scholarly journals Understanding Determinants of Health Care Professionals’ Perspectives on Mobile Health Continuance and Performance (Preprint)

2018 ◽  
Author(s):  
Ju-Ling Hsiao ◽  
Rai-Fu Chen
Keyword(s):  
Health Care ◽  
Mobile Health ◽  
Health Care Professionals ◽  
User Satisfaction ◽  
Individual Performance ◽  
Perceived Usefulness ◽  
Mobile Technologies ◽  
Sufficient Evidence ◽  
Critical Factors ◽  
And Performance

BACKGROUND With the widespread use of mobile technologies, mobile information systems have become crucial tools in health care operations. Although the appropriate use of mobile health (mHealth) may result in major advances in expanding health care coverage (increasing decision-making speeds, managing chronic conditions, and providing suitable health care in emergencies), previous studies have argued that current mHealth research does not adequately evaluate mHealth interventions, and it does not provide sufficient evidence regarding the effects on health. OBJECTIVE The aim of this study was to facilitate the widespread use of mHealth systems; an accurate evaluation of the systems from the users’ perspective is essential after the implementation and use of the system in daily health care practices. This study extends the expectation-confirmation model by using characteristics of individuals, technology, and tasks to identify critical factors affecting mHealth continuance and performance from the perspective of health care professionals (HCPs). METHODS A questionnaire survey was used to collect data from HCPs who were experienced in using mHealth systems of a Taiwanese teaching hospital. In total, 282 questionnaires were distributed, and 201 complete and valid questionnaires were returned, thus indicating a valid response rate of 71.3% (201/282). The collected data were analyzed using WarpPLS version 5.0 (ScriptWarp Systems). RESULTS The results revealed that mHealth continuance (R2=0.522) was mainly affected by perceived usefulness, technology maturity, individual habits, task mobility, and user satisfaction, whereas individual performance (R2=0.492) was affected by mHealth continuance. In addition, user satisfaction (R2=0.548) was affected by confirmation and perceived usefulness of mHealth, whereas perceived usefulness (R2=0.521) was affected by confirmation. This implied that confirmation played a key role in affecting perceived usefulness and user satisfaction. Furthermore, the results showed that mHealth continuance positively affected individual performance. CONCLUSIONS The identified critical factors influencing mHealth continuance and performance can be used as a useful assessment tool by hospitals that have implemented mHealth systems to facilitate the use and infusion of the systems. Furthermore, the results can help health care institutions that intend to introduce or develop mHealth applications to identify critical issues and effectively allocate limited resources to mHealth systems.

scholarly journals PREDICTORS OF HALODOC’S USER SATISFACTION

2021 ◽  
Vol 5 (2) ◽  
pp. 348
Author(s):  
Chrisanty Victoria Layman
Keyword(s):  
Health Care ◽  
Mobile Health ◽  
User Satisfaction ◽  
Digital Health ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Future Research ◽  
Study Results ◽  
Perceived Price ◽  
Long Time

