Journal of the Korean Society for information Management (정보관리학회지)

Korean Society for Information Management (한국정보관리학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of a Mobile Personal Health Records (PHR) Application on Consumer Health Behavior

모바일 개인건강기록(Personal Health Records: PHR) 어플리케이션의 이용이 소비자 건강행태에 미치는 영향

  • 이용정 (성균관대학교 문헌정보학과)
  • Received : 2016.08.20
  • Accepted : 2016.10.11
  • Published : 2016.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

The present study aimed at investigating the strengths and weaknesses of a mobile personal health record (PHR) application and identifying its impacts on consumer health information behavior. For the study, twenty-seven college students used a PHR application for three months, based on which the study conducted paper-based interviews with them. The results of content analysis highlighted the benefits of the PHR such as supporting preventive healthcare and motivating and providing specific guidelines for healthy lifestyles by utilizing visual interface design, sharing the data with family and assisting caregivers to manage patients' healthcare, and above all enhancing the interaction between patients and healthcare professionals. However, the study found the drawbacks of the PHR such as a lack of data entry for strength training and the incompatibility with other healthcare applications. The participants were motivated to change their health behaviors in ways such as getting rid of sleep disorders, avoiding alcohol and smoking tobacco, and losing weight, and changing eating habits. Some consumers improved self-efficacy by changing their health behaviors, while the PHR provided emotional supports to the consumers who wanted to improve their health. The present study has an academic significance because the study of PHR is a burgeoning area in Korea. The study provides insights for promoting health and medical information services to cope with the paradigm shift of healthcare fields.

본 연구는 모바일 개인건강기록(Personal health record: PHR) 어플리케이션의 장단점을 분석하고 그 어플리케이션의 사용이 소비자 건강정보행태에 미치는 영향을 파악하고자 하였다. 본 연구를 위해 총 27명의 대학생들이 3개월 동안 PHR 어플리케이션을 사용하였으며, 그 경험을 바탕으로 서면인터뷰를 실시하였다. 내용분석 결과, 시각적 인터페이스를 통한 예방 차원의 건강관리 및 건강 향상을 위한 동기부여와 구체적 가이드라인의 제공, 가족과의 데이터 공유 및 간병인(caregiver)의 환자 건강관리지원, 무엇보다도 환자와 의료전문가와의 상호작용 강화 등이 PHR의 혜택으로 부각되었다. 반면 근력운동과 같은 콘텐츠의 미비 내지는 타 기기와의 호환성 미흡 등이 문제점으로 지적되었다. PHR의 도움으로 건강을 향상시키고자 하는 소비자들은 감정적 지원을 받는가 하면, 수면장애극복, 금주, 금연, 그리고 체중감량 및 식습관의 변화 등 건강행태를 변화시키고자 하는 동기부여가 생겼으며, 실제로 건강행태의 변화를 성취함으로써 자기효능이 증가하기도 하였다. 본 연구는 국내 연구에서는 도입단계인 PHR에 대한 연구를 시도했다는 것에 학문적 의의가 있으며, 헬스케어분야의 패러다임 변화에 대응하기 위한 건강 및 의료정보서비스를 모색하는데 통찰력 있는 시사점을 제공한다.

