Barriers to Digitalisation of Healthcare in Germany: A Survey of Experts
Barriers to Digitalisation of Healthcare in Germany: A Survey of Experts
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DOI：
10.1055/s-0043-121010
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发表时间：
2018-11-01
期刊：
影响因子：
1.1
通讯作者：
Achelrod, Dmitrij
中科院分区：
文献类型：
--
作者：
Nohl-Deryk, Pascal;Brinkmann, Jesaja Kenneth;Achelrod, Dmitrij
背景数字健康是医疗保健领域的一个不断增长的领域，具有巨大的潜力。然而，与国际和德国其他行业相比，德国医疗保健的数字化程度较低。方法我们对来自不同行业的18位代表性医疗专家进行了半结构化访谈，就数字医疗的障碍和解决方案进行了分析。Braun和Clarke的主题分析用于interpretation.Results受访者确定的障碍，是特定的和跨利益相关者。自律机构和医疗行业缺乏数字化的意愿和组织结构。缺乏证据和缺乏互操作性是主要障碍，而目前的立法和财务条例很少被提及。特别是，基础设施的扩展和互操作性将需要协调的国家干预。结论数字化医疗要取得成功，似乎需要有强大的政治意愿、总体战略和传播理念。在立法方面，可能需要为自律机构制定具有约束力的规范、最后期限和制裁措施，同时也要让用户在早期阶段参与开发过程，并为使用数字解决方案创造积极的激励措施。
Background Digital health is a growing area in healthcare with a huge potential. Nevertheless, the degree of digitalization in German healthcare is low when compared internationally and with other German industries. Despite political efforts, certain barriers seem to strongly impede the process of digitalization process in healthcare.Method We surveyed 18 representative healthcare experts from various sectors with semi-structured interviews on barriers and solutions for digital health. Thematic analysis by Braun and Clarke was used for interpretation.Results The interviewees identified barriers that were stakeholder-specific and across stakeholders. Self-regulatory bodies and the medical profession were found to lack willingness and organizational structure for digitalization. Lack of evidence and missing interoperability represented primary obstacles, while current legislation and financial regulations were rarely mentioned. In particular, infrastructure expansion and interoperability would require a coordinated, state intervention. Positive communication on possibilities and benefits of digital solutions was also considered important.Conclusion A strong political will, an overarching strategy accompanied by a communication concept seems to be necessary in order for digital health to succeed. Regarding legislation, binding specifications, deadlines and sanctions may be needed for self-regulatory bodies, while also involving users in the development process at an early stage and creating positive incentives for using digital solutions.