Klocek Adam, Šmahelová Martina, Knapová Lenka, Elavsky Steriani
PhD Student, Faculty of Social Studies, Masaryk University, Brno, Czech Republic.
Academic Researcher, Faculty of Social Studies, Masaryk University, Brno, Czech Republic.
BJGP Open. 2019 Oct 29;3(3). doi: 10.3399/bjgpopen19X101655. Print 2019 Oct.
Digitalisation of health services is among the top priorities of the European Union (EU), yet take-up of eHealth tools is slower in some EU countries than others.
The aim of this study was to evaluate the use of information communication technology (ICT) and eHealth tools by Czech GPs, to elucidate their motivation and barriers to the adoption of eHealth technologies.
DESIGN & SETTING: A cross-sectional, mixed-design survey study, administered online and conducted with GPs from seven randomly selected Czech regions. Of the invited 777 GPs, 196 participants responded (25% response rate) and 153 completed the survey.
Quantitative (measured using, for example, the eHealth readiness scale) and qualitative (thematic analysis) methods were used.
Hierarchical multilinear regression (controling for age, sex, and city size) showed that ICT usage in general practice was predicted by eHealth readiness. Among GPs with their own practice, age and practice size also predicted ICT use. Analysis of barriers specific to mobile health tools identified obstacles on the side of GPs (such as low perceived usefulness), patients (such as lack of interest), and contextual barriers (such as lack of time).
In addition to system-level change, educating Czech GPs about the benefits of eHealth tools for better patient-provider interaction and quality of care is necessary to facilitate eHealth adoption and usage in the Czech Republic.
医疗服务数字化是欧盟的首要任务之一，但在一些欧盟国家，电子健康工具的应用速度比其他国家慢。
本研究旨在评估捷克全科医生对信息通信技术（ICT）和电子健康工具的使用情况，阐明他们采用电子健康技术的动机和障碍。
一项横断面混合设计调查研究，通过在线方式进行，对象为来自捷克七个随机选择地区的全科医生。在邀请的777名全科医生中，196名参与者做出了回应（回应率为25%），153名完成了调查。
采用定量方法（例如使用电子健康准备度量表进行测量）和定性方法（主题分析）。
分层多线性回归（控制年龄、性别和城市规模）表明，电子健康准备度可预测全科医疗中ICT的使用情况。在拥有自己诊所的全科医生中，年龄和诊所规模也可预测ICT的使用情况。对移动健康工具特有的障碍进行分析，发现了全科医生方面的障碍（如感知有用性低）、患者方面的障碍（如缺乏兴趣）和背景障碍（如时间不足）。
除了系统层面的变革外，有必要对捷克全科医生进行教育，让他们了解电子健康工具对改善医患互动和医疗质量的益处，以促进捷克共和国对电子健康的采用和使用。
