Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Nov 5, 2018
Date Accepted: May 12, 2019
(closed for review but you can still tweet)
Development of comprehensive personal health records integrating patient-generated health data directly from Samsung S-Health and Apple Health: An observational stud
ABSTRACT
Background:
Patient-generated health data (PGHD), especially lifelog data, are important for managing chronic diseases. Additionally, personal health records (PHRs) have been considered an effective tool to engage patients more actively in the management of their chronic diseases. However, no PHRs currently integrate PGHD directly from Samsung S-Health and Apple Health.
Objective:
The purposes of this study were (1) to demonstrate the development of an electronic medical record (EMR)-tethered PHR system (Health4U) that integrates lifelog data from Samsung S-Health and Apple Health and (2) to explore the factors associated with the use rate of the functions.
Methods:
To upgrade conventional EMR-tethered PHRs, a task-force team (TFT) defined the functions necessary for users. After implementing a new system, we enrolled adults aged 19 years and older with prior experience accessing Health4U in the 7-month period after November 2017, when the service was upgraded.
Results:
Among the 17,624 users, 215 users integrated daily steps data, 175 weight data, 51 blood sugar data, and 90 blood pressure data. Among all participants, 61.95% had one or more chronic diseases. For the integration of daily steps data, 48.3% of patients used Apple Health, 43.3% used S-Health, and 8.4% entered data manually. To retrieve medical documentation, 324 users downloaded PDF files, and 31 users integrated their medical records into Samsung S-Health via the C-CDA download function. We found a consistent increase in the odds ratios for PDF downloads among patients with a higher number of chronic diseases. The age groups of 60 years and older and 80 years and older tended to use the download function less frequently.
Conclusions:
This is the first study examining the factors related to the integration of lifelog data from Samsung S-Health and Apple Health into EMR-tethered PHRs and the factors related to the retrieval of medical documents from PHRs. Furthermore, findings on lifelog data integration can be used to design PHRs as a platform to integrate lifelog data in the future.
Citation
