ICT and the future of health care: aspects of health promotion
ICT and the future of health care: aspects of health promotion
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DOI：
10.1016/j.ijmedinf.2014.09.005
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发表时间：
2015-01-01
影响因子：
4.9
通讯作者：
Jungwirth, David
中科院分区：
文献类型：
--
作者：
Haluza, Daniela;Jungwirth, David
目的：信息通信技术（ICT）应用越来越多地进入消费者的日常生活。各种多媒体接口的可用性为开发和调整ICT解决方案以适应包括保健在内的社会各个方面提供了机会。为了应对信息通信技术持续适应性进步的挑战，决策者可以从对未来技术发展的预期优点和风险的估计中获益。本研究的目的是评估奥地利利益攸关方对信通技术协助的健康促进的普遍意见和期望。方法：共有73名从事奥地利卫生保健部门的专家（74%男性）参加了两阶段的在线德尔菲调查。小组成员被分配到三个小组，分别代表医疗专业人员、患者维权人士和行政人员。在基于场景的问卷调查中，专家们评估了六个未来ICT场景的潜在优势和障碍，以及创新程度、可取性和估计实施日期。对具体场景和综合总体意见进行了排名。采用方差分析评估组间差异。结果：小组成员期望未来信息通信技术支持的健康促进战略，特别是改善因素的生活水平（56%），卫生保健质量（53%）和患者的知识（44%）。然而，资金方面（57%）、患者倡导者的接受程度（45%）以及数据安全和隐私（27%）被认为是ICT应用的三个最重要的阻碍因素。虽然小组成员对这些方案的总体平均期望度相当高（80%），但与患者倡导者和行政人员相比，医疗专业人员的期望度要低得多（p = 0.006）。这一观察结果表明，这一特定利益集团对技术创新的态度更为谨慎。结论：目前的德尔菲调查确定了与成功实施基于ict的医疗保健解决方案相关的问题，并提供了可能需要进一步研究的几个领域的汇编。鉴于老龄化社会面临永久性在线监控的威胁，不同的利益相关者应该考虑到最终用户的不同要求和期望。因此，密切合作可促进各利益集团之间在热门卫生问题上的协调进程。2014爱思唯尔爱尔兰有限公司版权所有。
Purpose: Increasingly, Information and Communication Technology (ICT) applications enter the daily lives of consumers. Availability of various multimedia interfaces offers the opportunity to develop and adjust ICT solutions to all aspects of society including health care. To address the challenges of the ongoing adaptive progress of ICT, decision makers profit from estimates of expectable merits and risks of future technological developments. The aim of the present study was to assess the prevailing opinions and expectations among Austrian stakeholders regarding ICT-assisted health promotion.Methods: In total, 73 experts (74% males) engaged in the Austrian health care sector participated in a biphasic online Delphi survey. Panellists were assigned to three groups representing medical professionals, patient advocates, and administrative personnel. In a scenario-based questionnaire, experts evaluated potential advantages and barriers as well as degree of innovation, desirability, and estimated date of implementation of six future ICT scenarios. Scenario-specific and consolidated overall opinions were ranked. Inter-group differences were assessed using ANOVA.Results: Panellists expected the future ICT-supported health promotion strategies to especially improve the factors living standard (56%), quality of health care (53%), and patient's knowledge (44%). Nevertheless, monetary aspects (57%), acceptance by patient advocates (45%), and data security and privacy (27%) were considered as the three most substantial hampering factors for ICT applications. Although overall mean desirability of the scenarios was quite high (80%) amongst panellists, it was considerably lower in medical professionals compared to patient advocates and administrative personnel (p = 0.006). This observation suggests a more precautious attitude of this specific interest group regarding technological innovations.Conclusions: The present Delphi survey identified issues relevant for successful implementation of ICT-based health care solutions, providing a compilation of several areas that might require further research. In the light of ageing societies facing the perceived threat of permanent online surveillance, different requirements and expectations of end users should be accounted for by various stakeholders. Thus, close collaboration could facilitate the harmonization process on hot health topics among interest groups. (C) 2014 Elsevier Ireland Ltd. All rights reserved.