@Article{信息:doi 10.2196 / /移动医疗。9987,作者="谢文婷苏永成韩永成黄明远",标题="台湾以病人为中心的医疗与健康管理系统的新方法:试点研究",刊="JMIR mHealth Uhealth",年="2018",月="7月",日="03",卷="6",号="7",页数="e154",关键词="mHealth;手机应用程序;二维码;药物管理;背景:移动健康(mHealth)应用程序最近展示了参与和增强人们改善自身健康的潜力。尽管与健康相关的应用越来越多,但它们在台湾的采用率却非常低,主要原因是基于西方文化的应用设计占主导地位,这对非英语人群来说是一个挑战。据我们所知,在台湾没有一款移动健康应用是为讲中文的用户量身定制的,并采用以患者为中心的方法来自我管理药物和健康。目的:本研究的目的是设计和部署一个适合当地文化的移动医疗系统,该系统可以很容易地整合到当前的临床实践中,并评估该移动医疗系统如何支持台湾患者护理的连续性。方法:设计移动健康信息系统和移动应用程序。 To promote the best patient experience, a Quick Response (QR) code system was developed to enable efficient registration of personal medication information through the mobile app. The app also supported notifications for drug utilization, refills, and symptom checks. Patients were encouraged to record medication use, symptoms, and self-assessments in the app during their treatment period. Evaluation of the novel mHealth system was conducted from August 1, 2016 to December 31, 2016 at MacKay Memorial Hospital, Taipei, Taiwan. Population data and app usage statistics were analyzed. Results: During the 5-month implementation period, a total of 25,909 users downloaded the app with an overall 7-day retention rate of 15.4{\%} (SD 3.9). Young male adults (range 25-44 years) were the predominant user population. Patients' feedback on app usability and design, QR code system as drug input method, medication reminders, and linking family or friends into care networks was generally positive. Physicians showed great interest in utilizing patient-generated data in their care process, and the positive medication adherence rate was the most highly valued component of this system. Conclusions: This pilot study demonstrated the value of a novel mHealth approach for individualized medication and health management in Taiwan. The mHealth system shows the potential to optimize personalized care into existing clinical services and may help hospitals and health authorities perform continuous quality improvement and policy development. ", issn="2291-5222", doi="10.2196/mhealth.9987", url="http://mhealth.www.mybigtv.com/2018/7/e154/", url="https://doi.org/10.2196/mhealth.9987", url="http://www.ncbi.nlm.nih.gov/pubmed/29970356" }
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