关于心理障碍的数字健康应用及其处方行为的全科医生观点:混合方法研究研究
Sandy Scheibe1, Sandra Salm2,3, Karola Mergenthal2
1Department of General Practice, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307 Dresden, Germany, 49 351-45889240, 49 351-4588836.
JMIR mental health
|January 6, 2026
概括
一般医生表示不愿为精神障碍 (DHA-MD) 开处方数字健康应用程序,认为它们是补充工具. 解决知识差距和融合障碍对于这些数字心理健康解决方案的更广泛采用至关重要.
科学领域:
- 数字健康数字健康
- 心理健康护理 心理健康护理
- 主要护理是指初级护理.
背景情况:
- 精神疾病的高患病率给医疗保健系统带来了压力.
- 针对精神疾病的数字健康应用 (DHAs) (DHA-MD) 在德国引入,以改善门诊精神健康护理.
- 关于全科医生 (GPs) 关于DHA-MD的观点和处方行为的证据有限.
研究的目的:
- 分析一般医生对DHA-MD的看法.
- 调查全科医生在精神疾病护理中对DHA-MD的处方行为.
主要方法:
- 这是一项混合方法研究,结合了德国范围内的在线调查和与全科医生和医务助理 (MA) 的定性访谈.
- 从2024年1月到10月收集的数据.
- 分析包括定量数据的描述性和多变量回归和面试的定性内容分析.
主要成果:
- DHA-MD的处方频率中位数较低 (每季度1次),而感知需要更高 (3).
- 数字化的实践环境和小组实践设置积极预测了DHA-MD的处方行为和感知需求.
- 一般医生和医师认为DHA-MD是暂时的/补充的,有效性取决于遵守;障碍包括缺乏知识和整合困难.
结论:
- 一般医生不愿意开处方DHA-MD,因为他们认为需要很少,并且作为补充干预的作用.
- 缺乏知识,缺乏有效性数据和整合挑战等障碍阻碍了初级保健中的处方.
- 解决这些障碍,让全科医生和患者参与研究对于DHA-MD发展至关重要.
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