Ariens Lieneke Fm, Schussler-Raymakers Florine Ml, Frima Cynthia, Flinterman Annebeth, Hamminga Eefje, Arents Bernd Wm, Bruijnzeel-Koomen Carla Afm, de Bruin-Weller Marjolein S, van Os-Medendorp Harmieke
Department of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, Netherlands.
Diakonessenhuis, Utrecht, Netherlands.
J Med Internet Res. 2017 Sep 5;19(9):e300. doi: 10.2196/jmir.7512.
The number of eHealth interventions in the management of chronic diseases such as atopic dermatitis (AD) is growing. Despite promising results, the implementation and use of these interventions is limited.
This study aimed to assess opinions of the most important stakeholders influencing the implementation and use of eHealth services in daily dermatology practice.
The perspectives of health care professionals and patients towards the implementation and use of eHealth services in daily practice were assessed by using a mixed method design. A cross-sectional survey based on the eHealth implementation toolkit (eHit) was conducted to explore factors influencing the adoption of eHealth interventions offering the possibility of e-consultations, Web-based monitoring, and Web-based self-management training among dermatologists and dermatology nurses. The perspectives of patients with atopic dermatitis (AD) regarding the use of eHealth services were discussed in an online focus group.
Health care professionals (n=99) and patients (n=9) acknowledged the value of eHealth services and were willing to use these digital tools in daily dermatology practice. Key identified barriers (statements with <50% of the participants scoring totally agree or agree) in the implementation and adoption of eHealth interventions included concerns about the availability (12/99, 12%) and allocation (14/99, 14%) of resources, financial aspects (26/99, 26%), reliability, security, and confidentially of the intervention itself (29/99, 29%), and the lack of education and training (6/99, 6%).
Health care professionals and patients acknowledge the benefits arising from the implementation and use of eHealth services in daily dermatology practice. However, some important barriers were identified that might be useful in addressing the implementation strategy in order to enhance the implementation success of eHealth interventions in dermatology.
在特应性皮炎（AD）等慢性病管理中，电子健康干预措施的数量正在增加。尽管取得了令人鼓舞的成果，但这些干预措施的实施和应用仍然有限。
本研究旨在评估影响电子健康服务在日常皮肤科实践中实施和应用的最重要利益相关者的意见。
采用混合方法设计评估医疗保健专业人员和患者对电子健康服务在日常实践中实施和应用的看法。基于电子健康实施工具包（eHit）进行了一项横断面调查，以探讨影响皮肤科医生和皮肤科护士采用电子健康干预措施的因素，这些干预措施提供了电子咨询、基于网络的监测和基于网络的自我管理培训的可能性。在一个在线焦点小组中讨论了特应性皮炎（AD）患者对电子健康服务使用的看法。
医疗保健专业人员（n = 99）和患者（n = 9）认可电子健康服务的价值，并愿意在日常皮肤科实践中使用这些数字工具。在电子健康干预措施的实施和采用中确定的主要障碍（得分<50%的参与者完全同意或同意的陈述）包括对资源可用性（12/99，12%）和分配（14/99，14%）的担忧、财务方面（26/99，26%）、干预措施本身的可靠性、安全性和保密性（29/99，29%）以及缺乏教育和培训（6/99，6%）。
医疗保健专业人员和患者认可在日常皮肤科实践中实施和使用电子健康服务所带来的益处。然而，确定了一些重要障碍，这些障碍可能有助于制定实施策略，以提高电子健康干预措施在皮肤科的实施成功率。
