Healthc Inform Res.  2020 Oct;26(4):311-320. 10.4258/hir.2020.26.4.311.

Analysis of Platforms and Functions of Mobile-Based Personal Health Record Systems

Affiliations
  • 1School of Medicine, Pusan National University, Busan, Korea
  • 2Research Institute for Health Insurance Review and Assessment, Health Insurance Review & Assessment Service, Wonju, Korea
  • 3Department of Health Care Management, Catholic Kwandong University, Gangneung, Korea
  • 4Department of Nursing, California State University, San Bernardino, CA, USA

Abstract


Objectives
Little is known about the platforms and functionalities of mobile-based personal health record (PHR) applications. The objective of this study was to investigate these two features of PHR systems.
Methods
The unit of analysis was general hospitals with more than 100 beds. This study was based on a PHR survey conducted from May 1 to June 30, 2020 and the National Health Insurance administrative data as of March 31, 2020. The study considered the platform, Android and iPhone operation system (iOS), and types of functionalities of PHR systems. Among the 316 target hospitals, 103 hospitals had adopted PHR systems. A logistic regression analysis was used.
Results
This study found that 103 hospitals had adopted mobile-based PHR systems for their patients. Sixty-four hospitals (62.1%) were adopting both Android and iOS, but 36 (35.0%) and 3 (2.9%) hospitals were adopting Android only or iOS only, respectively. The PHR systems of hospitals adopting both platforms were more likely to have functions for viewing prescriptions, clinical diagnostic test results, and upcoming appointment status compared to those adopting a single platform (p < 0.001). The number of beds (odds ratio [OR] = 1.004; confidence interval [CI], 1.001–1.007; p = 0.0029) and the number of computed tomography systems (CTs) per 100 beds (OR = 6.350; CI, 1.006–40.084; p = 0.0493) were significantly associated with the adoption of both platforms.
Conclusions
More than 60% of hospitals had adopted both Android and iOS platforms for their patients in Korea. Hospitals adopting both platforms had additional functionalities and significant association with the number of beds and CTs.

Keyword

Personal Health Records, Electronic Medical Records, Electronic Health Records, Information Systems, Mobile Applications
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