‘Better see a doctor?’ Status quo of symptom checker apps in Germany: A cross-sectional survey with a mixed-methods design (CHECK.APP)

Digital Health, Journal Year: 2024, Volume and Issue: 10

Published: Jan. 1, 2024

Background Symptom checker apps (SCAs) offer symptom classification and low-threshold self-triage for laypeople. They are already in use despite their poor accuracy concerns that they may negatively affect primary care. This study assesses the extent to which SCAs used by medical laypeople Germany software is most popular. We examined associations between satisfaction with general practitioner (GP) SCA as well number of GP visits use. Furthermore, we assessed reasons intentional non-use. Methods conducted a survey comprising standardised open-ended questions. Quantitative data were weighted, responses using thematic analysis. Results included 850 participants. The usage rate was 8%, approximately 50% non-users uninterested trying SCAs. commonly NetDoktor Ada. Surprisingly, frequently age group 51–55 years. No significant found or usage. Thematic analysis revealed skepticism regarding results recommendations discrepancies users’ requirements features apps. Conclusion still widely unknown German population have been sparsely so far. Many participants not interested SCAs, no positive negative

Language: Английский

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Use of Patient-Generated Health Data From Consumer-Grade Devices by Health Care Professionals in the Clinic: Systematic Review

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e49320 - e49320

Published: April 11, 2024

Background Mobile health (mHealth) uses mobile technologies to promote wellness and help disease management. Although mHealth solutions used in the clinical setting have typically been medical-grade devices, passive active sensing capabilities of consumer-grade devices like smartphones activity trackers potential bridge information gaps regarding patients’ behaviors, environment, lifestyle, other ubiquitous data. Individuals are increasingly adopting solutions, which facilitate collection patient-generated data (PGHD). Health care professionals (HCPs) could potentially use these support chronic conditions. However, there is limited research on real-life experiences HPCs using PGHD from context. Objective This systematic review aims analyze existing literature identify how HCPs setting. The objectives determine types by HCPs, conditions they them, understand motivations behind their willingness them. Methods A was main method synthesize prior research. Eligible studies were identified through comprehensive searches health, biomedicine, computer science databases, a complementary hand search performed. strategy constructed iteratively based key topics related PGHD, technologies. screening process involved 2 stages. Data extraction performed predefined form. extracted summarized combination descriptive narrative syntheses. Results included 16 studies. spanned 2015 2021, with majority published 2019 or later. Studies showed that reviewing various channels, including portals devices. about behavior seem particularly useful for HCPs. Our findings suggest more commonly treat such as diabetes obesity. Physicians most frequently reported users participating than 80% Conclusions has proven beneficial patients can also diabetes, cardiovascular diseases, obesity, domains high levels uncertainty, infertility. Integrating into poses challenges privacy accessibility. Some though consumer might not be perfect completely accurate, perceived value outweighs alternative having no Despite value, our reveal practice still scarce. International Registered Report Identifier (IRRID) RR2-10.2196/39389

Language: Английский

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Old data in new media? Problematic popularity of digital health data and consumer devices

Information Communication & Society, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 16

Published: Feb. 13, 2025

Digital health data and devices have become increasingly popular in contemporary consumer cultures. This resonates with research on the expansion of ecosystems rise consumerism medicine. The proliferation devices, such as activity trackers smartwatches, however, does not simply reinforce existing dynamics medicalization or economization. digital opens up a contested space local settings, doctor-patient interactions, where are evaluated negotiated, depending varying by condition, medical discipline, type patient. We focus these negotiations analyzing how apps create instances problematic popularity when personal conflict professional authority. Our analysis draws 35 qualitative interviews patients doctors from various disciplines. It highlights diversity practices well commonalities that emerge more popular.

