PDF(Pubmed)
Abstract：
UNASSIGNED: Since 2019 people who have insured in the German statutory health insurance are entitled to use certified apps called the Digitale Gesundheitsanwendungen [Digital Health Applications (DiGAs)]. The prerequisite for this is that an app certified as DiGA and suitable for their diagnosis exists. The DiGA can then either be prescribed by a physician or psychotherapist or requested by the patient from the statutory health insurance fund. Given the novelty of this type of healthcare, the implementation of a DiGA should be closely monitored to identify potential weaknesses and achieve quality improvements. To enable an analysis of the supply of DiGAs step-by-step, we aimed to create the DiGA-Care Path.
UNASSIGNED: We conducted three steps to create the DiGA-Care Path. First, a knowledge base was created based on a structured literature research matched with knowledge gathered from the superordinate research project \"QuaSiApps\" funded by the German Federal Joint Committee. Second, we aimed to create an \"ideal-typical\" DiGA-Care Path using a flowchart. Third, based on the first path, a final path was developed using the graphical modeling language \"Event-Driven Process Chain.\"
UNASSIGNED: The DiGA-Care Path was developed to depict the supply of DiGAs in Germany. The final path is constituted by a \"main path\" as well as a corresponding \"sub-path\". While the \"main path\" focuses more on the supply environment in which a DiGA is used, the \"sub-path\" depicts the supply delivered by the DiGA itself. Besides the process itself, the paths include relevant actors to indicate responsibilities for individual process steps.
UNASSIGNED: The DiGA-Care Path helps to analyze the current supply of DiGAs step-by-step. Thereby, each step can be investigated in detail to identify problems and to detect further steps where quality improvements can be enabled. Depending on the perspective, focused either on the supply environment, or the supply delivered by the DiGA itself, the \"main path\" or the \"sub-path\" can be used, respectively. Besides the potential of the DiGA-Care Path to improve the current supply of DiGAs, it can help as an orientation for international policymakers or further stakeholders either to develop their own integration of apps into healthcare systems or for international manufacturers to consider entering the German market.
UNASSIGNED: We conducted three steps to create the DiGA-Care Path. First, a knowledge base was created based on a structured literature research matched with knowledge gathered from the superordinate research project \"QuaSiApps\" funded by the German Federal Joint Committee. Second, we aimed to create an \"ideal-typical\" DiGA-Care Path using a flowchart. Third, based on the first path, a final path was developed using the graphical modeling language \"Event-Driven Process Chain.\"
UNASSIGNED: The DiGA-Care Path was developed to depict the supply of DiGAs in Germany. The final path is constituted by a \"main path\" as well as a corresponding \"sub-path\". While the \"main path\" focuses more on the supply environment in which a DiGA is used, the \"sub-path\" depicts the supply delivered by the DiGA itself. Besides the process itself, the paths include relevant actors to indicate responsibilities for individual process steps.
UNASSIGNED: The DiGA-Care Path helps to analyze the current supply of DiGAs step-by-step. Thereby, each step can be investigated in detail to identify problems and to detect further steps where quality improvements can be enabled. Depending on the perspective, focused either on the supply environment, or the supply delivered by the DiGA itself, the \"main path\" or the \"sub-path\" can be used, respectively. Besides the potential of the DiGA-Care Path to improve the current supply of DiGAs, it can help as an orientation for international policymakers or further stakeholders either to develop their own integration of apps into healthcare systems or for international manufacturers to consider entering the German market.
摘要：
自2019年以来，在德国法定健康保险中投保的人有权使用名为DigitaleGesundheitsanwendungen[数字健康应用程序（DiGA）]的认证应用程序。这样做的前提是存在一个经过DiGA认证并适合其诊断的应用程序。然后，DiGA可以由医生或心理治疗师开处方，也可以由患者从法定健康保险基金中提出要求。鉴于这种医疗保健的新颖性，应密切监测DiGA的实施，以确定潜在的弱点并实现质量改进。为了能够逐步分析DiGA的供应，我们的目标是创建DiGA-Care路径。
■我们进行了三个步骤来创建DiGA-Care路径。首先,基于结构化的文献研究创建了一个知识库，该知识库与德国联邦联合委员会资助的上级研究项目“QuaSiApps”中收集的知识相匹配。第二,我们的目标是使用流程图创建一个“理想-典型”的DiGA-Care路径。第三，基于第一条路径，使用图形建模语言“事件驱动过程链”开发了最终路径。\"
■开发DiGA-CarePath是为了描述德国DiGA的供应。最终路径由“主路径”和相应的“子路径”构成。虽然“主要路径”更侧重于使用DiGA的供应环境，“子路径”描述了DiGA本身交付的供应。除了过程本身,这些路径包括相关参与者，以指示各个流程步骤的责任。
■DiGA-CarePath有助于逐步分析DiGA的电流供应。因此，每个步骤都可以详细调查，以识别问题并检测可以实现质量改进的进一步步骤。根据视角,要么专注于供应环境，或DiGA本身提供的供应，可以使用“主路径”或“子路径”，分别。除了DiGA-Care路径改善DiGA当前供应的潜力外，它可以帮助国际政策制定者或其他利益相关者开发自己的应用程序到医疗保健系统或国际制造商考虑进入德国市场的方向。
■我们进行了三个步骤来创建DiGA-Care路径。首先,基于结构化的文献研究创建了一个知识库，该知识库与德国联邦联合委员会资助的上级研究项目“QuaSiApps”中收集的知识相匹配。第二,我们的目标是使用流程图创建一个“理想-典型”的DiGA-Care路径。第三，基于第一条路径，使用图形建模语言“事件驱动过程链”开发了最终路径。\"
■开发DiGA-CarePath是为了描述德国DiGA的供应。最终路径由“主路径”和相应的“子路径”构成。虽然“主要路径”更侧重于使用DiGA的供应环境，“子路径”描述了DiGA本身交付的供应。除了过程本身,这些路径包括相关参与者，以指示各个流程步骤的责任。
■DiGA-CarePath有助于逐步分析DiGA的电流供应。因此，每个步骤都可以详细调查，以识别问题并检测可以实现质量改进的进一步步骤。根据视角,要么专注于供应环境，或DiGA本身提供的供应，可以使用“主路径”或“子路径”，分别。除了DiGA-Care路径改善DiGA当前供应的潜力外，它可以帮助国际政策制定者或其他利益相关者开发自己的应用程序到医疗保健系统或国际制造商考虑进入德国市场的方向。
