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18(04) 259-265
Implementation Issues of Virtual Desktop Infrastructure and Its Case Study for a Physician's Round at Seoul National University Bundang Hospital
Sooyoung Yoo, PhD1, Seok Kim, MPH1, Taegi Kim, MS1, Jon Soo Kim, MD2, Rong-Min Baek, MD, PhD3, Chang Suk Suh, MD, PhD4, Chin Youb Chung, MD, PhD5, Hee Hwang, MD, PhD1,2
1Center for Medical Informatics, Departments of 2Pediatrics, 3Plastic Surgery, 4Obstetrics and Gynecology, and 5Orthopedics, Seoul National University Bundang Hospital, Seongnam, Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objectives: The cloud computing-based virtual desktop infrastructure (VDI) allows access to computing environments with no limitations in terms of time or place such that it can permit the rapid establishment of a mobile hospital environment. The objective of this study was to investigate the empirical issues to be considered when establishing a virtual mobile environment using VDI technology in a hospital setting and to examine the utility of the technology with an Apple iPad during a physician's rounds as a case study. Methods: Empirical implementation issues were derived from a 910-bed tertiary national university hospital that recently launched a VDI system. During the physicians' rounds, we surveyed patient satisfaction levels with the VDI-based mobile consultation service with the iPad and the relationship between these levels of satisfaction and hospital revisits, hospital recommendations, and the hospital brand image. Thirty-five inpatients (including their next-of-kin) and seven physicians participated in the survey. Results: Implementation issues pertaining to the VDI system arose with regard to the highly availability system architecture, wireless network infrastructure, and screen resolution of the system. Other issues were related to privacy and security, mobile device management, and user education. When the system was used in rounds, patients and their next-ofkin expressed high satisfaction levels, and a positive relationship was noted as regards patients' decisions to revisit the hospital and whether the use of the VDI system improved the brand image of the hospital. Conclusions: Mobile hospital environments have the potential to benefit both physicians and patients. The issues related to the implementation of VDI system discussed here should be examined in advance for its successful adoption and implementation.
Healthcare Informatics Research 2012 Dec; 18(04) 259-265
Keyword : Mobile Hospitals, Hospital Information Systems, Electronic Health Records, Empirical Research, Patient Satisfaction

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