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奥地利糖尿病患者远程监护准备情况的横断面验证研究。

Telemonitoring readiness among Austrian diabetic patients: A cross-sectional validation study.

机构信息

Medical University of Vienna, Austria.

AIT Austrian Institute of Technology GmbH, Austria.

出版信息

Health Informatics J. 2020 Dec;26(4):2332-2343. doi: 10.1177/1460458219894094. Epub 2020 Feb 12.

Abstract

Digitalized healthcare services offer remote and cost-effective treatment of diabetes patients. Thus, the present online study analyzed the readiness to use telemonitoring among Austrian diabetes patients. We developed and validated a German version of the patient telehealth readiness assessment tool and performed quantitative context analysis of free-text comments on perceived barriers and benefits of telemonitoring. Participants (n = 41, 42.6% females) achieved a medium average readiness level for telemonitoring. The three top benefits were intensified care, shorter travel and waiting times, and better therapy adjustment. The top three barriers were data privacy issues, loss of personal communication and focus on blood sugar, and teledoctor competence. Diabetes patients represent a suitable target group for remote treatment opportunities. However, a shift from traditional face-to-face medical care to exclusive telemonitoring treatment from diagnosis to consultation and treatment requires fundamental new legal framework conditions.

摘要

数字化医疗服务为糖尿病患者提供远程、经济高效的治疗。因此,本在线研究分析了奥地利糖尿病患者使用远程监护的准备情况。我们开发并验证了患者远程健康准备评估工具的德语版本,并对远程监护的感知障碍和益处的自由文本评论进行了定量背景分析。参与者(n=41,女性占 42.6%)对远程监护具有中等平均准备水平。前三大益处是加强护理、减少旅行和等待时间以及更好地调整治疗。前三大障碍是数据隐私问题、丧失个人沟通和关注血糖以及远程医生的能力。糖尿病患者是远程治疗机会的合适目标群体。然而,从传统的面对面医疗服务向仅通过远程监护进行诊断、咨询和治疗的治疗方式转变,需要新的法律框架条件。

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