基于智能手机的医院移动应用探讨和实践

首先对现代移动医疗的发展和医院信息化功能的转变进行关联分析,然后根据浙江大学医学院附属第一医院“掌上浙一,,手机应用的功能实现与推行实施,总结了一种基于智能手机的医院移动应用的模式框架,对手机医疗实现的功能进行了详细描述,对涉及的关键技术进行阐述,分析了发展移动医疗的阻力和挑战。     

移动医疗应用中的信息风险分析

对移动医疗应用引发的风险进行了分析,根据风险管理原理及移动医疗应用本身的因素进行研究,提出其风险主要为管理风险与技术风险,并对相关的技术风险进行说明。     

国内问诊类移动医疗APP软件功能分析与评价

对目前国内常见的问诊类移动医疗APP软件进行了分类,并基于用户应用体验分析评价了不同类别的问诊类移动医疗APP的功能,对问诊类移动医疗APP的开发应用前景进行了展望。     

移动护理系统实用性探讨

为了体现"以病人为中心、以医疗信息为主线"的设计思想,真正达到医院信息管理学的要求。随着我国医疗信息化工作的进展,移动护理信息系统在临床护理工作中得到了大量的应用,大大地提高了护理质量,降低了医疗差错。本文根据临床业务需求,着重探讨在实施和推广移动护理信息系统中实用性的问题,并就移动护理信息系统应用及设备的选择方面进行了深入的分析。     

我国发展移动医疗的PEST分析

在介绍移动医疗定义及应用的基础上,运用PEST分析方法,从政治、经济、社会、技术角度对我国发展移动医疗进行综合分析,在宏观层面上论证移动医疗发展的潜力。     

浅谈移动医疗的社区网络医疗服务平台构建

移动医疗是当今医疗领域快速发展的一种新型医疗服务体系,即通过移动网络通讯技术和医疗卫生服务相结合,一定程度上缓解"看病难,看病贵"的现状起着不可或缺的作用。本文就移动医疗的简介,社区网络医疗服务平台的构建及意义进行分析和探讨,为中国的医疗体制改革和医疗服务模式提供参考。     

国内外移动互联网医疗应用现状及未来发展趋势探讨

移动互联网的快速发展催生了新的医疗健康信息化服务模式。对国内外移动互联网医疗应用现状进行了介绍和分析,探讨了应用过程中面临的主要问题,并提出了对未来发展趋势的见解。     

移动医疗掀起医院无边界化革命

移动医疗即mHealth,就是通过移动通信技术,例如平板电脑、掌上电脑(PDA)、智能手机和卫星通信等手段来提供医疗服务和资讯.我们经常听到的"移动医生站"和"移动护士站",手机应用程序(APP)应用,以及基于PDA的"药品管理和分发"和"腕带扫描"等应用都属于移动医疗范畴.2012-2013年,基于智能手机的医疗APP应用和移动终端设备的研发明显活跃,大量的移动医疗如雨后春笋般地成功应用于多种医疗场景(图1、图2).     

构建医嘱闭环管理之移动医疗工具选型研究

目的：解决医院推行移动医疗选择床旁移动工具的困惑,为医院进行床旁设备选型时提供参考依据。方法：对目前临床使用的主流产品手持设备PDA与移动推车进行了临床应用调查,并对使用范围、功能及利用率作了结果分析。结果：移动车的使用比例明显高于手持设备。而在床旁医嘱条码执行项目,更多的护士选择手持设备。PDA与移动推车在应用范围上各有所长。结论：移动车的优势明显。联合使用PDA与移动推车,取长补短,使临床应用效果达到最大化。构建闭环管理模式,降低医疗差错,提高临床医护质量。     

基于区域卫生信息平台的移动医疗健康应用探索

以广州市为例,结合"广州健康通"移动医疗健康系统建设目标、技术架构、建设和应用内容、建设成效以及下一阶段发展规划等,探讨了基于区域卫生信息平台的移动医疗健康应用的建设模式和主要创新应用。通过建设基于区域卫生信息平台的区域移动医疗应用,可以有效促进解决"看病难、看病贵"等社会难题,值得进一步推广和应用。     

Pediatric Patient and Caregiver Preferences in the Development of a Mobile Health Application for Management of Surgical Colorectal Conditions

Patient-centered frameworks are an effective way to engage patients in treatment plans, strengthen adherence behaviors, and improve disease outcomes. These frameworks can also be applied in the design of mobile technology disease management applications. However, the utilization of these frameworks is rare and frequently overlooked in existing colorectal mobile health (mHealth) applications. The purpose of this study was to utilize a patient-centered framework to facilitate the development of a valid, appropriate, and feasible mHealth tool for pediatric patients and their caregivers. To inform application design and production, in-depth interviews were conducted with pediatric patients and their caregivers to capture management experiences, application preferences, and barriers and facilitators to application use. Patient ages ranged from 3 to 16. Six caregivers and 2 adolescent patients participated in the interviews. Patients and caregivers reported various management styles and desired an application that is not only user-friendly and customizable, but also able to facilitate communication and information sharing with other patients, caregivers, and providers. Older patients also wanted the application to give them more independence in managing their disease. Employing patient-centered frameworks is context-specific, but holds much promise at the intersection of mobile technology and healthcare. By incorporating pediatric patient experiences and viewpoints, we identified important components for inclusion in a mHealth surgical colorectal disease management application. Patients and caregivers wanted a mHealth application that was unique to their needs and easy to use. They suggested that the application include treatment tracking, note taking, and provider communication features.     