Sejak pandemi Covid19, industri kesehatan digital telah bertumbuh pesat di seluruh dunia, ditandai dengan keterlibatan konsumen yang lebih besar dalam kesehatan, disertai kenaikan minat yang lebih tinggi akan layanan kesehatan virtual jarak jauh yang sering terlihat dalam bentuk aplikasi smartphone/ mHeatlh. Namun, Indonesia masih menghadapi beberapa kendala mengenai implementasi kesehatan digital. Untuk mendorong penggunaan aplikasi mHealth, promosi teknologi informasi dan komunikasi harus dikedepankan. Namun, praktik saat ini menunjukkan bahwa masih ada aspek yang menghambat efektivitas dan efisiensi layanan kesehatan aplikasi smartphone. Oleh karena itu, tantangan penting yang hadir dalam pengguna mHealth akan menjadi fokus dalam penelitian ini. Penelitian ini berupaya menyelidiki prediktor kepuasan pengguna Halodoc, salah satu aplikasi kesehatan seluler terbesar dan tersukses di Indonesia. Data yang digunakan dalam penelitian ini adalah skor kegunaan yang dirasakan (PU), kemudahan penggunaan (EU), harga yang dirasakan (PP), antarmuka pengguna grafis (GU), ketergantungan penggunaan (RU), dan kepuasan (SA). Sampel diambil secara pengambilan sampel acak kenyamanan. Responden studi ini melibatkan 100 pengguna Halodoc mulai dari pemula hingga pengguna lama. Data kemudian dianalisis dengan uji-T sampel independen dan analisis varians (ANOVA). Hasil penelitian mempertegas kemudahan penggunaan bagi pengguna yang secara signifikan terkait dengan desain tombol, penggunaan warna, dan informasi obat paling. Selain itu, keandalan pada informasi dokter, yang memungkinkan layanan kesehatan pribadi secara signifikan terkait dengan kepuasan pengguna. Selain itu, ada beberapa fitur profil yang menyarankan tingkat pendidikan mempengaruhi tingkat penerimaan terhadap penggunaan dan kepuasan mHealth. Penelitian di masa depan disarankan untuk melibatkan sampel pengguna dalam jumlah yang lebih besar dan melakukan penelitian selama periode jangka panjang untuk mengukur kepuasan pengguna mHealth dari waktu ke waktu.  Since the COVID19 pandemic, the digital health industry has been accelerated worldwide, with greater consumers engagement in healthcare, and higher interest of remote virtual care found through smartphones application/ mHealth. However, Indonesia still faces several obstacles regarding the implementation of digital health. To encourage the use of the mhealth app, the promotion of information and communication technology must be at the forefront. However, current practice shows that they are still aspects hampering the effectiveness and efficiency of mobile health care. Therefore, crucial challenges present in the user of mHealth would be the focus of this study. This study seeks to investigate the predictors of Halodoc, one of the largest and successful mobile health application’s user satisfaction. The data used in this study are scores of Perceived Usefulness (PU), Ease of Use (EU), Perceived Price (PP), Graphical User Interface (GU), Reliance of Use (RU), and Satisfaction (SA). Samples are taken using random convenienvce sampling. The respondent of this study is 100 Halodoc users starting from beginners to long time users. Data was then analyzed by the Independent Sample T-Test and Analysis of Variance (ANOVA). The study results reemphasize ease of use for users that is significantly associated with the design of buttons, use of colors, and drug information the most. In addition, reliability on doctor information, and enabling personal health care to be significantly associated with user satisfaction. In addition, there are several profile features that suggest, the level of education affects the level of acceptance to mhealth use and satisfaction. Future research is suggested to include a larger sample of users and over a period to better measure the long-term predictor of mHealth user satisfaction over time.

scholarly journals Hiv-associated lipodystrophy and exercise

2006 ◽  
Vol 62 (2) ◽  
Author(s):  
E. Mutimura ◽  
A. Stewart ◽  
N. J. Crowther
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Sub Saharan Africa ◽  
Sufficient Evidence ◽  
Metabolic Dysfunction ◽  
Exercise Participation ◽  
Need To Evaluate ◽  
Sub Saharan ◽  
Hiv Lipodystrophy ◽  
Hiv Aids

As individuals affected by HIV/AIDS live longer due to the availability of HAART, the challenge to health care professionals is to manage and alleviate abnormalities associated with HAART. HIVlipodystrophy- altered body fat redistribution- is the most common stigmatising physical abnormality related to the use of HAART, which maybe alleviated by exercise participation. Currently, there is no reliable management standard care for HIV-associated lipodystrophy. However, there is sufficient evidence to support the benefits of exercise in adults with HIV infection. As various types of ARTs become available in the most HIV/AIDS stricken developing countries, there are inadequate studies to evaluate and promote exercise in alleviating HIV lipodystrophy and other related complications. The current paper reviews HIV-related lipodystrophy, related metabolic dysfunction, and the role of exercise in its management. The paper highlights the need to evaluate the effectiveness of exercise on HIV lipodystrophy syndrome. An emphasis needs to be put on raising awareness among health care professionals in Sub-Saharan Africa where the prevalence of HIV/AIDS is the  highest in the world.