Keywords

Acknowledgement

Supported by : 교육부

References

  1. 고인석, 장혜정 (2013). PHR의 이용자 사용의도에 대한 확장기술수용모델 개발. 한국보건정보통계학회지, 38(1), 26-38.(Ko, In-Seok, & Chang, Hye-Jung (2013). Development of extended technology acceptance model on the intention of using PHR. Journal of the Korea Society of Health Informatics and Statistics, 38(1), 26-38.)
  2. 박경은, 박주화, 조광수 (2014). 개인건강정보기록 활용의 변화 및 애플, 구글의 플랫폼 전략 전망. 한국HCI학회 학술대회, 312-313.(Park, Kyoung-Eun, Park, Ju-Hwa, & Cho, Kwang-Su (2014). Changes in personal health record and forecasting for personal big data platform strategy of Apple and Google. Proceedings of HCI Korea 2014, 312-313.)
  3. 박종태, 천승만, 김균열 (2012). U-헬스케어를 위한 스마트폰 활용 기술 동향 및 문제점 분석. 한국통신학회지논문지, 29(10), 45-54.(Park, Jong-Tae, Cheon, Seung-Man, & Kim, Kyun-Yul (2012). An analysis of smartphone application technologies and their challenges for u-healthcare. Journal of Korean Communication, 29(10), 45-54.)
  4. 배세은, 김하연, 손현석, 이현실 (2011). 개인보건정보기록에 대한 인지도. 한국산학기술학회논문지, 12(4), 1703-1710. https://doi.org/10.5762/kais.2011.12.4.1703(Bae, Se-Eun, Kim, Ha-Yeon, Son, Hyeon-Seok, & Rhee, Hyun-Sill (2011). Recognition of personal health record. Journal of the Korea Academia-Industrial Cooperation Society, 12(4), 1703-1710. https://doi.org/10.5762/kais.2011.12.4.1703)
  5. 백은혜, 임성원, 김한결, 이현실 (2012). 보건대학생과 의과대학생 간의 개인건강기록(PHR) 인식 비교. 디지털융복합연구, 10(10), 373-382.(Baek, Eun-Hae, Lim, Sung-Won, Kim, Han-Kyoul, & Rhee, Hyun-Sill (2012). The comparison of recognizing personal health record between healthcare students and medical students. Journal of Digital Convergence, 10(10), 373-382.) https://doi.org/10.14400/JDPM.2012.10.10.373
  6. 이명규, 황희정 (2015). 개인건강기록 서비스에서 보안취약성 및 위협요소에 관한 연구. 한국인터넷방송통신학회 논문지, 15(6), 163-171. https://doi.org/10.7236/jiibc.2015.15.6.163(Yi, Myung-Kyu, & Hwang, Hee-Joung (2015). A study on security weakness and threats in personal health record services. The Journal of the Institute of Internet, Broadcasting and Communication, 15(6), 163-171. https://doi.org/10.7236/jiibc.2015.15.6.163)
  7. Cocosila, M., & Archer, N. (2014). Perceptions of chronically ill and healthy consumers about electronic personal health records: A comparative empirical investigation. BMJ Open, 4(7), e005304. https://doi.org/10.1136/bmjopen-2014-005304
  8. Doyle-Lindrud, S. (2014). Mobile health technology and the use of health-related mobile applications. Clinical Journal of Oncology Nursing, 18(6), 634-636. https://doi.org/10.1188/14.cjon.634-636
  9. Huber, J. T., & Swogger, S. (Eds.). (2014). Introduction to reference sources in the health sciences (6th ed.). Chicago, IL: Neal-Schuman.
  10. Johnson, D. (2014). Health information seeking behaviors. In J. Huber & S. Swogger (Eds.), Introduction to reference sources in the health sciences (6th Ed.) (pp. 1-15). Chicago, IL: Neal-Schuman.
  11. Kharrazi, H., Chisholm, R., VanNasdale, D., & Thompson, B. (2012). Mobile personal health records: An evaluation of features and functionality. International Journal of Medical Informatics, 81(9), 579-593. https://doi.org/10.1016/j.ijmedinf.2012.04.007
  12. Krebs, P., & Duncan, D. T. (2015). Health app use among US mobile phone owners: A national survey. JMIR mHealth and uHealth, 3(4), e101. https://doi.org/10.2196/mhealth.4924
  13. Krist, A. H., Peele, E., Woolf, S. H., Rothemich, S. F., Loomis, J. F., Longo, D. R., & Kuzel, A. J. (2011). Designing a patient-centered personal health record to promote preventive care. BMC Medical Informatics and Decision Making, 11(1). https://doi.org/10.1186/1472-6947-11-73
  14. Lamonaca, F., Polimeni, G., Barbe, K., & Grimaldi, D. (2015). Health parameters monitoring by smartphone for quality of life improvement. Measurement, 73, 82-94. https://doi.org/10.1016/j.measurement.2015.04.017
  15. Lee, H. E., & Cho, J. (2016). What motivates users to continue using diet and fitness apps? Application of the uses and gratifications approach. Health Communication, 1-9. https://doi.org/10.1080/10410236.2016.1167998
  16. Liu, L. S., Shih, P. C., & Hayes, G. R. (2011, February). Barriers to the adoption and use of personal health record systems. Proceedings of the 2011 iConference, 363-370. https://doi.org/10.1145/1940761.1940811
  17. Nahl, D. (2007). The centrality of the affective in information behavior. In D. Nahl & D. Bilal (Eds.), Information and emotion: The emergent affective paradigm in information behavior (pp. 3-37). Medford, NJ: Information Today.
  18. Pifalo, V., Hollander, Su., Hendeson, C., DeSalvo, P., & Gill, G. (1997). The impact of consumer health information provided by libraries: The delaware experience. Bulletin of Medical Library Association, 85(1), 16-22.
  19. Tactio Health Group (2015). Retrieved from http://www.tactiohealth.com/
  20. Vance, B., Tomblin, B., Studeny, J., & Coustasse, A. (2014). Personal health records: Benefits and barriers for its adoption. Insights to a Changing World Journal, 2014(4), 48-67.
  21. Witry, M. J., Doucette, W. R., Daly, J. M., Levy, B. T., & Chrischilles, E. A. (2010). Family physician perceptions of personal health records. Perspectives in Health Information Management, 7(Winter), 1-12.
  22. Yi, Y. J. (2015). Consumer health information behavior in public libraries: A qualitative study. Library Quarterly: Information, Community, Policy, 85(1), 45-63. https://doi.org/10.1086/679025

Cited by

  1. Development of tailored contents of a mobile health application to prevent the metabolic syndrome vol.35, pp.3, 2018, https://doi.org/10.14367/kjhep.2018.35.3.25
  2. How does the smartphone usage of college students affect academic performance? pp.02664909, 2018, https://doi.org/10.1111/jcal.12306