门诊移动医疗系统设计实施和发展探讨

以南京市第二医院为例,从设计目标、流程架构、具体功能3方面阐述门诊移动医疗系统设计,介绍系统实施应用效果。分析移动医疗发展前景,包括基础功能拓展、移动医疗物联网应用等方面,为相关研究提供参考。     

移动健康应用程序的应用现况与展望

本文讨论了面向消费者的移动健康应用程序（mHealth APP）的现状、发展障碍以及发展方向。目前主要的应用商店中有超过16.5万个mHealth APP,居排名前2位的为健康管理、疾病管理APP,其他类别包括自我诊断、药物提醒、患者电子门户、康复管理APP。这些APP在全球范围内为终端用户提供了低成本、高质量、全天候访问的健康信息。然而,由于缺乏监管监督、相关循证资料不足以及对隐私和安全性的担忧,mHealth APP还有很多地方需要完善。未来的发展方向可能包括：将数据集成到卫生保健系统,可互操作的应用程序平台,允许访问电子健康档案并记录数据,基于云的个人健康记录,以及由医务人员提供APP处方。为了使mHealth APP充分发挥医疗保健和慢病管理的价值,从业的所有利益攸关方必须协作克服相关障碍。     

Bigdata Oriented Multimedia Mobile Health Applications

In this paper, two mHealth applications are introduced, which can be employed as the terminals of bigdata based health service to collect information for electronic medical records (EMRs). The first one is a hybrid system for improving the user experience in the hyperbaric oxygen chamber by 3D stereoscopic virtual reality glasses and immersive perception. Several HMDs have been tested and compared. The second application is a voice interactive serious game as a likely solution for providing assistive rehabilitation tool for therapists. The recorder of the voice of patients could be analysed to evaluate the long-time rehabilitation results and further to predict the rehabilitation process.     

Analyzing security issues of android mobile health and medical applications

ObjectiveWe conduct a first large-scale analysis of mobile health (mHealth) apps available on Google Play with the goal of providing a comprehensive view of mHealth apps’ security features and gauging the associated risks for mHealth users and their data.Materials and MethodsWe designed an app collection platform that discovered and downloaded more than 20 000 mHealth apps from the Medical and Health & Fitness categories on Google Play. We performed a suite of app code and traffic measurements to highlight a range of app security flaws: certificate security, sensitive or unnecessary permission requests, malware presence, communication security, and security-related concerns raised in user reviews.ResultsCompared to baseline non-mHealth apps, mHealth apps generally adopt more reliable signing mechanisms and request fewer dangerous permissions. However, significant fractions of mHealth apps expose users to serious security risks. Specifically, 1.8% of mHealth apps package suspicious codes (eg, trojans), 45.0% rely on unencrypted communication, and as much as 23.0% of personal data (eg, location information and passwords) is sent on unsecured traffic. An analysis of the app reviews reveals that mHealth app users are largely unaware of the surfaced security issues.ConclusionDespite being better aligned with security best practices than non-mHealth apps, mHealth apps are still far from ensuring robust security guarantees. App users, clinicians, technology developers, and policy makers alike should be cognizant of the uncovered security issues and weigh them carefully against the benefits of mHealth apps.     

Patient Satisfaction with Mobile Health (mHealth) Application for Exercise Intervention in Breast Cancer Survivors

This study aimed to assess user satisfaction with mobile health (mHealth) application in breast cancer survivors after a 12-week exercise program and provide developers with reference points for mHealth applications from the perspective of patients and physicians. This is a retrospective review of prospectively collected multicenter data of 88 breast cancer survivors who carried out a 12-week exercise program via smartphone application with pedometer. Personalized programs including aerobic and resistance exercise were prescribed by physiatrists. Also, telephone counseling was performed at the 3rd and 9th week. All patients completed the user satisfaction questionnaire at the end of the intervention. The mean achievement rates of aerobic and resistance exercise for 12 weeks were 78.8 and 71.3%, respectively. The mean score of overall satisfaction rated on the 5-point Likert scale was 4.22?±?0.73. When the patients were grouped according to age, the overall satisfaction score increased significantly with age (P?=?0.040). Also, the satisfaction scores of patients with radiotherapy were significantly higher than patients without radiotherapy (P?=?0.001). In terms of system characteristics, the most satisfying was data transmission accuracy (4.32?±?0.74). In addition, patients were very satisfied with telephone counseling (4.55?±?0.62). The results suggest the direction of mHealth should go to meet the detailed requirements of the specific user group as a more targeted approach. In addition, if a mutual feedback platform can be implanted in mHealth applications, it will increase user loyalty and make mHealth a more available motivational technology in our lives.     

试论马勃在治疗慢性胃炎中的运用

初步讨论了马勃在治疗慢性胃炎中的运用,提出了中医“取象类比”的概念以及在治疗慢性胃炎时“咽胃同治”法之初探。为治疗慢性胃炎提供一种新的思路、方法,也再次验证了中医“取象类比”与“天人合一”的思想。     

ISO/TC215传统医学信息标准跟踪研究

调研了ISO／TC215健康信息学技术委员会的传统医学信息标准化工作,介绍了“中医药语苦系统的语义网络框架”、“中医药文献元数据”、“传统医学中临床所见的描述结构”、“草药术语系统的分类结构”等4个ISO／TO 215正在进行的标准项目,可供传统医学信息标准研究人员参考。