Korn Sandra, Böttcher Maximilian David, Busse Theresa Sophie, Kernebeck Sven, Breucha Michael, Ehlers Jan, Kahlert Christoph, Weitz Jürgen, Bork Ulrich
Department of Gastrointestinal, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Didactics and Educational Research in Health Science, Faculty of Health, Witten/Herdecke University, Witten, Germany.
JMIR Form Res. 2022 May 20;6(5):e33985. doi: 10.2196/33985.
This survey study investigates surgical patients' use and perception of digital health technologies in Germany in the pre-COVID-19 era.
The objective of this study was to relate surgical patients' characteristics to the use and perception of several digital health technologies.
In this single-center, cross-sectional survey study in the outpatient department of a university hospital in Germany, 406 patients completed a questionnaire with the following three domains: general information and use of the internet, smartphones, and general digital health aspects. Analyses were stratified by age group and highest education level achieved.
We found significant age-based differences in most of the evaluated aspects. Younger patients were more open to using new technologies in private and medical settings but had more security concerns. Although searching for information on illnesses on the web was common, the overall acceptance of and trust in web-based consultations were rather low, with <50% of patients in each age group reporting acceptance and trust. More people with academic qualifications than without academic qualifications searched for information on the web before visiting physicians (73/121, 60.3% and 100/240, 41.7%, respectively). Patients with academic degrees were also more engaged in health-related information and communication technology use.
These results support the need for eHealth literacy, health literacy, and available digital devices and internet access to support the active, meaningful use of information and communication technologies in health care. Uncertainties and a lack of knowledge exist, especially regarding telemedicine and the use of medical and health apps. This is especially pronounced among older patients and patients with a low education status.
这项调查研究旨在探究在新冠疫情前时代德国外科手术患者对数字健康技术的使用情况及看法。
本研究的目的是将外科手术患者的特征与几种数字健康技术的使用及看法联系起来。
在德国一家大学医院门诊部进行的这项单中心横断面调查研究中，406名患者完成了一份包含以下三个领域的问卷：一般信息以及互联网、智能手机的使用情况，还有一般数字健康方面的内容。分析按年龄组和所达到的最高教育水平进行分层。
我们发现在大多数评估方面存在显著的年龄差异。年轻患者在私人和医疗环境中更愿意使用新技术，但对安全问题更为担忧。尽管在网上搜索疾病信息很常见，但对基于网络的咨询的总体接受度和信任度相当低，每个年龄组中报告接受和信任的患者均不到50%。有学历的人比没有学历的人在看医生之前在网上搜索信息的更多（分别为73/121，60.3%和100/240，41.7%）。有学位的患者也更多地参与与健康相关的信息和通信技术的使用。
这些结果支持了对电子健康素养、健康素养以及可用数字设备和互联网接入的需求，以支持在医疗保健中积极、有意义地使用信息和通信技术。存在不确定性和知识缺乏的情况，尤其是关于远程医疗以及医疗和健康应用程序的使用。这在老年患者和低教育水平患者中尤为明显。
