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Beneficial Effects of Two Types of Personal Health Record Services Connected With Electronic Medical Records Within the Hospital Setting

Lee, Jisan MSc, RN; Kim, James G. Boram MSc; Jin, Meiling MSc, RN; Ahn, Kiwhan PhD; Kim, Byungjun MD; Kim, Sukwha MD, PhD; Kim, Jeongeun PhD, RN, INS

CIN: Computers, Informatics, Nursing: November 2017 - Volume 35 - Issue 11 - p 574–581
doi: 10.1097/CIN.0000000000000362

Healthcare consumers must be able to make decisions based on accurate health information. To assist with this, we designed and developed an integrated system connected with electronic medical records in hospitals to ensure delivery of accurate health information. The system—called the Consumer-centered Open Personal Health Record platform—is composed of two services: a portal for users with any disease and a mobile application for users with cleft lip/palate. To assess the benefits of these services, we used a quasi-experimental, pretest-posttest design, assigning participants to the portal (n = 50) and application (n = 52) groups. Both groups showed significantly increased knowledge, both objective (actual knowledge of health information) and subjective (perceived knowledge of health information), after the intervention. Furthermore, while both groups showed higher information needs satisfaction after the intervention, the application group was significantly more satisfied. Knowledge changes were more affected by participant characteristics in the application group. Our results may be due to the application's provision of specific disease information and a personalized treatment plan based on the participant and other users' data. We recommend that services connected with electronic medical records target specific diseases to provide personalized health management to patients in a hospital setting.

Author Affiliations: Interdisciplinary Program of Medical Informatics (Ms Lee, Mr Kim, and Dr J. Kim), College of Nursing (Jin and Dr J. Kim), and Research Institute of Nursing Science (Dr J. Kim), Seoul National University; KT Corporation, Seoul (Dr Ahn); Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University; and Department of Plastic and Reconstructive Surgery, Seoul National University Hospital (Drs B. Kim and S. Kim), Korea.

This work was supported by the National Research Foundation of Korea grant funded by the Korea government (MSIP) (no. 2010-0028631).

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Jeongeun Kim, PhD, RN, INS, 103 Daehak-ro, Jongno-gu, Seoul 03080, Korea (

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