区劳泰- JOUR AU Rau、区吴孝贤、区朱以元、区志明、区许富忠、区张敏慧、区陈志文、区康华-李敏慧、区高妍亮、区超森宁、区裕龙、区许娴嘉、区许安思、区超建业、洪文PY - 2017 DA - 2017/4/27 TI -台湾个人健康档案重要性-绩效分析:基于web的调查JO - J Med Internet Res SP - e131 VL - 19 IS - 4kw -电子健康记录KW -健康记录，个人KW -调查和问卷AB -背景:授权个人健康记录(PHRs)为健康促进提供基本的人权、意识和意愿。随着医疗保健服务向以患者为中心的服务转变，PHRs成为消费者和提供者不可或缺的平台。最近，政府推出了“我的健康银行”，这是一个面向消费者的基于web的电子医疗记录存储库。然而，它还不是一个PHR。到目前为止，我们还没有一个平台可以让患者管理自己的PHR。目的:本研究建立一个基于“我的健康银行”内容的个人健康数据分析增值平台，并对其健康记录进行管理。本研究旨在使用重要性-绩效分析来检验消费者对PHR的期望。本研究的目的是探讨消费者对这类平台的认知:试图通过重要性-绩效分析找出关键的成功因素和重要方面，并在此基础上提出未来发展的建议。方法:本研究是在台湾进行的横断面研究。 Web-based invitation to participate in this study was distributed through Facebook. Respondents were asked to watch an introductory movie regarding PHR before filling in the questionnaire. The questionnaire was focused on 2 aspects, including (1) system functions, and (2) system design and security and privacy. The questionnaire would employ 12 and 7 questions respectively. The questionnaire was designed following 5-points Likert scale ranging from 1 (“disagree strongly”) to 5 (“Agree strongly”). Afterwards, the questionnaire data was sorted using IBM SPSS Statistics 21 for descriptive statistics and the importance-performance analysis. Results: This research received 350 valid questionnaires. Most respondents were female (219 of 350 participants, 62.6%), 21-30 years old (238 of 350 participants, 68.0%), with a university degree (228 of 350 participants, 65.1%). They were still students (195 out of 350 participants, 56.6%), with a monthly income of less than NT $30,000 (230 of 350 participants, 65.7%), and living in the North Taiwan (236 of 350 participants, 67.4%), with a good self-identified health status (171 of 350 participants, 48.9%). After performing the importance-performance analysis, we found the following: (1) instead of complex functions, people just want to have a platform that can let them integrate and manage their medical visit, health examination, and life behavior records; (2) they do not care whether their PHR is shared with others; and (3) most of the participants think the system security design is not important, but they also do not feel satisfied with the current security design. Conclusions: Overall, the issues receiving the most user attention were the system functions, circulation, integrity, ease of use, and continuity of the PHRs, data security, and privacy protection. SN - 1438-8871 UR - //www.mybigtv.com/2017/4/e131/ UR - https://doi.org/10.2196/jmir.7065 DO - 10.2196/jmir.7065 ID - info:doi/10.2196/jmir.7065 ER -