Academic Journal
Implementation and Evaluation of a Social Networking Service-Based Mobile Patient-Generated Health Data System With Direct Electronic Medical Record Integration: Prospective Observational Study.
| Τίτλος: | Implementation and Evaluation of a Social Networking Service-Based Mobile Patient-Generated Health Data System With Direct Electronic Medical Record Integration: Prospective Observational Study. |
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| Συγγραφείς: | Choi E; Cardiovascular center, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul, 08308, Republic of Korea, 82 02-2626-3022, 82 02-2626-2024., Lee S; Cardiovascular center, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul, 08308, Republic of Korea, 82 02-2626-3022, 82 02-2626-2024.; Department of Cardiology, College of Medicine, Korea University, Seoul, Republic of Korea., Jeon J; Department of Cardiology, Asan Medical Center, Seoul, Republic of Korea., Kim EJ; Cardiovascular center, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul, 08308, Republic of Korea, 82 02-2626-3022, 82 02-2626-2024.; Department of Cardiology, College of Medicine, Korea University, Seoul, Republic of Korea. |
| Πηγή: | JMIR medical informatics [JMIR Med Inform] 2026 Jun 23; Vol. 14, pp. e81317. Date of Electronic Publication: 2026 Jun 23. |
| Τύπος έκδοσης: | Journal Article; Observational Study; Research Support, Non-U.S. Gov't |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101645109 Publication Model: Electronic Cited Medium: Internet ISSN: 2291-9694 (Electronic) Linking ISSN: 22919694 NLM ISO Abbreviation: JMIR Med Inform Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Toronto : JMIR Publications, [2013]- |
| Ιατρικοί όροι (MeSH): | Electronic Health Records*/statistics & numerical data , Patient Generated Health Data*/statistics & numerical data , Social Networking*, Heart Failure/therapy ; Humans ; Female ; Male ; Prospective Studies ; Aged ; Middle Aged ; Surveys and Questionnaires ; Patient Satisfaction ; Digital Health |
| Περίληψη: | Background: Patient-generated health data (PGHD) can enhance patient-centered care by improving disease awareness and preparedness for clinical encounters. However, automated incorporation of PGHD into electronic medical records (EMRs), which is a prerequisite for broader clinical implementation, remains technically and administratively challenging. Objective: This study describes the development of Miri-Alimi, a PGHD collection platform that delivers mobile social networking service-based previsit questionnaires with automated transfer of structured patient responses into the EMR, and evaluates patient participation, EMR documentation quality, and user satisfaction in a cardiology outpatient clinic. Methods: This single-center observational study was conducted between August and November 2024 and included 751 consecutive cardiology outpatients, comprising 282 first-visit patients and 469 patients attending follow-up visits for heart failure. All eligible patients received a previsit electronic questionnaire link via KakaoTalk or multimedia messaging service prior to their scheduled visit. The primary outcomes were the overall survey response rate among all enrolled patients and EMR documentation completeness among follow-up patients with heart failure. Documentation quality was evaluated based on 3 prespecified parameters relevant to routine heart failure care-dyspnea, peripheral edema, and medication adherence status-and was quantified using an EMR completeness score ranging from 0 to 3. Secondary outcomes included patient and provider satisfaction assessed using postvisit 5-point Likert-scale surveys. Firth penalized logistic regression was used to evaluate the association between survey response status and EMR completeness, with adjustment for age and sex. Results: The response rate was 38.5% (289/751), including 48.9% (138/282) of new patients and 32.2% (151/469) of follow-up patients with heart failure. Responders were younger than nonresponders (mean 62.0, SD 15.7 years vs mean 69.8, SD 12.5 years; P<.001). Among the follow-up patients with heart failure, EMR completeness was higher among responders (median score 3, IQR 3-3) than among nonresponders (median score 0, IQR 0-1; P<.001). Patient satisfaction was high: 82.9% (63/76) to 92.1% (70/76) agreed that the system was appropriate, easy to use, and helpful, and 78.9% (60/76) completed the survey in <10 minutes. Both cardiologists and 7 of the 8 participating nurses supported continued use of the system, citing workflow efficiency gains. Conclusions: Miri-Alimi enabled patient-friendly PGHD collection without requiring log-ins or a dedicated app and demonstrated direct transfer of patient responses into the EMR. Its use was associated with effective transfer and structured integration of PGHD into the EMR, as well as high satisfaction among survey respondents and participating staff. Further studies should evaluate sustainability and associations with long-term clinical outcomes across diverse care settings. (© Eunjoung Choi, Sunki Lee, Jinsung Jeon, Eung Ju Kim. Originally published in JMIR Medical Informatics (https://medinform.jmir.org).) |
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| Contributed Indexing: | Keywords: documentation; electronic medical records; heart failure; mobile health; outpatient; patient engagement; patient satisfaction; patient-generated health data |
| Entry Date(s): | Date Created: 20260623 Date Completed: 20260623 Latest Revision: 20260911 |
| Update Code: | 20260911 |
| PubMed Central ID: | PMC13290106 |
| DOI: | 10.2196/81317 |
| PMID: | 42335468 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2291-9694 |
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| DOI: | 10.2196/81317 |