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Published on 19.09.99 in Vol 1 (1999): Supplement 1

This paper is in the following e-collection/theme issue:


    HIN9/468: The Last Mile - Secure and mobile data processing in healthcare


    Motivation: According to the Federal Ministry the avowed target of modern medicine is to administer the best medical care, the newest scientific insights and the knowledge of experienced specialists on affordable conditions to every patient no matter whether he is located in a rural area or in a teaching hospital. One way of administer information is on mobile tools. To find out more about the influence of mobile computer on the physician-patient relation, the acceptance of these tools as well as prerequisites of new security and data-processing concepts were investigated in a simulation study.

    Methods: The Personal Digital Assistant
    Based on a personal digital assistant a prototype was developed. The Apple Newton was used because it appeared suitable for easy data input and retrieval by the means of a touch screen with handwriting recognition. The device was coupled with a conventional cellular phone for voice and data transfer The prototype provided several functions for information processing:
    The prototype of an accessibility and safety manager was integrated. This software enables to control telephone accessibility individually. Situational adjustments and a complex set of rules configured the way arriving calls were dealt with. Moreover this software contained a component for sending and receiving text messages.

    Results: After the investigation week more than 2/3 of the participants indicated that they expect no or a positive modification of their communication behaviour. To emphasise is a group of test persons (one out of five), who feared a negative modification of their communication behaviour. Mobile data processing was judged as important and useful by more than two third of the professionals asked.

    Conclusions: At present the original concept of a multifunctional device with integration of mobile voice and data communication did not prove as practicable. Rather a multi-device concept with stationary, mobile and hand-held device has to be developed.

    J Med Internet Res 1999;1(suppl1):e40



    Edited by G Eysenbach; This is a non–peer-reviewed article. published 19.09.99

    Except where otherwise noted, articles published in the Journal of Medical Internet Research are distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.