Dimensions and Subcategories of Digital Maturity in General Practice: Qualitative Study (Preprint) DOI
Timo Neunaber, Achim Mortsiefer, Sven Meister

et al.

Published: Feb. 26, 2024

BACKGROUND The status of the digitalization companies and institutions is usually measured using maturity models. However, concept in general practice currently unclear, herewith we examine question how can be measured. There a lack empirical work on dimensions subcategories digital that provide information assessment framework. OBJECTIVE aim study was to answer many which describe practice. METHODS An explorative, qualitative research design based semistructured expert interviews used investigate maturity. Twenty experts from various areas health care sector (care providers, interest groups, industry, patient organizations) were interviewed. analyzed content-structuring analysis according Kuckartz Rädiker MAXQDA software (VERBI GmbH). RESULTS In total, 6 with total 26 identified. Of these, 4 16 (1) digitally supported processes, (2) staff, (3) organizational structures rules, (4) technical infrastructure deductively linked addition use solutions, included, for example, individual, organizational, capabilities resources medical 2 further dimensions, (5) benefits outcomes (6) external framework conditions practice, identified inductively 10 subcategories. Digital associated beneficial digitalization, efficiency influencing factors such as local situation CONCLUSIONS results indicate multidimensional construct variables. It holistic approach human, concerns way shape processes. Furthermore, it related environment well digitalized practice; however, this still needs confirmed. To measure level outpatient accurately possible, models should therefore multilayered take into account. Future statistically validate dimensions. At same time, correlations dependencies between measurement their analyzed.

Language: Английский

Understanding inherent influencing factors to digital health adoption in general practices through a mixed-methods analysis DOI Creative Commons
Lisa Weik, Leonard Fehring, Achim Mortsiefer

et al.

npj Digital Medicine, Journal Year: 2024, Volume and Issue: 7(1)

Published: Feb. 27, 2024

Abstract Extensive research has shown the potential value of digital health solutions and highlighted importance clinicians’ adoption. As general practitioners (GPs) are patients’ first point contact, understanding influencing factors to their adoption is especially important derive personalized practical recommendations. Using a mixed-methods approach, this study broadly identifies barriers improvement strategies in practices, including impact GPs’ inherent characteristics – personality on Results our online survey with 216 GPs reveal moderate overall 5-point Likert-type scale, required workflow adjustments (M = 4.13, SD 0.93), inadequate reimbursement 4.02, 1.02), high training effort 3.87, 1.01) as substantial barriers. Improvement considered overall, respondents wishing for improved interoperability 4.38, 0.81), continued technical support 4.33, 0.91), usability 4.20, 0.88). In regression model, practice-related characteristics, expected future usage, affinity, several traits, maturity significant predictors perceived strength For strategies, only demographics usage-related variables predictors. This provides strong evidence strategies. Our findings highlight need comprehensive approaches integrating personal emotional elements make digitization practices more engaging, tangible, applicable.

Language: Английский

Citations

20
Patient Adoption of Digital Use Cases in Family Medicine and a Nuanced Implementation Approach for Family Doctors: Quantitative Web-Based Survey Study DOI Creative Commons

Julian Beerbaum,

Sibylle Robens, Leonard Fehring

et al.

JMIR Formative Research, Journal Year: 2025, Volume and Issue: 9, P. e58867 - e58867

Published: March 5, 2025

Digital use cases describe the application of technology to achieve specific outcomes. Several studies in health care have examined patients' overall attitudes toward digitalization and cases. However, these failed provide a comparison patient acceptance criteria between inherently different digital family medicine. To address this research gap, paper aimed assist doctors selecting by comparing underlying adoption factors driving usage presenting differentiated implementation approach. Adapting an established Unified Theory Acceptance Use Technology (UTAUT) questionnaire 4 medicine, we surveyed large cross-sectional sample adults living Germany. The results web-based survey were then analyzed via descriptive statistics, ANOVA, hierarchical regression models compare effects sociodemographic on intention case. Our included 1880 participants. Of participants, only 304 (16.2%) agreed that degree is important when practice. more digitally literate participants attributed greater importance criterion (B=0.226, SE 0.023; β=.223; P<.001), literacy was found be dependent age (Welch F3,968.29=53.441; P<.001). Regarding characteristics, demonstrated significant effect for all cases, particularly scheduling doctor appointments online (B=0.322, 0.033; β=.408; Furthermore, performance expectancy strongest predictor while further depended case (receiving medical consultations video: B=0.603, 0.049; β=.527; P<.001; online: B=0.566, 0.043; β=.513; storing personal information electronic records: B=0.405, 0.047; β=.348; providing before consultation [digital anamnesis]: B=0.434, 0.048; β=.410; illustrate, perceived privacy security had records (B=0.284, 0.040; β=.243; P<.001) but no video (B=0.068, 0.042; β=.053; P=.10). In selection should always prioritize value patient, might depend Practice owners therefore harmonize introduction with their own strategies. Not every innovation fits strategy

Language: Английский

Citations

0
A New Era of Online Search? A Large-Scale Study of User Behavior and Personal Preferences during Practical Search Tasks with Generative AI versus Traditional Search Engines DOI

Carolin Kaiser,

Jakob Kaiser,

Rene Schallner

et al.

Published: April 23, 2025

Language: Английский

Citations

0
Investigating Patient Use and Experience of Online Appointment Booking in Primary Care: Mixed Methods Study DOI Creative Commons
Helen Atherton, Abi Eccles, Leon Poltawski

et al.

