Enhancing Pediatric Outpatient Medical Services Through the Implementation of the Smart Well Child Center Application.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Healthcare Pub Date : 2025-07-11 DOI:10.3390/healthcare13141676

Naporn Uengarporn, Teerapat Saengthongpitag, Poonyanuch Chongjaroenjai, Atcha Pongpitakdamrong, Wutthipong Sriratthnarak, Phonpimon Rianteerasak, Kanyarat Mongkolkul, Paninun Srinuchasart, Panuwat Srichaisawat, Nicharee Mungklang, Raiwada Sanguantrakul, Pattama Tongdee, Wichulada Kiatmongkol, Boonyanulak Sihaklang, Piraporn Putrakul, Niwatchai Namvichaisirikul, Patrapon Saritshasombat

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引用次数: 0

Abstract

Background: Caregivers of children often encounter barriers when accessing pediatric healthcare services. These challenges highlight the need for digital innovations to improve accessibility and efficiency in pediatric outpatient care.

Objectives: This study aimed to design, implement, and pilot evaluate the Smart Well Child Center application in conjunction with enhancements to the Pediatric Outpatient Department.

Methods: This study employs a mixed-methods research approach. The application was developed following the system development life cycle (SDLC) process, and its performance was subsequently evaluated. Additionally, its effectiveness in real-world settings was assessed through a satisfaction survey completed by 85 child caregivers. The results were summarized using the mean and standard deviation, and satisfaction levels were compared using paired t-test and repeated measures ANOVA.

Results: The findings reveal that caregivers face significant challenges, including financial burdens related to travel, prolonged wait times, and difficulties accessing healthcare services. In response, the application was designed to incorporate key functionalities. Within the pre-consultation self-assessment module, caregivers can complete evaluations and receive recommendations directly through the application. Furthermore, the service procedure flowchart was restructured to seamlessly integrate these digital innovations, thereby enhancing the overall healthcare experience. The evaluation results indicate that the application achieved high performance ratings across all assessed dimensions (4.06 ± 0.77). Additionally, caregivers reported a substantial increase in satisfaction levels both immediately after implementation (4.58 ± 0.57) and one month afterward (4.59 ± 0.33).

Conclusions: Given these findings, it is recommended that the hospital fully adopt the Smart Well Child Center application to improve healthcare accessibility and reduce patient wait times. Future research should assess the long-term impact of the intervention on both caregiver outcomes and healthcare professional workflow, satisfaction, and system usability, to inform broader implementation strategies.

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通过实施智慧井儿童中心应用，加强儿童门诊医疗服务。

背景：儿童护理人员在获得儿科保健服务时经常遇到障碍。这些挑战凸显了数字创新的必要性，以提高儿科门诊护理的可及性和效率。目的：本研究旨在设计、实施和试点评估智能井儿童中心的应用，并结合儿科门诊的改进。方法：本研究采用混合研究方法。应用程序是按照系统开发生命周期（SDLC）过程开发的，随后对其性能进行了评估。此外，通过85名儿童照顾者完成的满意度调查，评估了其在现实环境中的有效性。结果采用均值和标准差进行汇总，满意度水平采用配对t检验和重复测量方差分析进行比较。结果：研究结果显示，护理人员面临着重大挑战，包括与旅行、长时间等待和难以获得医疗保健服务相关的经济负担。作为回应，应用程序被设计为包含关键功能。在会诊前自我评估模块中，护理人员可以直接通过应用程序完成评估并接受建议。此外，服务流程流程图进行了重组，以无缝集成这些数字创新，从而增强了整体医疗体验。评估结果表明，该应用程序在所有评估维度上都达到了较高的性能评级（4.06±0.77）。此外，护理人员报告满意度在实施后立即（4.58±0.57）和一个月后（4.59±0.33）均有显着提高。结论：鉴于这些发现，建议医院全面采用Smart Well Child Center应用程序，以提高医疗可及性并减少患者等待时间。未来的研究应评估干预对护理人员结果、医疗保健专业工作流程、满意度和系统可用性的长期影响，为更广泛的实施策略提供信息。

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来源期刊

Healthcare Medicine-Health Policy

CiteScore

3.50

自引率

7.10%

发文量

审稿时长

47 days

期刊介绍： Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.