Cargando…
Enhancing Knowledge Flow in a Health Care Context: A Mobile Computing Approach
BACKGROUND: Advances in mobile computing and wireless communication have allowed people to interact and exchange knowledge almost anywhere. These technologies support Medicine 2.0, where the health knowledge flows among all involved people (eg, patients, caregivers, doctors, and patients’ relatives)...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications Inc.
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4260076/ https://www.ncbi.nlm.nih.gov/pubmed/25427923 http://dx.doi.org/10.2196/mhealth.2543 |
_version_ | 1782348117038858240 |
---|---|
author | Oliveira, Jonice Souza, Diego Da Silva de Lima, Patrícia Zudio da Silveira, Pedro C de Souza, Jano Moreira |
author_facet | Oliveira, Jonice Souza, Diego Da Silva de Lima, Patrícia Zudio da Silveira, Pedro C de Souza, Jano Moreira |
author_sort | Oliveira, Jonice |
collection | PubMed |
description | BACKGROUND: Advances in mobile computing and wireless communication have allowed people to interact and exchange knowledge almost anywhere. These technologies support Medicine 2.0, where the health knowledge flows among all involved people (eg, patients, caregivers, doctors, and patients’ relatives). OBJECTIVE: Our paper proposes a knowledge-sharing environment that takes advantage of mobile computing and contextual information to support knowledge sharing among participants within a health care community (ie, from patients to health professionals). This software environment enables knowledge exchange using peer-to-peer (P2P) mobile networks based on users’ profiles, and it facilitates face-to-face interactions among people with similar health interests, needs, or goals. METHODS: First, we reviewed and analyzed relevant scientific articles and software apps to determine the current state of knowledge flow within health care. Although no proposal was capable of addressing every aspect in the Medicine 2.0 paradigm, a list of requirements was compiled. Using this requirement list and our previous works, a knowledge-sharing environment was created integrating Mobile Exchange of Knowledge (MEK) and the Easy to Deploy Indoor Positioning System (EDIPS), and a twofold qualitative evaluation was performed. Second, we analyzed the efficiency and reliability of the knowledge that the integrated MEK-EDIPS tool provided to users according to their interest topics, and then performed a proof of concept with health professionals to determine the feasibility and usefulness of using this solution in a real-world scenario. RESULTS: . Using MEK, we reached 100% precision and 80% recall in the exchange of files within the peer-to-peer network. The mechanism that facilitated face-to-face interactions was evaluated by the difference between the location indicated by the EDIPS tool and the actual location of the people involved in the knowledge exchange. The average distance error was <6.28 m for an indoor environment. The usability and usefulness of this tool was assessed by questioning a sample of 18 health professionals: 94% (17/18) agreed the integrated MEK-EDIPS tool provides greater interaction among all the participants (eg, patients, caregivers, doctors, and patients’ relatives), most considered it extremely important in the health scenario, 72% (13/18) believed it could increase the knowledge flow in a health environment, and 67% (12/18) recommend it or would like to recommend its use. CONCLUSIONS: The integrated MEK-EDIPS tool can provide more services than any other software tool analyzed in this paper. The proposed integrated MEK-EDIPS tool seems to be the best alternative for supporting health knowledge flow within the Medicine 2.0 paradigm. |
format | Online Article Text |