Challenges of Mobile Health Applications in Developing Countries

2013 ◽  
pp. 1-22 ◽  
Author(s):  
Nikhil Yadav ◽  
Christian Poellabauer
Keyword(s):  
Health Care ◽  
Mobile Health ◽  
Developing World ◽  
Mobile Technologies ◽  
Public Health Services ◽  
Technological Advances ◽  
Aging Populations ◽  
Health Related ◽  
Mobile Health Applications ◽  
Reducing Costs

Global health care has become an enormous industry worldwide, where trends such as aging populations, environmental and climate changes, catastrophic events, and the spread and evolution of diseases pose significant challenges. With the rapid growth of information technology (IT), wireless technologies, and mobile services, health care processes are able to increasingly benefit from new technological advances and applications built on top of them. Specifically, the area of “Mobile Health” or mHealth, which leverages mobile phone functionality to provide medical and public health services, has become a very promising trend. Wireless and mobile technologies have great potential in improving patient care, reducing costs, streamlining processes, allowing adherence to regulations, and many other health-related activities. However, the developing world faces numerous challenges in realizing the infrastructure and technical expertise required to adopt mHealth solutions and applications. In this chapter, we focus on these challenges in the developing world and highlight existing problems and risks in realizing mHealth applications and services. This chapter also proposes various solutions to overcome these problems.

scholarly journals A Systematic Review of Usability Challenges and Testing in Mobile Health

2015 ◽  
Vol 5 (2) ◽  
pp. 1 ◽  
Author(s):  
Tareq Ali Al-Saadi ◽  
Tamer Mohammed Aljarrah ◽  
Anahed Mudheher Alhashemi ◽  
Azham Hussain
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Mobile Health ◽  
Mobile Communications ◽  
Digital Libraries ◽  
Health Care Professionals ◽  
Usability Testing ◽  
Smart Phones ◽  
Portable Devices ◽  
The Impact

Nowadays, the combining of advanced mobile communications and mobile account now in portable devices named "smart phones" has becomes more great uses. Among of these include health care professionals. Few studies in the challenge, blurred reality challenge facing the patient and developer alike in the usability of mobile health. Therefore, this paper aims to analyze the usability challenges in mobile health and usability testing. The systematic review was using for collecting the prior studies that relation with our study. This study concentrates on the three digital libraries Google scholar, ACM and IEEE, as well as, the researcher selected the studies between 2007 and 2015. The results from this systematic were selected 11 studies of 106 based on the inclusions criteria. In more details, the usability challenges found that 27% offered User Interface, 22% tasks and screen size, 16% insert media and 13% network. On the other hand, usability use found that, 46% of the selected studies the usability use of formal type of 45% informal and 9% mixed formal and informal. Sum up, the use of smart phones is getting more on health care and day out. Medical applications make smart phones useful tools in the practice of evidence-based medicine at the point of care, in addition to its use in mobile clinical communications. This study will making a contribution to the researchers to extract over the impact of the challenges on usability testing and the types of usability in mobile health.

Barriers in the Decision Making About and Performance of Continuous Sedation Until Death in Nursing Homes

2019 ◽  
Vol 60 (5) ◽  
pp. 916-925
Author(s):  
Lenzo Robijn ◽  
Luc Deliens ◽  
Judith Rietjens ◽  
Peter Pype ◽  
Kenneth Chambaere
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Nursing Homes ◽  
Health Care Professionals ◽  
Comparative Approach ◽  
Organizational Barriers ◽  
Organization Of Care ◽  
Continuous Sedation ◽  
And Performance ◽  
Design And Methods

Abstract Background and Objectives While decision making about and performance of continuous sedation involve many challenges, they appear to be particularly pervasive in nursing homes. This study aims to identify barriers to the decision making and performance of continuous sedation until death in Flemish nursing homes as experienced by the health care professionals involved. Research Design and Methods Ten focus groups were held with 71 health care professionals including 16 palliative care physicians, 42 general practitioners, and 13 nursing home staff. Discussions were transcribed verbatim and analyzed using a constant comparative approach. Results Perceived barriers concerned factors prior to and during sedation and were classified according to three types: (a) personal barriers related to knowledge and skills including the lack of clarity on what continuous sedation should be used for (linguistic ambiguity) and when and how it should be used (practical ambiguity); (b) relational barriers concerning communication and collaboration both between health care professionals and with family; (c) organizational barriers related to the organization of care in nursing homes where, for example, there is no on-site physician, or where the recommended medication is not always available. Discussion and Implications The findings suggest there are considerable challenges for sound decision making about and performance of continuous sedation until death in nursing homes. There is a need for multicomponent initiatives that provide guidance in the context of the complexity of a resident’s medical situation, the family, and the specific organization of care, which would have the potential to facilitate and improve the decision-making process and performance of continuous sedation in nursing homes.

