关键词: Digital Health digital health applications e-Health incentives physicians

来  源:   DOI:10.1177/20552076241242781   PDF(Pubmed)

Abstract:
UNASSIGNED: The Digital Healthcare Act introduced the prescription of digital health applications under specific circumstances in 2019 in Germany. They are funded through the social security system. In market access of prescribed digital health applications, Germany is pioneering the market. There remains a gap in understanding the views of medical professionals on the incentives of using these applications. As prescription of digital health applications starts emerging in other European countries, we sought to generate an overview of incentives and barriers that affect the caregivers in their decision of promoting and prescribing them in Germany.
UNASSIGNED: A Rapid Review of the Web of Science database for the years 2017-2023 was performed using sensitive search strings. Two reviewers conducted a three-phase selection via title, abstract and full-text independently from each other. The quality of studies was assessed systematically by both reviewers. Both quantitative and qualitative studies with primary data were included, and study quality was assessed using a standardised form.
UNASSIGNED: Out of 1643 initial results, 12 studies with information from 9302 physicians and psychotherapists were identified. Eight quantitative and four qualitative studies were included in the analysis. Key findings suggest that while between 40% and 60% of caregivers see relevant incentives mainly based on patients\' benefits, 20-40% see relevant barriers. For the physicians\' daily work, there were slightly more barriers than incentives identified in the quantitative synthesis. The qualitative studies revealed no relevant incentives that were not attributed to patients.
UNASSIGNED: While digital health solutions offer promising avenues for enhancing patient care, their acceptance among healthcare professionals hinges on addressing prevailing concerns. Continuous research and dialogues with the medical community are pivotal to harness the full potential of digital health applications in healthcare.
摘要:
《数字医疗法案》于2019年在德国引入了特定情况下数字健康应用的处方。他们是通过社会保障制度资助的。在规定的数字健康应用程序的市场准入中,德国正在开拓市场。在理解医疗专业人员对使用这些应用程序的动机的看法方面仍然存在差距。随着数字健康应用的处方在其他欧洲国家开始出现,我们试图概述影响护理人员在德国推广和处方的动机和障碍.
使用敏感搜索字符串对2017-2023年的WebofScience数据库进行了快速审查。两名评审人员通过标题进行了三个阶段的选择,摘要和全文相互独立。研究的质量由两位评审员系统评估。包括主要数据的定量和定性研究,研究质量使用标准化形式进行评估。
在1643个初步结果中,确定了来自9302名医生和心理治疗师的12项研究。分析中包括8项定量研究和4项定性研究。主要研究结果表明,虽然40%到60%的护理人员看到了主要基于患者获益的相关激励措施,20-40%看到相关障碍。对于医生的日常工作,在定量综合中发现的障碍略多于激励措施。定性研究显示,没有归因于患者的相关诱因。
虽然数字医疗解决方案为加强患者护理提供了有希望的途径,他们在医疗保健专业人员中的接受程度取决于解决当前的担忧。与医学界的持续研究和对话对于充分发挥数字健康在医疗保健中的应用潜力至关重要。
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