Hürden bei der Digitalisierung der Medizin in Deutschland – eine Expertenbefragung

Nohl-Deryk, Pascal; Brinkmann, Jesaja Kenneth; Gerlach, Ferdinand M.; Schreyögg, Jonas; Achelrod, Dmitrij

doi:10.1055/s-0043-121010

Cited by 53 publications

(30 citation statements)

References 12 publications

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“…When interpreting results of comparisons between patients and physicians, discrepancies in sample sizes should be considered. Moreover, this article disregards aspects of data privacy, which is a frequently expressed issue [2,35]. Results on data privacy from this study were excluded from this article but have been published elsewhere [22].…”

Section: Discussionmentioning

confidence: 99%

Attitudes towards using electronic health records of patients with psoriasis and dermatologists: a cross-sectional study

Klein

Augustin

Kirsten

et al. 2020

BMC Med Inform Decis Mak

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Background Electronic health records (EHRs) offer various advantages for healthcare delivery, especially for chronic and complex diseases such as psoriasis. However, both patients’ and physicians’ acceptability is required for EHRs to unfold their full potential. Therefore, this study compares patients’ and physicians’ attitudes towards using EHRs in routine psoriasis care. Methods For the purpose of this study, a questionnaire was developed based on literature research and analyses of previously conducted focus groups. Participants completed either a paper-based or an electronic version of the questionnaire. Patient recruitment took place at an dermatological outpatient clinic and via several online pathways (patient associations, and social media). Physicians were recruited via a mailing list of a dermatological association and at a dermatological conference. Patients’ and physicians’ responses were compared using χ2 tests and Fisher’s exact tests. Results The study consisted of 187 patients and 44 dermatologists. Patients compared to physicians rated almost all potential EHR uses as significantly more important and expected significantly more potential benefits from EHRs. Conclusions Patients showed positive expectations towards using EHRs, whereas there was more scepticism in the physician sample. This aligns with previous findings. These differences illustrate the necessity to involve all stakeholders, especially patients and physicians, into the process of developing and implementing EHRs.

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Section: Discussionmentioning

confidence: 99%

Attitudes towards using electronic health records of patients with psoriasis and dermatologists: a cross-sectional study

Klein

Augustin

Kirsten

et al. 2020

BMC Med Inform Decis Mak

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“…It is important to note that Germany has poor digital infrastructure compared to other western European countries, particularly in the health care sector 27 . However, our overall success in implementing VC highlights the willingness of our patients to transition to a telemedicine approach.…”

Section: Discussionmentioning

confidence: 99%

Video Consultation in Lung Transplant Recipients during the COVID-19 Pandemic

Kayser

Valtin

Greer

et al. 2020

Preprint

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Background: The COVID-19 pandemic has disrupted health care systems worldwide. This is due to the demand for medical resources in other areas as well as concern for the risk of nosocomial SARS-CoV-2 exposure. The interruption of routine care is especially problematic for patients with chronic conditions requiring regular follow-up, such as lung transplant recipients. New methods like telemedicine are needed to provide care to these patients. Methods: A retrospective analysis of video consultations (VC) in comparison to on-site visits (OSV) was performed during a six-week period in a lung transplant center in Germany. VC included a structured work-up questionnaire and vital sign documentation. Results: During the 6-week study period, 75 VC were performed for 53 patients and 75 OSV by 51 patients occurred. By the end of our study period, 77% of physician-patient contacts occurred via VC. Overall, physician-patient consultations were reduced by 47% in comparison to an equivalent time frame in 2019. In 62% of cases, VC resulted in a concrete clinical decision. For two VC patients, the indication for inpatient admission was established during the consultation. One COVID-19 patient in home quarantine was admitted due to respiratory failure detected by VC. Patient satisfaction with VC was high. Conclusions: By transitioning to VC, OSV for lung transplant patients during the COVID-19 pandemic was reduced. VC was well received by the majority of patients. This technology can be adopted to provide care for a wide range of chronic illnesses.

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“…Bisherige Untersuchungen setzen sich eher aus einer übergeordneten Systemperspektive mit den Hürden der Digitalisierung des deutschen Gesundheitswesens auseinander und fokussieren allgemeine Rahmenbedingungen bei der Implementierung digitaler Anwendungen in der GKV. Als Determinanten des aktuellen Entwicklungsrückstandes identifizieren sie neben langwierigen regulatorischen Prozessen insbesondere die fehlende Evidenz zum medizinischen Nutzen digitaler Angebote sowie die heterogenen Interessen im System [19][20][21]. Eine detaillierte Problembetrachtung anhand der potenziellen und gesetzlich verankerten Wege mobiler Gesundheitstechnologien in die GKV-Erstattung sowie der damit einhergehenden prozessualen Strukturen ist bislang nicht erfolgt.…”

Section: Hintergrundunclassified

Zugang mobiler Gesundheitstechnologien zur GKV

Gensorowsky

Düvel

Hasemann

et al. 2019

Gesundh ökon Qual manag

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Zusammenfassung Hintergrund An den Einsatz gesundheitsbezogener digitaler Anwendungen auf mobilen Endgeräten („Gesundheits-Apps“) sind große Nutzenerwartungen geknüpft. Die regelhafte Bereitstellung dieser mobilen Gesundheitstechnologien über die Gesetzliche Krankenversicherung (GKV) erfolgt bislang jedoch nicht. Dies lässt die Existenz struktureller Probleme im Zugang zur GKV-Erstattung vermuten. Ziel Ziel dieser Studie ist die Identifikation von Herausforderungen, welche den erfolgreichen GKV-Zugang mobiler Gesundheitstechnologien erschweren. Material und Methoden Zwischen acht und zwölf Vertreter zentraler am Zugangsprozess beteiligter Akteursgruppen diskutierten in fünf teilstrukturierten Fokusgruppeninterviews die Herausforderungen entlang potenzieller GKV-Zugangswege. Die Auswertung erfolgte mittels zusammenfassender Inhaltsanalyse nach Mayring. Ergebnisse Es wurden zugangswegübergreifende und -spezifische Herausforderungen identifiziert. Übergreifend nahmen die Interviewten Wissens- und Informationsdefizite bezüglich der Zugangsanforderungen sowie die fehlende Vereinbarkeit mobiler Gesundheitstechnologien mit den segmentierten Regelungsbereichen des SGB V als Problemfelder wahr. Die Bereiche Primärprävention und Selektivverträge wurden als bereits gut geebnete Wege in die Erstattung erachtet. Für die Bereiche Neue Untersuchungs- und Behandlungsmethoden, Heil- und Hilfsmittelversorgung wurden größere Herausforderungen identifiziert, die neben unklarer Zugangseignung verschiedene prozessuale Hürden umfassen. Schlussfolgerung Die bessere Nutzung der Potenziale mobiler Gesundheitstechnologien erfordert die Adressierung der beschriebenen Herausforderungen durch gesetzliche und untergesetzliche Maßnahmen. Angesichts der heterogenen Positionen sollte die Entwicklung dieser Lösungsansätze unter enger Einbindung der Stakeholder erfolgen.

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Hürden bei der Digitalisierung der Medizin in Deutschland – eine Expertenbefragung

Cited by 53 publications

References 12 publications

Attitudes towards using electronic health records of patients with psoriasis and dermatologists: a cross-sectional study

Attitudes towards using electronic health records of patients with psoriasis and dermatologists: a cross-sectional study

Video Consultation in Lung Transplant Recipients during the COVID-19 Pandemic

Zugang mobiler Gesundheitstechnologien zur GKV

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