背景:由于个人护理需求,对患有两种或两种以上慢性疾病(多重性疾病)的患者提供护理被描述为复杂的。此外,慢性病患者的数量正在增加,部分原因是人口结构的变化带来了挑战,尤其是门诊初级保健。为了满足患者的需求,并促进自我管理作为慢性病患者的中心护理要素,eHealth应用程序的使用增加。TelePraCMan将作为这些应用程序之一开发,包括基于症状的电子日记,这将在既定的德国疾病管理计划“PraCMan”中实施。这项研究是作为TelePraCMan项目的一部分进行的,旨在检测潜在最终用户的需求(医师,医疗助理,患者)。
方法:在TelePraCMan开发阶段,对TelePraCMan应用程序的潜在最终用户进行了一项探索性横断面研究(患者,医生和医疗助理)。为此,2019年4月至2020年3月在巴登-符腾堡州进行了一项书面调查.该调查涵盖了智能手机的使用行为,使用标准化问卷TA-EG的技术亲和力,技术问题和社会人口统计数据的支持网络。
结果:总共n=202名患者(n=98),医生(n=58)和医疗助理(n=43)参与了调查。关于智能手机的使用,78.2%的参与者表示,最常用的功能是写短信。健康应用程序是使用最少的功能(9.6%)。此外,患者(12.6%)使用健康应用程序的频率高于医疗助理(10.3%)和医生(4.4%)。发现50岁及以下的参与者对技术的亲和力(平均值=3.20,SD=0.51)高于50岁以上的参与者(平均值=2.98,SD=0.67)。年纪更大,多受试者对技术的亲和力特别低(平均值=2.52,SD=0.69)。50岁以上的人中有10.9%和12.5%的多人认为能够在没有帮助的情况下自己解决任何技术问题。观察到50岁以上的多人参与者更喜欢个人支持而不是基于互联网的支持。
结论:平均而言,与50岁以下没有多发病率的受访者相比,50岁以上的多发病率受访者对技术的亲和力较低。对电子设备最常见的消极态度也在50岁以上的患者中发现,他们预计将成为TelePraCMan应用程序的主要目标群体。这些发现可用于得出应用程序功能设计和开发的要求,以及相应的措施,如直观和简单的用户界面,支持用户的电话热线,就计划的功能与用户密切协商,还有更多.
结论:根据这项调查,我们能够确定TelePraCMan应用程序未来目标群体的需求。这被视为制定实施策略和在初级保健中对应用程序进行试点测试的起点。
BACKGROUND: Due to individual care needs, the provision of care to patients with two or more chronic diseases (multimorbidity) is described as complex. In addition, the number of chronically ill people is increasing, due in part to demographic changes which pose a challenge, especially for outpatient primary care. In order to fulfil patients\' needs and to promote self-management as a central care element of chronically ill patients, the use of eHealth applications increases. TelePraCMan will be developed as one of these applications and includes a symptom-based electronic diary, which will be implemented in the established German disease management programme \'PraCMan\'. This study is conducted as a part of the TelePraCMan project and aims to detect the needs of potential end users (physicians, medical assistants, patients).
METHODS: In the TelePraCMan development phase, an explorative cross-sectional study was conducted with potential end users of the TelePraCMan app (patients, physicians and medical assistants). For this purpose, a written survey was conducted in Baden-Wurttemberg between April 2019 and March 2020. The survey covered smartphone usage behaviour, technology affinity using the standardised questionnaire TA-EG, support network for technical questions and sociodemographic data.
RESULTS: A total of n=202 patients (n=98), physicians (n=58) and medical assistants (n=43) participated in the survey. Concerning smartphone use, 78.2 % of the participants stated that the function used most frequently was writing short messages. Health apps were the least used function (9.6 %). Furthermore, patients (12.6 %) use health apps more often than medical assistants (10.3%) and doctors (4.4 %). Participants aged 50 and younger were found to have a higher affinity for technology (mean=3.20, SD=0.51) than participants over 50 years of age (mean=2.98, SD=0.67). Older, multimorbid respondents had a particularly low affinity for technology (mean=2.52, SD=0.69). 10.9 % of the over-fifties and 12.5 % of the multimorbid persons felt able to fix any technical problems on their own without help. Multimorbid participants over the age of 50 were observed to prefer personal support over internet-based support.
CONCLUSIONS: On average, multimorbid respondents in the age group over 50 have a lower affinity for technology than respondents aged under 50 without multimorbidity. The most frequent negative attitude towards electronic devices is also found among patients over 50 years of age, who are expected to be the main target group of the TelePraCMan app. These findings can be used to derive requirements for the design and development of functions of the app, as well as accompanying measures, such as intuitive and simple user interface, a telephone hotline to support users, close consultation with users on the planned functions, and more.
CONCLUSIONS: Based on this survey, we were able to determine the needs of the future target group of the TelePraCMan app. This is seen as a starting point for the development of an implementation strategy and the pilot testing of the app in primary care.