Haluza Daniela, Jungwirth David
Institute of Environmental Health,Center for Public Health,Medical University of Vienna Kinderspitalgasse 15,A-1090 Vienna,Austriaemail:
Int J Technol Assess Health Care. 2014 Jul;30(3):298-305. doi: 10.1017/S0266462314000294.
The current digital revolution is particularly relevant for interactions of healthcare providers with patients and the community as a whole. The growing public acceptance and distribution of new communication tools such as smart mobile phones provide the prerequisite for information and communication technology (ICT) -assisted healthcare applications. The present study aimed at identifying specifications and perceptions of different interest groups regarding future demands of ICT-supported doctor-patient communication in Austria.
German-speaking Austrian healthcare experts (n = 73; 74 percent males; mean age, 43.9 years; SD 9.4) representing medical professionals, patient advocates, and administrative personnel participated in a 2-round online Delphi process. Participants evaluated scenario-based benefits and obstacles for possible prospect introduction as well as degree of innovation, desirability, and estimated implementation dates of two medical care-related future set ups.
Panelists expected the future ICT-supported doctor-patient dialogue to especially improve the three factors doctors-patient relationship, patients' knowledge, and quality of social health care. However, lack of acceptance by doctors, data security, and monetary aspects were considered as the three most relevant barriers for ICT implementation. Furthermore, inter-group comparison regarding desirability of future scenarios showed that medical professionals tended to be more skeptical about health-related technological innovations (p < .001).
The findings of this survey revealed different expectations among interest groups. Thus, we suggest building taskforces and using workshops for establishing a dialogue between stakeholders to positively shape the future of ICT-supported collaboration and communication between doctors and patients.
当前的数字革命与医疗服务提供者与患者及整个社区的互动尤为相关。公众对智能移动电话等新通信工具的接受度不断提高且其得到广泛应用，这为信息通信技术（ICT）辅助的医疗应用提供了前提条件。本研究旨在确定奥地利不同利益群体对未来ICT支持的医患沟通需求的具体要求和看法。
以德语为母语的奥地利医疗专家（n = 73；74%为男性；平均年龄43.9岁；标准差9.4），他们代表医疗专业人员、患者权益倡导者和行政人员，参与了两轮在线德尔菲法流程。参与者评估了基于情景的引入可能前景的益处和障碍，以及两种与医疗保健相关的未来设置的创新程度、可取性和预计实施日期。
专家小组成员预计未来ICT支持的医患对话将特别改善医患关系、患者知识和社会医疗保健质量这三个因素。然而，医生缺乏接受度、数据安全和资金方面被认为是ICT实施的三个最相关障碍。此外，关于未来情景可取性的组间比较表明，医疗专业人员对与健康相关的技术创新往往更为怀疑（p < .001）。
本次调查结果揭示了不同利益群体之间的不同期望。因此，我们建议组建特别工作组并举办研讨会，以便在利益相关者之间建立对话，从而积极塑造未来ICT支持的医患协作与沟通。
