Harder Jamie Lee, Linden Philipp, Jahn Leonie, Aslan Meryem, Schmücker Vanessa
Seminar für Sozialwissenschaften, Universität Siegen, Siegen, Deutschland.
Seminar für Sozialwissenschaften, Universität Siegen, Siegen, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2022 Apr;169:67-74. doi: 10.1016/j.zefq.2021.12.008. Epub 2022 Feb 16.
Family doctor care in rural areas is facing upheaval. On the one hand, demographic change is increasing patient demand, but on the other hand, it is also reducing physician density. In this context, telemedicine opens up new potentials for care. This study explores the possibilities of digitalization in family care with diverse stakeholders. The most important element of this work is to explore the attitudes towards telemedical supplementary options in primary care. In doing so, the chances and concerns of both general practitioners and citizens will be analyzed. The aim is to find out possibilities which can relieve GPs and support the health care provision in rural regions in the long term.
A mixed-methods design combines findings from qualitative semi-structured guided interviews with general practitioners (N=8) with a quantitative citizen survey (N=1,276) in a rural region.
Concern about future health care provision is high among physicians and citizens. Although physicians see a need for action and opportunities through telemedicine measures, they also raise clear concerns about the doctor-patient relationship. The citizens are principally open to various telemedical options and can imagine using simple services such as e-prescription and e-appointment booking.
These results can serve as a basis for the further development of digital offerings of family doctors' offices as well as other model projects in rural regions, if they guarantee low-threshold access, are implemented in cooperation with doctors and patients and do not endanger the established doctor-patient relationship.
There are major concerns about the future of family physician care, especially in rural areas. The COVID-19 pandemic opens up opportunities for digitization across age boundaries. Initially, however, telemedicine care can only have a supplementary role. Low-threshold offerings in close cooperation with the family doctor are particularly promising here.
农村地区的家庭医生护理正面临变革。一方面，人口结构变化使患者需求增加，但另一方面，这也导致医生密度降低。在此背景下，远程医疗为护理开辟了新的潜力。本研究探讨了家庭护理数字化与不同利益相关者的可能性。这项工作的最重要因素是探索基层医疗中对远程医疗补充选项的态度。在此过程中，将分析全科医生和公民的机会与担忧。目的是找出能够减轻全科医生负担并长期支持农村地区医疗服务的可能性。
采用混合方法设计，将对农村地区全科医生（N = 8）进行的定性半结构化访谈结果与定量公民调查（N = 1276）相结合。
医生和公民对未来医疗服务的担忧程度较高。尽管医生认为有必要采取行动并通过远程医疗措施获得机会，但他们也对医患关系提出了明确担忧。公民原则上对各种远程医疗选项持开放态度，并能想象使用电子处方和电子预约挂号等简单服务。
如果这些结果能保证低门槛接入、与医生和患者合作实施且不危及既定的医患关系，那么它们可作为进一步发展家庭医生诊所数字服务以及农村地区其他示范项目的基础。
对家庭医生护理的未来，尤其是农村地区，存在重大担忧。新冠疫情为跨年龄界限的数字化带来了机遇。然而，最初远程医疗护理只能起辅助作用。在此，与家庭医生密切合作的低门槛服务尤其有前景。
