TY -非盟的李Yura呢盟——公园、余响了非盟-金,Junetae AU -金,桢勋AU -金,吸引唱AU -李,Jae-Ho PY - 2017 DA - 2017/12/13 TI -使用模式之间的差异和相似之处的移动电子医疗记录卫生保健提供者乔- Uhealth Mhealth JMIR SP - e178六世- 5 - 12 KW -移动应用KW -电子健康记录KW -医生KW -护士KW交流KW -轮KW -病人切换AB -背景:最近，很多医院都引进了移动电子病历(memr)。虽然通过用户调查已经发表了许多关于memr可用性或使用模式的研究，但缺乏基于真实数据使用情况的调查。目的:峨山医疗中心是韩国首尔的一家三级医院，于2010年实施了mEMR计划。在收集了超过4.5年的mEMR使用日志数据的基础上，我们的目标是根据用户的职业确定一种使用模式和趋势，并传播使mEMR更有效和高效的因素。方法:收集2012年3月至2016年8月的mEMR日志数据。根据用户职业、接入时间、服务和无线网络类型完成描述性分析。具体分析目标如下:(1)mEMR的使用现状和用户分布;(2)用户数量和使用量趋势;(3)24小时使用模式;(4)基于用户职业的服务使用趋势。对时间、访问频率和用户数量之间的关系进行线性回归。使用分类变量的学生t检验来检验用户职业之间的差异。 Results: Approximately two-thirds of the doctors and nurses used the mEMR. The number of logs studied was 7,144,459. Among 3859 users, 2333 (60.46%) users were nurses and 1102 (28.56%) users were doctors. On average, the mEMR was used 1044 times by 438 users per day. The number of users and amount of access logs have significantly increased since 2012 (P<.001). Nurses used the mEMR 3 times more often than doctors. The use of mEMR by nurses increased by an annual average of 51.5%, but use by doctors decreased by an annual average of 7.7%. For doctors, the peak usage periods were observed during 08:00 to 09:00 and 17:00 to 18:00, which were coincident with the beginning of ward rounds. Conversely, the peak usage periods for the nurses were observed during 05:00 to 06:00, 12:00 to 13:00, and 20:00 to 21:00, which effectively occurred 1 or 2 hours before handover. In more than 80% of all cases, the mEMR was accessed via a nonhospital wireless network. Conclusions: The usage patterns of the mEMR differed between doctors and nurses according to their different workflows. In both occupations, mEMR was highly used when personal computer access was limited and the need for patient information was high, such as during ward rounds or handover periods. SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2017/12/e178/ UR - https://doi.org/10.2196/mhealth.8855 UR - http://www.ncbi.nlm.nih.gov/pubmed/29237579 DO - 10.2196/mhealth.8855 ID - info:doi/10.2196/mhealth.8855 ER -