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Healthc Inform Res.  2025 Oct;31(4):426-433. 10.4258/hir.2025.31.4.426.

Development of an Application for Communication between Rehabilitation Patients and Physicians Based on the Shared Decision-Making Model

Affiliations
  • 1College of Nursing, Woosuk University, Wanju, Korea
  • 2Department of Rehabilitation Medicine, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea
  • 3College of IT Convergence, Gachon University, Seongnam, Korea

Abstract


Objectives
The objective of this study was to develop a communication application for rehabilitation patients and physicians based on the shared decision-making (SDM) model. Specifically, an app called REHAB NOTE was designed and implemented for patients undergoing rehabilitation for cancer and central nervous system (CNS) injuries. The REHAB NOTE application aims to facilitate smooth communication between patients and physicians, provide patient-centered medical services, and ultimately enhance rehabilitation treatment effectiveness.
Methods
The development of REHAB NOTE followed a structured approach for mobile app creation, including rigorous requirement analysis, architecture design, navigation design, and detailed page layout planning. This systematic process ensured the platform met the specific needs of both rehabilitation patients and healthcare providers.
Results
We developed an application-based platform service (REHAB NOTE) that enables rehabilitation patients to view doctors’ notes after treatment, document their health status, and share this information with their physicians. The platform was specifically designed for cancer rehabilitation patients and CNS injury rehabilitation patients. It can also be utilized by patients undergoing occupational, physical, and speech therapies.
Conclusions
The REHAB NOTE application incorporates concepts from shared decision-making and OpenNotes and is anticipated to positively impact rehabilitation treatment outcomes. Future studies should verify the application's effectiveness. Additionally, modifications and enhancements will be necessary to ensure its applicability to a broader spectrum of rehabilitation patients.

Keyword

Rehabilitation, Communication, Mobile Applications, Shared Decision Making, Physician-Patient Relations
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