期刊文章JMIR出版物电子健康记录综合个人健康记录对患者参与医疗保健的卡塔尔世界杯8强波胆分析影响:MyHealthKeeper %A Ryu,Borim %A Kim,Nari %A Heo,Eunyoung %A Yoo,Sooyoung %A Lee,Keehyuck %A Hwang,Hee %A Kim,Jeong-Whun %A Kim,Yoojung %A Lee,Joongseek %A Jung,Se Young %+家庭医学系，首尔国立大学盆唐医院，173 Beon-Gil 82，盆唐区谷美路，13620，大韩民国，82 317877809,imsyjung@gmail.com %K健康记录，个人%K生活日志数据%K生活方式管理%K临床干预%K医疗保健服务%K电子健康记录%K移动健康%K远程医疗%K临床试验%D 2017 %7 07.12.2017 %9原创论文%J J Med Internet Res %G英文%X背景:基于个人健康记录(PHR)的医疗保健管理系统可以在临床设置中提高患者参与度和数据驱动的医疗诊断。目的:本研究的目的是(1)演示一个名为MyHealthKeeper的电子健康记录(EHR)绑定的PHR应用程序的开发，它可以从可穿戴设备检索数据并将这些数据发送到医院的EHR系统，(2)通过临床试验结果研究PHR数据驱动的临床干预的有效性。方法:为了改进传统的电子病历连接PHR，我们通过一个共同创造研讨会，确定临床医生在PHR功能方面未被满足的需求和该领域经常使用的数据。我们将这些需求整合到MyHealthKeeper PHR模块的系统设计和体系结构中。我们构建了该应用程序，并通过进行为期4周的临床试验验证了PHR模块的有效性。我们使用市面上的活动追踪器(Misfit)来收集个人的身体活动数据，并开发了MyHealthKeeper手机应用程序来记录参与者的每日食物摄入模式和活动日志。我们将80名参与者随机分配到基于ph的干预组(n=51)或对照组(n=29)。所有的研究参与者都完成了一项纸质调查、一项实验室测试、一项身体检查和一项意见访谈。 During the 4-week study period, we collected health-related mobile data, and study participants visited the outpatient clinic twice and received PHR-based clinical diagnosis and recommendations. Results: A total of 68 participants (44 in the intervention group and 24 in the control group) completed the study. The PHR intervention group showed significantly higher weight loss than the control group (mean 1.4 kg, 95% CI 0.9-1.9; P<.001) at the final week (week 4). In addition, triglyceride levels were significantly lower by the end of the study period (mean 2.59 mmol/L, 95% CI 17.6-75.8; P=.002). Conclusions: We developed an innovative EHR-tethered PHR system that allowed clinicians and patients to share lifelog data. This study shows the effectiveness of a patient-managed and clinician-guided health tracker system and its potential to improve patient clinical profiles. Trial Registration: ClinicalTrials.gov NCT03200119; https://clinicaltrials.gov/ct2/show/NCT03200119 (Archived by WebCite at http://www.webcitation.org/6v01HaCdd) %M 29217503 %R 10.2196/jmir.8867 %U //www.mybigtv.com/2017/12/e401/ %U https://doi.org/10.2196/jmir.8867 %U http://www.ncbi.nlm.nih.gov/pubmed/29217503