德国医生在 COVID-19 大流行前的电子健康素养：问卷调查研究。
eHealth Literacy of German Physicians in the Pre-COVID-19 Era: Questionnaire Study.
机构信息
Department of Visceral, Thoracic, and Vascular Surgery, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
出版信息
JMIR Mhealth Uhealth. 2020 Oct 16;8(10):e20099. doi: 10.2196/20099.
BACKGROUND
Digitalization is a disruptive technology that changes the way we deliver diagnostic procedures and treatments in medicine. Different stakeholders have varying interests in and expectations of the digitalization of modern medicine. Many recent digital advances in the medical field, such as the implementation of electronic health records, telemedical services, and mobile health apps, are increasingly used by medical professionals and patients. During the current pandemic outbreak of a novel coronavirus-caused respiratory disease (COVID-19), many modern information and communication technologies (ICT) have been used to overcome the physical barriers and limitations caused by government-issued curfews and workforce shortages. Therefore, the COVID-19 pandemic has led to a surge in the usage of modern ICT in medicine. At the same time, the eHealth literacy of physicians working with these technologies has probably not improved since our study.
OBJECTIVE
This paper describes a representative cohort of German physicians before the COVID-19 pandemic and their eHealth literacy and attitude towards modern ICT.
METHODS
A structured, self-developed questionnaire about user behavior and attitudes towards eHealth applications was administered to a representative cohort of 93 German physicians.
RESULTS
Of the 93 German physicians who participated in the study, 97% (90/93) use a mobile phone. Medical apps are used by 42% (39/93). Half of the surveyed physicians (47/93, 50%) use their private mobile phones for official purposes on a daily basis. Telemedicine is part of the daily routine for more than one-third (31/93, 33%) of all participants. More than 80% (76/93, 82%) of the trial participants state that their knowledge regarding the legal aspects and data safety of medical apps and cloud computing is insufficient.
CONCLUSIONS
Modern ICT is frequently used and mostly welcomed by German physicians. However, there is a tremendous lack of eHealth literacy and knowledge about the safe and secure implementation of these technologies in routine clinical practice.
背景
数字化是一种颠覆性技术，改变了我们在医学中提供诊断程序和治疗的方式。不同的利益相关者对现代医学的数字化有着不同的兴趣和期望。近年来，许多医学领域的数字技术进步，如电子健康记录、远程医疗服务和移动健康应用程序，越来越多地被医疗专业人员和患者使用。在当前新型冠状病毒引起的呼吸道疾病（COVID-19）大流行期间，许多现代信息和通信技术（ICT）已被用于克服政府发布的宵禁和劳动力短缺造成的物理障碍和限制。因此，COVID-19 大流行导致医学中现代 ICT 的使用激增。与此同时，自我们的研究以来，使用这些技术的医生的电子健康素养可能并没有提高。
目的
本文描述了 COVID-19 大流行前的德国医生的代表性队列及其电子健康素养和对现代 ICT 的态度。
方法
对一个由 93 名德国医生组成的代表性队列进行了一项关于用户行为和电子健康应用态度的结构化、自行开发的问卷。
结果
在参与研究的 93 名德国医生中，97%（90/93）使用手机。有 42%（39/93）的人使用医疗应用程序。一半（47/93，50%）的被调查医生每天在私人手机上处理公务。三分之一以上（31/93，33%）的参与者将远程医疗作为日常工作的一部分。超过 80%（76/93，82%）的试验参与者表示，他们对医疗应用程序和云计算的法律方面和数据安全知识不足。
结论
现代 ICT 被德国医生广泛使用且大多受到欢迎。然而，在安全和可靠地实施这些技术的日常临床实践中，电子健康素养和知识严重匮乏。
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