id | pubmed-4260076 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | JMIR Publications Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-42600762014-12-10 Enhancing Knowledge Flow in a Health Care Context: A Mobile Computing Approach Oliveira, Jonice Souza, Diego Da Silva de Lima, Patrícia Zudio da Silveira, Pedro C de Souza, Jano Moreira JMIR Mhealth Uhealth Original Paper BACKGROUND: Advances in mobile computing and wireless communication have allowed people to interact and exchange knowledge almost anywhere. These technologies support Medicine 2.0, where the health knowledge flows among all involved people (eg, patients, caregivers, doctors, and patients’ relatives). OBJECTIVE: Our paper proposes a knowledge-sharing environment that takes advantage of mobile computing and contextual information to support knowledge sharing among participants within a health care community (ie, from patients to health professionals). This software environment enables knowledge exchange using peer-to-peer (P2P) mobile networks based on users’ profiles, and it facilitates face-to-face interactions among people with similar health interests, needs, or goals. METHODS: First, we reviewed and analyzed relevant scientific articles and software apps to determine the current state of knowledge flow within health care. Although no proposal was capable of addressing every aspect in the Medicine 2.0 paradigm, a list of requirements was compiled. Using this requirement list and our previous works, a knowledge-sharing environment was created integrating Mobile Exchange of Knowledge (MEK) and the Easy to Deploy Indoor Positioning System (EDIPS), and a twofold qualitative evaluation was performed. Second, we analyzed the efficiency and reliability of the knowledge that the integrated MEK-EDIPS tool provided to users according to their interest topics, and then performed a proof of concept with health professionals to determine the feasibility and usefulness of using this solution in a real-world scenario. RESULTS: . Using MEK, we reached 100% precision and 80% recall in the exchange of files within the peer-to-peer network. The mechanism that facilitated face-to-face interactions was evaluated by the difference between the location indicated by the EDIPS tool and the actual location of the people involved in the knowledge exchange. The average distance error was <6.28 m for an indoor environment. The usability and usefulness of this tool was assessed by questioning a sample of 18 health professionals: 94% (17/18) agreed the integrated MEK-EDIPS tool provides greater interaction among all the participants (eg, patients, caregivers, doctors, and patients’ relatives), most considered it extremely important in the health scenario, 72% (13/18) believed it could increase the knowledge flow in a health environment, and 67% (12/18) recommend it or would like to recommend its use. CONCLUSIONS: The integrated MEK-EDIPS tool can provide more services than any other software tool analyzed in this paper. The proposed integrated MEK-EDIPS tool seems to be the best alternative for supporting health knowledge flow within the Medicine 2.0 paradigm. JMIR Publications Inc. 2014-11-26 /pmc/articles/PMC4260076/ /pubmed/25427923 http://dx.doi.org/10.2196/mhealth.2543 Text en ©Jonice Oliveira, Diego Da Silva Souza, Patrícia Zudio de Lima, Pedro C da Silveira, Jano Moreira de Souza. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 26.11.2014. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included. |
spellingShingle | Original Paper Oliveira, Jonice Souza, Diego Da Silva de Lima, Patrícia Zudio da Silveira, Pedro C de Souza, Jano Moreira Enhancing Knowledge Flow in a Health Care Context: A Mobile Computing Approach |
title | Enhancing Knowledge Flow in a Health Care Context: A Mobile Computing Approach |
title_full | Enhancing Knowledge Flow in a Health Care Context: A Mobile Computing Approach |
title_fullStr | Enhancing Knowledge Flow in a Health Care Context: A Mobile Computing Approach |
title_full_unstemmed | Enhancing Knowledge Flow in a Health Care Context: A Mobile Computing Approach |
title_short | Enhancing Knowledge Flow in a Health Care Context: A Mobile Computing Approach |
title_sort | enhancing knowledge flow in a health care context: a mobile computing approach |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4260076/ https://www.ncbi.nlm.nih.gov/pubmed/25427923 http://dx.doi.org/10.2196/mhealth.2543 |
work_keys_str_mv | AT oliveirajonice enhancingknowledgeflowinahealthcarecontextamobilecomputingapproach AT souzadiegodasilva enhancingknowledgeflowinahealthcarecontextamobilecomputingapproach AT delimapatriciazudio enhancingknowledgeflowinahealthcarecontextamobilecomputingapproach AT dasilveirapedroc enhancingknowledgeflowinahealthcarecontextamobilecomputingapproach AT desouzajanomoreira enhancingknowledgeflowinahealthcarecontextamobilecomputingapproach |