Development of a Drug Information Service Collaborative in Academia

2019 ◽  
Vol 54 (3) ◽  
pp. 287-289
Author(s):  
Jeeseon Kim ◽  
Rebecca Hoover ◽  
Scott Perkins ◽  
Ashish Advani
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
User Satisfaction ◽  
Drug Information ◽  
Information Service ◽  
Service Initiative ◽  
Based Medicine ◽  
Common Barriers ◽  
High Quality Service ◽  
Large Health Care System

Evidence-based medicine (EBM) has been positively accepted by clinicians; however, there are barriers to practicing EBM that create gaps between EBM and current clinical practice. A pharmacist-led drug information (DI) service initiative was established to overcome common barriers to practicing EBM. The service utilizes technology and a collaborative model among otherwise independent academic DI centers to provide efficient high-quality service to health care professionals. It was piloted at a large health care system with positive user satisfaction. The unique technological collaborative has shown several benefits, including increased efficiency and peer learning among DI pharmacists.

scholarly journals The Mobile App Development and Assessment Guide (MAG): Delphi-Based Validity Study (Preprint)

2020 ◽  
Author(s):  
Pere Llorens-Vernet ◽  
Jordi Miró
Keyword(s):  
Health Care ◽  
Mobile Health ◽  
Health Care Professionals ◽  
Online Survey ◽  
End Users ◽  
Mobile App ◽  
Health Apps ◽  
App Development ◽  
Mobile Health Apps

BACKGROUND In recent years, there has been an exponential growth of mobile health (mHealth)–related apps. This has occurred in a somewhat unsupervised manner. Therefore, having a set of criteria that could be used by all stakeholders to guide the development process and the assessment of the quality of the apps is of most importance. OBJECTIVE The aim of this paper is to study the validity of the Mobile App Development and Assessment Guide (MAG), a guide recently created to help stakeholders develop and assess mobile health apps. METHODS To conduct a validation process of the MAG, we used the Delphi method to reach a consensus among participating stakeholders. We identified 158 potential participants: 45 patients as potential end users, 41 health care professionals, and 72 developers. We sent participants an online survey and asked them to rate how important they considered each item in the guide to be on a scale from 0 to 10. Two rounds were enough to reach consensus. RESULTS In the first round, almost one-third (n=42) of those invited participated, and half of those (n=24) also participated in the second round. Most items in the guide were found to be important to a quality mHealth-related app; a total of 48 criteria were established as important. “Privacy,” “security,” and “usability” were the categories that included most of the important criteria. CONCLUSIONS The data supports the validity of the MAG. In addition, the findings identified the criteria that stakeholders consider to be most important. The MAG will help advance the field by providing developers, health care professionals, and end users with a valid guide so that they can develop and identify mHealth-related apps that are of quality.

scholarly journals The Mobile App Development and Assessment Guide (MAG): Delphi-Based Validity Study

10.2196/17760 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e17760 ◽  
Author(s):  
Pere Llorens-Vernet ◽  
Jordi Miró
Keyword(s):  
Health Care ◽  
Mobile Health ◽  
Health Care Professionals ◽  
Online Survey ◽  
End Users ◽  
Mobile App ◽  
Health Apps ◽  
App Development ◽  
Mobile Health Apps

Background In recent years, there has been an exponential growth of mobile health (mHealth)–related apps. This has occurred in a somewhat unsupervised manner. Therefore, having a set of criteria that could be used by all stakeholders to guide the development process and the assessment of the quality of the apps is of most importance. Objective The aim of this paper is to study the validity of the Mobile App Development and Assessment Guide (MAG), a guide recently created to help stakeholders develop and assess mobile health apps. Methods To conduct a validation process of the MAG, we used the Delphi method to reach a consensus among participating stakeholders. We identified 158 potential participants: 45 patients as potential end users, 41 health care professionals, and 72 developers. We sent participants an online survey and asked them to rate how important they considered each item in the guide to be on a scale from 0 to 10. Two rounds were enough to reach consensus. Results In the first round, almost one-third (n=42) of those invited participated, and half of those (n=24) also participated in the second round. Most items in the guide were found to be important to a quality mHealth-related app; a total of 48 criteria were established as important. “Privacy,” “security,” and “usability” were the categories that included most of the important criteria. Conclusions The data supports the validity of the MAG. In addition, the findings identified the criteria that stakeholders consider to be most important. The MAG will help advance the field by providing developers, health care professionals, and end users with a valid guide so that they can develop and identify mHealth-related apps that are of quality.

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