Expectancy, usage and acceptance by general practitioners and patients: exploratory results from a study in the German outpatient sector

Albrecht, Urs‐Vito; Afshar, Kambiz; Illiger, Kristin; Becker, Stefan; Hartz, Tobias; Breil, Bernhard; Wichelhaus, Daniel; Jan, Ute von

doi:10.1177/2055207617695135

Cited by 27 publications

(22 citation statements)

References 47 publications

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“…27 In a survey of 50 general practitioners in Germany, physicians tended to support patients using mobile devices to keep track of medication use, weight, and blood pressure, while they disapproved of patients using mobile devices to look up medical information or assist with self-diagnosing. 28 In a survey of 59 healthcare practitioners' views on directto-consumer mobile teledermoscopy, some respondents noted the advantages of earlier skin cancer detection, but the majority were unsure or unconvinced that these devices should be provided to patients. 29 A study on physicians' perspectives towards mHealth in Turkey revealed that an innovation's perceived serviceability posed the greatest barrier to its implementation.…”

Section: Introductionmentioning

confidence: 99%

Physician attitudes towards—and adoption of—mobile health

Kong¹,

Scott²,

Li³

et al. 2020

DIGITAL HEALTH

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Section: Introductionmentioning

confidence: 99%

Physician attitudes towards—and adoption of—mobile health

Kong¹,

Scott²,

Li³

et al. 2020

DIGITAL HEALTH

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show abstract

“…26 There is, at the same time, growing awareness of the challenges involved in integrating mHealth as a complementary form of healthcare into existing healthcare practices, also as mHealth is still in its relative infancy and its potential is not fully understood or exploited. 23,27–29 Moreover, although it is broadly agreed that all relevant players should be involved throughout the development of a new mHealth technology to maximize its quality and usability, the practical, epistemic and power-related challenges of multidisciplinary and multiperspectival collaboration are recognized. 27,30…”

Section: Introductionmentioning

confidence: 99%

Adolescents’ participation in their healthcare: A sociomaterial investigation of a diabetes app

2019

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Objective This article explores how a diabetes app called Diapplo affected adolescents’ participation in their healthcare by investigating adolescents’ meaning-making in relation to their use of the app. Methods Using a qualitative single case-study design, we adopted a multimethod responsive approach to data generation that included written data from the app development process, individual and group interviews and observations of the adolescents in the clinical situation. This article presents the results from a qualitative content analysis of group and individual semi-structured interviews conducted with five adolescents diagnosed with type 1 diabetes during and after the four-week test phase of a prototype of the app. Results The adolescents appreciated the diabetes app’s design and interface and having an overview of their blood glucose values. However, they stated that the app’s content only partly met their needs and they considered several of its features unnecessary. They would have liked the app to have a social platform and emphasized that the app should be compatible with their blood glucose monitors and pumps for them to continue using it. Conclusions The participants in our study highlighted the value of social platforms integrated in health apps for patient participation, as well as their preference for health app features that reduced the effort of managing their chronic condition and facilitate greater knowledge. Theories of sociomateriality and material participation helped to account for the challenges of integrating users’ perspectives, suggesting the value of early, comprehensive identification and prioritization of users’ values when developing mobile health technologies.

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“…The findings also revealed that adoption decisions rely not only on the technical and material factors such as app features and the available infrastructure but also embrace some important social and cultural aspects. For instance, the users’ individual characteristics such as their previous experience with technology generally, and mHealth specifically, may influence their decision to adopt, as reported by other researchers [ 1 , 58 , 101 , 107 , 108 ]. Their attitudes (eg, resistance to change, risk aversion) may also hinder adoption, and comparable findings were described in earlier studies [ 39 , 40 , 82 , 109 , 110 ].…”

Section: Discussionmentioning

confidence: 96%

Factors Impacting Clinicians’ Adoption of a Clinical Photo Documentation App and its Implications for Clinical Workflows and Quality of Care: Qualitative Case Study

Jacob

Sánchez-Vázquez

Ivory

2020

JMIR Mhealth Uhealth

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Background Mobile health (mHealth) tools have shown promise in clinical photo and wound documentation for their potential to improve workflows, expand access to care, and improve the quality of patient care. However, some barriers to adoption persist. Objective This study aims to understand the social, organizational, and technical factors affecting clinicians’ adoption of a clinical photo documentation mHealth app and its implications for clinical workflows and quality of care. Methods A qualitative case study of a clinical photo and wound documentation app called imitoCam was conducted. The data were collected through 20 in-depth interviews with mHealth providers, clinicians, and medical informatics experts from 8 clinics and hospitals in Switzerland and Germany. Results According to the study participants, the use of mHealth in clinical photo and wound documentation provides numerous benefits such as time-saving and efficacy, better patient safety and quality of care, enhanced data security and validation, and better accessibility. The clinical workflow may also improve when the app is a good fit, resulting in better collaboration and transparency, streamlined daily work, clinician empowerment, and improved quality of care. The findings included important factors that may contribute to or hinder adoption. Factors may be related to the material nature of the tool, such as the perceived usefulness, ease of use, interoperability, cost, or security of the app, or social aspects such as personal experience, attitudes, awareness, or culture. Organizational and policy barriers include the available clinical practice infrastructure, workload and resources, the complexity of decision making, training, and ambiguity or lack of regulations. User engagement in the development and implementation process is a vital contributor to the successful adoption of mHealth apps. Conclusions The promising potential of mHealth in clinical photo and wound documentation is clear and may enhance clinical workflow and quality of care; however, the factors affecting adoption go beyond the technical features of the tool itself to embrace significant social and organizational elements. Technology providers, clinicians, and decision makers should work together to carefully address any barriers to improve adoption and harness the potential of these tools.

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Expectancy, usage and acceptance by general practitioners and patients: exploratory results from a study in the German outpatient sector

Cited by 27 publications

References 47 publications

Physician attitudes towards—and adoption of—mobile health

Physician attitudes towards—and adoption of—mobile health

Adolescents’ participation in their healthcare: A sociomaterial investigation of a diabetes app

Factors Impacting Clinicians’ Adoption of a Clinical Photo Documentation App and its Implications for Clinical Workflows and Quality of Care: Qualitative Case Study

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