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Comput Methods Programs Biomed. 2014 Oct;116(3):299-310. doi: 10.1016/j.cmpb.2014.05.004. Epub 2014 Jun 2.

Development of online diary and self-management system on e-Healthcare for asthmatic children in Taiwan.

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Department of Health Risk Management, China Medical University, No. 91 Hsueh-Shih Road, Taichung 40402, Taiwan, R.O.C.. Electronic address:
School of Nursing, National Defense Medical Center, 161 Sec 6, Ming-Chuan East Road, Neihu, Taipei 114, Taiwan, R.O.C.. Electronic address:
Institute of Biomedical Informatics, National Yang-Ming University, No. 155, Sec. 2, Linong Street, Taipei 112, Taiwan, R.O.C.. Electronic address:
Division of Allergy, Asthma and Rheumatology, Department of Pediatrics, Chang Gung, Memorial Hospital and College of Medicine, Chang Gung University, No. 5, Fusing St., Gueishan, Taoyuan 333, Taiwan, R.O.C.. Electronic address:
Department of Pediatrics, Chang Gung Memorial Hospital and College of Medicine, Chang, Gung University, No. 5, Fusing St., Gueishan, Taoyuan 333, Taiwan, R.O.C.. Electronic address:



Many regional programs of the countries educate asthmatic children and their families to manage healthcare data. This study aims to establish a Web-based self-management system, eAsthmaCare, to promote the electronic healthcare (e-Healthcare) services for the asthmatic children in Taiwan. The platform can perform real time online functionality based upon a five-tier infrastructure with mutually supportive components to acquire asthma diaries, quality of life assessments and health educations.


We have designed five multi-disciplinary portions on the interactive interface functioned with the analytical diagrams: (1) online asthma diary, (2) remote asthma assessment, (3) instantaneous asthma alert, (4) diagrammatical clinic support, and (5) asthma health education. The Internet-based asthma diary and assessment program was developed for patients to process self-management healthcare at home. In addition, the online analytical charts can help healthcare professionals to evaluate multi-domain health information of patients immediately.


eAsthmaCare was developed by Java™ Servlet/JSP technology upon Apache Tomcat™ web server and Oracle™ database. Forty-one voluntary asthmatic children (and their parents) were intervened to examine the proposed system. Seven domains of satisfiability assessment by using the system were applied for approving the development. The average scores were scaled in the acceptable range for each domain to ensure feasibility of the proposed system.


The study revealed the details of system infrastructure and developed functions that can help asthmatic children in self-management for healthcare to enhance communications between patients and hospital professionals.


Asthma diary; Quality of life; Real time online analysis; Self-management healthcare system; e-Healthcare

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