The Requirements and Development Potential of Interdisciplinary Digital Health Data Exchange in Mobile Nursing and Care Settings in German-Speaking Countries: Delphi Study
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View abstract on PubMed
Summary
This summary is machine-generated.Experts agree that interoperable electronic health records (EHRs) are crucial for mobile care in the DACHL region. Key requirements include open systems, standardized data, and user-friendly design to improve patient safety and collaboration.
Area Of Science
- Digital Health
- Health Informatics
- Mobile Healthcare
Background
- Digitalization of mobile care in the DACHL region faces challenges due to fragmented infrastructure and unclear access rights.
- Interdisciplinary data exchange is hindered, especially in mobile nursing and care settings.
Purpose Of The Study
- Explore expert views on EHR integration requirements and challenges in mobile care within the DACHL region.
- Identify essential system functions, support structures, and the impact of digital data exchange on care quality, workload, and collaboration.
Main Methods
- A modified Delphi approach involving qualitative expert interviews and two rounds of a structured online survey.
- Qualitative content analysis of interviews informed the survey design, with consensus defined as ≥75% agreement.
Main Results
- Consensus was reached on 88.7% of survey items, highlighting the need for open, interoperable systems and standardized terminologies.
- Key EHR functions like diagnoses and medication lists were highly ranked; usability and support structures are essential.
- Experts agreed on improved patient safety, reduced duplicate documentation, and enhanced collaboration, but disagreed on access rights for assistant roles.
Conclusions
- Experts reached broad agreement on essential requirements for digital data exchange in mobile care.
- Interoperability, context-sensitive access policies, and usability are critical for successful EHR implementation.
- Findings support policy development, system design, and research for safe, efficient digital care across sectors.
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