Language: Английский

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Schlafstörungen: Insomnie und Restless Legs Syndrom

Allgemeinmedizin up2date, Journal Year: 2025, Volume and Issue: 06(01), P. 45 - 61

Published: Feb. 1, 2025

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Attitudes of healthcare professionals and researchers toward wearable and app derived patient generated health data

npj Digital Medicine, Journal Year: 2025, Volume and Issue: 8(1)

Published: March 30, 2025

Abstract Patient-generated health data (PGHD) from apps and wearables hold significant potential for enhancing personalised care medical research. Healthcare professionals (HCPs) are key to its successful adoption, as their attitudes can either support or hinder integration into clinical practice. This review systematically analysed studies on HCPs’ researchers’ perspectives PGHD research use. Three databases were searched articles published between January 2013 April 2023. Of 246 screened, 33 met the inclusion criteria. While most participants viewed positively, concerns around security, reliability, workflow persist. Addressing these barriers is essential maximising PGHD’s benefits participatory medicine improved outcomes. The included presented medium methodological quality, particularly among quantitative mixed methods with risks of sampling nonresponse bias, often low sample sizes in qualitative studies. However, recurring themes across allow a valuable interpretation findings.

Language: Английский

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Speed, accuracy, and efficiency: The promises and practices of digitization in pathology

Social Science & Medicine, Journal Year: 2024, Volume and Issue: 345, P. 116650 - 116650

Published: Feb. 9, 2024

Digitization is often presented in policy discourse as a panacea to multitude of contemporary problems, not least healthcare. How can promises relating digitization be assessed and potentially countered particular local contexts? Based on study Denmark, we suggest scrutinizing the politics by comparing about future with practitioners' experience present. While Denmark one most digitalized countries world, pathology has only recently been given full attention. As departments are faced an increased demand for analysis shortage pathologists, Danish policymakers have put forward way address these challenges. Who it that wants digitize pathology, why, how does unfold routine work practices? Using online search document analysis, identify actors analyze describing expectations associated digitization. We then use interviews observations juxtapose everyday practices experienced pathologists. show expect improve speed, patient safety, diagnostic accuracy, well efficiency. In practice, however, deliver expectations. Fulfillment instead hinges types artificial intelligence (AI) applications still developed implemented. Some pathologists remark AI might easy cases, but this would leave them difficult which they consider too burdensome. Our mode juxtaposing practice throws new light political done helps explain why discipline seem easily lend itself digital embrace.

Language: Английский

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Data driven or data informed? How general practitioners use data to evaluate their own and colleagues’ clinical work in clusters

Sociology of Health & Illness, Journal Year: 2023, Volume and Issue: 46(5), P. 948 - 965

Published: Dec. 29, 2023

Abstract In contemporary policy discourses, data are presented as key assets for improving health‐care quality: policymakers want health care to become ‘data driven’. this article, we focus on a particular example of ambition, namely new Danish national quality development program general practitioners (GPs) where doctors placed in so‐called ‘clusters’. these clusters, GPs obliged assess their own and colleagues’ clinical with derived from clinics—using comparisons, averages benchmarks. Based semi‐structured interviews drawing Science Technology Studies, explore how understand data, what makes them trust—or question—a analysis. The describe they change practices based discussions data. So, when do assurance come influence perceptions quality? By exploring issues, carve out role sociological engagement evidence everyday medical practices. conclusion, suggest need move the aim being driven one informed.

Language: Английский

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Patient‐Generated Data as Interventions in Doctor‐Patient Relationships? Negotiating (Un)Invited Participation in Medical Consultations

Sociology of Health & Illness, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 14, 2024

ABSTRACT Health data generated by apps and devices are increasingly popular expected to affect various aspects of doctor‐patient relationships. No longer confined medically authorised certified health technologies, a range biomedical data—from heart rate blood pressure or oxygen saturation—are captured processed consumer devices. This article outlines different responses physicians patients collecting with considers how the may challenge reify medical authority. Based on semi‐structured interviews doctors chronically ill in Germany from 2021 2023, we compare cases diabetes, sleep disorders, cardiovascular conditions, obesity ME/CFS explore when, for what reasons specialists consider patient‐generated (PGD) outpatient settings. Their response registers vary: whereas some reject PGD that seem compete their diagnostic activities, others tolerate (collection), still more readily include them into practices. suggests nuanced strategies navigating demarcation between accepting rejecting ‘uninvited’ participation through

Language: Английский

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