Development of a Mobile Personal Health Record Application Designed for Emergency Care in Korea; Integrated Information from Multicenter Electronic Medical Records

Abstract

Collecting patient’s medical data is essential for emergency care. Although hospital-tethered personal health records (PHRs) can provide accurate data, they are not available as electronic information when the hospital does not develop and supply PHRs. The objective of this research was to evaluate whether a mobile app can assemble health data from different hospitals and enable interoperability. Moreover, we identified numerous barriers to overcome for putting health data into one place. The new mobile PHR (mPHR) application was developed and evaluated according to the four phases of the system development life cycle: defining input data and functions, developing a prototype, developing a mobile application, and implementation testing. We successfully introduced the FirstER (First for Emergency Room) platform on 23 September 2019. Additionally, validation in three tertiary hospitals has been carried out since the launch date. From 14 October to 29 November 2019, 1051 cases registered with the FirstER, and the total download count was 15,951 records. We developed and successfully implemented the mPHR service, which can be used as a health information exchange tool in emergency care, by integrating medical records from three different tertiary hospitals. By recognizing the significance and limitations of this service, it is necessary to study the development and implementation of mPHR services that are more suitable for emergency care.

LabConcept—A New Mobile Healthcare Platform for Standardizing Patient Results in Telemedicine

“…x i (5) x i are the number of participants for a specific age category that replied to the question and n is the number of age categories.…”

“…In 1995, the Geisinger company developed an IT strategic plan to implement an electronic health record (EHR) system. The reason that underlaid the development of EHR was the need to improve communication of clinical data across the integrated delivery system, improve patient safety, reduce practice variability, introduce best practices, reduce costs, increase revenues and meet regulatory requirements efficiently [4,5].…”

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

“…As for data transfer to each patient, we obtained strict written consent approved by the IRB and other consent forms in the application informing patients of which information we would collect from them. For registration, verification through the patient’s email address was required, and a unique patient’s hospital ID was used as a key to access the patient’s information from the system [ 30 ]. In addition, we provided insurance in case of accidents like patient information leakage.…”

A qualitative study of factors influencing ePHR adoption by caregivers and care providers of Alzheimer's patients: An extension of the unified theory of acceptance and use of technology model

“…[35][36][37][38][39][40] ePHRs are increasingly adopted in developed countries. [41][42][43][44][45][46] Despite the growth of ePHRs in developed countries, little experience is available in developing countries. [47][48][49] The reason for this is partly because there are more barriers (such as barriers related to health and technology infrastructures as well as human resources and expertise) to ePHR design/adoption in developing countries than in developed countries.…”