was used to locate and access COVID-19 mobile apps from all countries on the Google Play Store. The inclusion criteria were apps that are related to COVID-19 with no restriction in language type. The basic features assessment criteria used for comparison were the requirement for free subscription, internet connection, education or advisory content, size of the app, ability to export data, and automated data entry. The functionality of the apps was assessed according to knowledge (information on COVID-19), tracing or mapping of COVID-19 cases, home monitoring surveillance, online consultation with a health authority, and official apps run by health authorities. Results Of the 223 COVID-19–related mobile apps, only 30 (19.9%) found in the App Store and 28 (44.4%) in the Play Store matched the inclusion criteria. In the basic features assessment, most App Store (10/30, 33.3%) and Play Store (10/28, 35.7%) apps scored 4 out of 7 points. Meanwhile, the outcome of the functionality assessment for most App Store apps (13/30, 43.3%) was a score of 3 compared to android-based apps (10/28, 35.7%), which scored 2 (out of the maximum 5 points). Evaluation of the basic functions showed that 75.0% (n=36) of the 48 included mobile apps do not require a subscription, 56.3% (n=27) provide symptom advice, and 41.7% (n=20) have educational content. In terms of the specific functions, more than half of the included mobile apps are official mobile apps maintained by a health authority for COVID-19 information provision. Around 37.5% (n=18) and 31.3% (n=15) of the mobile apps have tracing or mapping and home monitoring surveillance functions, respectively, with only 17% (n=8) of the mobile apps equipped with an online consultation function. Conclusions Most iOS-based apps incorporate infographic mapping of COVID-19 cases, while most android-based apps incorporate home monitoring surveillance features instead of providing focused educational content on COVID-19. It is important to evaluate the contents and features of COVID-19 mobile apps to guide users in choosing a suitable mobile app based on their requirements.

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“…The evaluation in this study included the intended use, reliability, usability and privacy of the apps, but not the technical quality and development or risk management. A study by Morse et al [32] assessed only the presence of different features, such as a dosing calculator, interaction checker or availability of dose recommendations; in this study, too, the technical specifications and risk management features were not assessed. Findings from a review by Boulos et al [33] confirmed the need to develop medical apps and devices in conformity with the EU Medical Devices Directive [17].…”

Section: Action Dmentioning

confidence: 99%

Development and implementation of a paediatric dosing calculator integrated in the Dutch Paediatric Formulary

Zanden

Goedknegt²,

Hoog

et al. 2020

Drugs Ther Perspect

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Calculation errors are the most common dosing errors in paediatrics. While health information technology has been advocated to improve patient safety, the broad implementation of computer-calculated dosing in the paediatric setting is delayed for the lack of computable, explicit and unambiguous paediatric dosing guidelines. The structured digital dosing guidelines of the Dutch Paediatric Formulary permitted the development of a paediatric dosing calculator that combines drug dosing recommendations of the formulary with patient variables. We took into account the European Union Medical Devices Directive (EEC 93/43) and international standards describing the requirements for the development and maintenance of medical software, the risk management in relation to medical devices and the application of usability engineering to medical devices. As key steps in the development and risk management of software, we first specified the intended use and primary operating functions, then identified potential failures and resolved failures by corrective measures. The paediatric dosing calculator calculates an individual dose based on specified patient characteristics and the dose recommendations provided in the formulary. This is a step-by-step process where a user first enters patient variables (date of birth, weight) and then selects drug variables (indication, route of administration). Based on the selected patient and drug variables, an individual dose is calculated. In addition, the calculated dose in weight units (grams, milligrams) can be converted to a volume-based dose (millilitres) of a fluid product. We successfully developed and implemented a dosing calculator in our national web-based Dutch Paediatric Formulary, which so far has been used more than 65,000 times monthly.Electronic supplementary material The online version of this article (https ://doi.org/10.1007/s4026 7-020-00724 -y) contains supplementary material, which is available to authorized users.* Tjitske M. van der Zanden

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Mobile Health Applications for Pediatric Care: Review and Comparison

Abstract: Medscape, Skyscape, and iGuideline are the most comprehensive mHealth apps for HCPs as quick references for pediatric care. More studies about mHealth apps in pediatric care are warranted to ensure the quality and reliability of mHealth apps.

Cited by 50 publications

References 22 publications

Effects of a comprehensive reservation service for non-emergency registration on appointment registration rate, patient waiting time, patient satisfaction and outpatient volume in a tertiary hospital in China

Effects of a comprehensive reservation service for non-emergency registration on appointment registration rate, patient waiting time, patient satisfaction and outpatient volume in a tertiary hospital in China

Mobile Health Apps on COVID-19 Launched in the Early Days of the Pandemic: Content Analysis and Review

Development and implementation of a paediatric dosing calculator integrated in the Dutch Paediatric Formulary

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