Teleconsultation Using Mobile Phones for Diagnosis and Acute Care of Burn Injuries Among Emergency Physicians: Mixed-Methods Study
Autor: | Lee A. Wallis, Po-Yin Yen, Sara Fritzell, Anders Klingberg, Marie Hasselberg |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
referral and consultation Computer science usability evaluation Health Informatics Information technology burns South Africa 03 medical and health sciences 0302 clinical medicine emergency medicine video analysis Acute care medicine teleconsultations 030212 general & internal medicine Think aloud protocol mHealth Original Paper mobile phone think-aloud business.industry Referral process 030208 emergency & critical care medicine Usability T58.5-58.64 medicine.disease Mobile phone Content analysis Scrolling Medical emergency Public aspects of medicine RA1-1270 business |
Zdroj: | JMIR mHealth and uHealth JMIR mHealth and uHealth, Vol 6, Iss 10, p e11076 (2018) |
ISSN: | 2291-5222 |
Popis: | BackgroundThe referral process in acute care remains challenging in many areas including burn care. Mobile phone apps designed explicitly for medical referrals and consultations could streamline the referral process by using structured templates and integrating features specific to different specialties. However, as these apps are competing with commercial chat services, usability becomes a crucial factor for successful uptake. ObjectiveThe aim of this study was to assess the usability of a mobile phone app for remote consultations and referrals of burn injuries. MethodsA total of 24 emergency doctors and 4 burns consultants were recruited for the study. A mixed-methods approach was used including a usability questionnaire and a think-aloud interview. Think-aloud sessions were video-recorded, and content analysis was undertaken with predefined codes relating to the following 3 themes: ease of use, usefulness of content, and technology-induced errors. ResultsThe users perceived the app to be easy to use and useful, but some problems were identified. Issues relating to usability were associated with navigation, such as scrolling and zooming. Users also had problems in understanding the meaning of some icons and terminologies. Sometimes, some users felt limited by predefined options, and they wanted to be able to freely express their clinical findings. ConclusionsWe found that users faced problems mainly with navigation when the app did not work in the same way as the other apps that were frequently used. Our study also resonates with previous findings that when using standardized templates, the systems should also allow the user to express their clinical findings in their own words. |
Databáze: | OpenAIRE |
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