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[数字化在诊所和医疗实践中的接受情况与现状:德国泌尿外科的当前评估]

[Acceptance and status of digitalization in clinics and practices : Current assessment in German urology].

作者信息

Borkowetz Angelika, Leitsmann Marianne, Baunacke Martin, Borgmann Hendrik, Boehm Katharina, Groeben Christer, Roigas Jan, Schneider Andreas W, Speck Thomas, Schroeder-Printzen Immo, Zillich Susanne, Volkmer Björn, Witzsch Ulrich, Huber Johannes

机构信息

Klinik und Poliklinik für Urologie, Universitätsklinikum Dresden, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.

Klinik für Urologie, Medizinische Universität Graz, Graz, Österreich.

出版信息

Urologie. 2022 Dec;61(12):1365-1372. doi: 10.1007/s00120-022-01889-2. Epub 2022 Jul 19.

Abstract

BACKGROUND

Digitalization of patient documentation and introduction of the electronic patient record (ePA) pose challenges to everyday clinical practice.

OBJECTIVES

We investigated the acceptance and status of the digitalization of patient data and the introduction of the ePA among German urologists.

MATERIALS AND METHODS

A questionnaire with 30 questions about the acceptance and status of digitalization of patient documentation and ePA was sent out via the newsletter of the German Society of Urology.

RESULTS

A total of 80 urologists participated in the survey (response rate 2%). Digital platforms such as Urotube or Researchgate are used by 63% of participants. The complete implementation of digital patient documentation was reported by 72% of respondents working in medical practice and by 54% of those working in the hospital (p = 0.042). While 76% see the digitalization process as reasonable, 34% expressed partial or strong concerns about the complete digitalization of patient documentation. Only 14% of the participants offer video consultations. Advantages for ePA include better networking of the healthcare system (73%), improved diagnosis, indication (41%) and treatment quality (48%), and avoidance of medication errors (70%).

CONCLUSION

German urologists are open to the digitalization process and ePA. Especially younger urologists are using digital media. The advantages of digitalization are, in particular, an improvement in treatment processes. For a smooth introduction, a cross-departmental establishment and, if necessary, an adaptation of the treatment processes are necessary.

摘要

背景

患者文档数字化以及电子病历(ePA)的引入给日常临床实践带来了挑战。

目的

我们调查了德国泌尿科医生对患者数据数字化和引入ePA的接受程度及现状。

材料与方法

通过德国泌尿外科学会的时事通讯发送了一份包含30个关于患者文档数字化和ePA的接受程度及现状问题的问卷。

结果

共有80名泌尿科医生参与了调查(回复率2%)。63%的参与者使用Urotube或Researchgate等数字平台。在医疗实践中工作的72%的受访者以及在医院工作的54%的受访者报告称已完全实施数字患者文档(p = 0.042)。虽然76%的人认为数字化过程是合理的,但34%的人对患者文档的完全数字化表示部分或强烈担忧。只有14%的参与者提供视频咨询。ePA的优势包括医疗系统更好地联网(73%)、诊断、适应症(41%)和治疗质量的提高(48%)以及避免用药错误(70%)。

结论

德国泌尿科医生对数字化过程和ePA持开放态度。尤其是年轻的泌尿科医生正在使用数字媒体。数字化的优势尤其在于治疗过程的改善。为了顺利引入,需要跨部门建立并在必要时调整治疗过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f3/9729156/18a2b26bca11/120_2022_1889_Fig1_HTML.jpg

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