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e51931 - e51931

Published: May 19, 2024

Background Online appointment booking is a commonly used tool in several industries. There limited evidence about the benefits and challenges of using online health care settings. Potential include convenience ability to track appointments, although some groups patients may find it harder engage with booking. We sought understand how England experienced Objective This study aims describe compare characteristics relation their use general practice investigate patients’ views regarding arrangements. Methods was mixed methods set English comprising retrospective analysis General Practice Patient Survey (GPPS) semistructured interviews patients. Data comprised responses 2018 2019 GPPS analyzed mixed-effects logistic regression. Semistructured purposively sampled from 11 practices explored experiences on Framework allow for comparison findings analysis. Results The included 1,327,693 responders (2018-2019 combined). conducted 43 variety awareness booking; these patients, 6 (14%) were ethnic minority groups. In analysis, more aware that available (581,224/1,288,341, 45.11%) than had experience (203,184/1,301,694, 15.61%). deprivation gradients substantial decline both aged >75 years. For interview participants, age life stage factors influencing perceptions, working valued convenience, older preferred telephone. Patients long-term conditions (odds ratio [OR] 1.43, 95% CI 1.41-1.44) likely (OR 1.65, 1.63-1.67) Interview participants described as useful routine nonurgent appointments. deprived areas clustered low among respondents 0.65, 0.64-0.67). Other key influence availability appointments differences registration process accessing Conclusions Whether influenced by which they are registered, whether live conditions, status. These should be considered designing implementing have implications patient engagement wider range services offered practice.

Language: Английский

Citations

3
Computer-assisted medical history taking prior to patient consultation in the outpatient care setting: a prospective pilot project DOI Creative Commons
Roman Hauber,

Maximilian Schirm,

Molly Lukas

et al.

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: Dec. 18, 2024

Abstract Background Feeding patients’ self-reported medical history into the diagnostic care process may accelerate workflows in clinical routine. Methods We prospectively piloted a novel documentation system German cardiological outpatient practice and evaluated its feasibility perceived usefulness. Based on generic software that allows to record structured information, customized solution for cooperating was developed implemented. Prior consultation of physician, patient used tablet guided user through comprehensive workflow document history. The retrieved information arranged by ready-to-use text format, presented physician an editable form added her report. Three user-centered endpoints were explored: i) Appropriateness—measured duration interview; ii) Patient acceptance—assessed three questions patients; iii) Usefulness—operationalized multiple ratings physician. Results A total 2,513 patients approached which 2,415 provided complete histories. assessed as appropriate practical terms time workflows. patient-system interaction rated favourably including elderly ones. regarded useful reducing daily workload about one hour. Conclusions Automated history-taking tools deployed before could support physicians obtaining histories, thereby professionals’ workload. technical methodological limitations our study should be respected, calling additional future evaluations.

Language: Английский

Citations

0
Dimensions and Subcategories of Digital Maturity in General Practice: Qualitative Study DOI Creative Commons
Timo Neunaber, Achim Mortsiefer, Sven Meister

et al.

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e57786 - e57786

Published: Dec. 19, 2024

Background The status of the digitalization companies and institutions is usually measured using maturity models. However, concept in general practice currently unclear, herewith we examine question how can be measured. There a lack empirical work on dimensions subcategories digital that provide information assessment framework. Objective aim study was to answer many which describe practice. Methods An explorative, qualitative research design based semistructured expert interviews used investigate maturity. Twenty experts from various areas health care sector (care providers, interest groups, industry, patient organizations) were interviewed. analyzed content-structuring analysis according Kuckartz Rädiker MAXQDA software (VERBI GmbH). Results In total, 6 with total 26 identified. Of these, 4 16 (1) digitally supported processes, (2) staff, (3) organizational structures rules, (4) technical infrastructure deductively linked addition use solutions, included, for example, individual, organizational, capabilities resources medical 2 further dimensions, (5) benefits outcomes (6) external framework conditions practice, identified inductively 10 subcategories. Digital associated beneficial digitalization, efficiency influencing factors such as local situation Conclusions results indicate multidimensional construct variables. It holistic approach human, concerns way shape processes. Furthermore, it related environment well digitalized practice; however, this still needs confirmed. To measure level outpatient accurately possible, models should therefore multilayered take into account. Future statistically validate dimensions. At same time, correlations dependencies between measurement their analyzed.

Language: Английский

Citations

0
Dimensions and Subcategories of Digital Maturity in General Practice: Qualitative Study (Preprint) DOI
Timo Neunaber, Achim Mortsiefer, Sven Meister

et al.

Published: Feb. 26, 2024

BACKGROUND The status of the digitalization companies and institutions is usually measured using maturity models. However, concept in general practice currently unclear, herewith we examine question how can be measured. There a lack empirical work on dimensions subcategories digital that provide information assessment framework. OBJECTIVE aim study was to answer many which describe practice. METHODS An explorative, qualitative research design based semistructured expert interviews used investigate maturity. Twenty experts from various areas health care sector (care providers, interest groups, industry, patient organizations) were interviewed. analyzed content-structuring analysis according Kuckartz Rädiker MAXQDA software (VERBI GmbH). RESULTS In total, 6 with total 26 identified. Of these, 4 16 (1) digitally supported processes, (2) staff, (3) organizational structures rules, (4) technical infrastructure deductively linked addition use solutions, included, for example, individual, organizational, capabilities resources medical 2 further dimensions, (5) benefits outcomes (6) external framework conditions practice, identified inductively 10 subcategories. Digital associated beneficial digitalization, efficiency influencing factors such as local situation CONCLUSIONS results indicate multidimensional construct variables. It holistic approach human, concerns way shape processes. Furthermore, it related environment well digitalized practice; however, this still needs confirmed. To measure level outpatient accurately possible, models should therefore multilayered take into account. Future statistically validate dimensions. At same time, correlations dependencies between measurement their analyzed.

Language: Английский

Citations

0