从意识到整合:关于数字治疗对德国医生实践的影响的定性访谈研究
Jennifer Kendziorra1, Kirsten H Seerig2, Till J Winkler3,4
1Chair of Information Management, University of Hagen, Hagen, Germany. jennifer.kendziorra@fernuni-hagen.de.
BMC health services research
|April 17, 2025
概括
医生面临的挑战是将数字治疗 (DTx) 整合到工作流程中,这需要新的技能和理解法规. DTx提供了扩展的护理选择,但采用情况有所不同,需要进一步研究医生整合策略.
科学领域:
- 数字健康数字健康
- 医疗保健创新 医疗保健创新
- 医疗信息学 医疗信息学
背景情况:
- 数字疗法 (DTx) 越来越多地融入德国的法定医疗保健系统.
- 尽管有潜在的好处,如弥合治疗缺口,但DTx处方率正在缓慢上升.
- 医生采用DTx带来了影响工作流程和患者护理的挑战.
研究的目的:
- 探讨医生在将DTx整合到他们的治疗选择中时遇到的挑战.
- 了解DTx采用所需的工作流修改.
- 调查医生对数字疗法实施的看法.
主要方法:
- 使用半结构面试对德国各地46名医生进行定性研究.
- 根据专业,经验和地区的不同医生样本.
- 使用定性内容分析与演和归纳编码分析数据.
主要成果:
- 医生需要时间和信息来理解DTx规则和可能性.
- DTx集成需要更深入的患者评估,考虑数字素养和动机.
- 医生与病人关系的动态发生了变化,改变了沟通和责任.
- DTx扩大了治疗选择,使个性化护理和弥合治疗延迟成为可能.
- DTx集成促进了工作流程的长期变化,促进了以患者为中心的方法.
结论:
- DTx集成带来了挑战,包括技能发展和监管熟悉,需要调整工作流程.
- 医生需要时间,可靠的疗效数据和实践经验来采用DTx.
- 不同的医生接待凸显了个人在采用数字健康工具方面的差异.
- 需要进一步研究多样化的采用策略和DTx对护理提供和患者结果的长期影响.
相关概念视频
01:29Psychodynamic Therapy
33
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
33
01:29Issues And Trends In Healthcare Delivery System
5.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
01:28Drug Therapy
28
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
28
01:25Elements Crucial for Effective Psychotherapy
20
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
20
01:24Treatment Strategies for Psychological Disorders
54
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
54
01:28Psychotherapy
40
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
40