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肿瘤学中的移动应用程序:医疗保健专业人员对远程医疗、移动健康和肿瘤学应用程序态度的调查

Mobile Apps in Oncology: A Survey on Health Care Professionals' Attitude Toward Telemedicine, mHealth, and Oncological Apps.

作者信息

Kessel Kerstin A, Vogel Marco M E, Schmidt-Graf Friederike, Combs Stephanie E

机构信息

Klinikum rechts der Isar, Department of Radiation Oncology, Technical University of Munich (TUM), Munich, Germany.

Institute for Innovative Radiotherapy (iRT), Department of Radiation Sciences (DRS), Helmholtz Zentrum München (HMGU), Neuherberg, Germany.

出版信息

J Med Internet Res. 2016 Nov 24;18(11):e312. doi: 10.2196/jmir.6399.

Abstract

BACKGROUND

Mobile apps are an evolving trend in the medical field. To date, few apps in an oncological context exist.

OBJECTIVE

The aim was to analyze the attitude of health care professionals (HCPs) toward telemedicine, mHealth, and mobile apps in the field of oncology.

METHODS

We developed and conducted an online survey with 24 questions evaluating HCPs' general attitude toward telemedicine and patients using medical mobile apps. Specific questions on the possible functionality for patients and the resulting advantages and disadvantages for both the patients' and HCPs' daily clinical routine were evaluated.

RESULTS

A total of 108 HCPs completed the survey. In all, 88.9% (96/108) considered telemedicine useful and 84.3% (91/108) supported the idea of an oncological app complementing classical treatment. Automatic reminders, timetables, and assessment of side effects and quality of life during therapy were rated as the most important functions. In contrast, uncertainty regarding medical responsibility and data privacy were reasons mostly named by critics. Most (64.8%, 70/108) were in favor of an alert function due to data input needing further clarification, and 94% (66/70) were willing to contact the patient after a critical alert. In all, 93.5% (101/108) supported the idea of using the collected data for scientific research. Moreover, 75.0% (81/108) believed establishing a mobile app could be beneficial for the providing hospital.

CONCLUSIONS

A majority of HCPs are in favor of telemedicine and the use of oncological apps by patients. Assessing side effects can lead to quicker response and thus lower inconvenience for patients. Clinical data, such as life quality and treatment satisfaction, could be used to evaluate and improve the therapy workflow. Eventually, a mobile app would enhance the patients' relationship to their treating department because they are in permanent contact.

摘要

背景

移动应用程序是医学领域不断发展的趋势。迄今为止,肿瘤学领域的应用程序很少。

目的

旨在分析医疗保健专业人员(HCPs)对肿瘤学领域远程医疗、移动健康和移动应用程序的态度。

方法

我们开发并开展了一项包含24个问题的在线调查,评估HCPs对远程医疗以及患者使用医疗移动应用程序的总体态度。对有关患者可能的功能以及对患者和HCPs日常临床工作产生的优缺点的具体问题进行了评估。

结果

共有108名HCPs完成了调查。总体而言,88.9%(96/108)认为远程医疗有用,84.3%(91/108)支持肿瘤学应用程序辅助传统治疗的想法。自动提醒、时间表以及治疗期间副作用和生活质量评估被评为最重要的功能。相比之下,医疗责任和数据隐私方面的不确定性是批评者提及最多的原因。大多数(64.8%,70/108)赞成因数据输入需要进一步澄清而设置警报功能,94%(66/70)愿意在发出关键警报后联系患者。总体而言,93.5%(101/108)支持将收集的数据用于科学研究的想法。此外,75.0%(81/108)认为开发移动应用程序对提供服务的医院有益。

结论

大多数HCPs赞成远程医疗以及患者使用肿瘤学应用程序。评估副作用可带来更快的反应,从而减少患者的不便。生活质量和治疗满意度等临床数据可用于评估和改进治疗流程。最终,移动应用程序将加强患者与治疗科室的关系,因为他们能保持长期联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1acd/5146327/6cbd539464bb/jmir_v18i11e312_fig1.jpg

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