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[Digital Transformation of Healthcare: A Delphi Study of the Working Groups Digital Health and Validation and Linkage of Secondary Data of the German Network for Health Services Research (DNVF)].[医疗保健的数字化转型:德国卫生服务研究网络(DNVF)数字健康工作组以及二次数据验证与关联的德尔菲研究]
Gesundheitswesen. 2022 Jul;84(7):581-596. doi: 10.1055/a-1821-8429. Epub 2022 Jun 9.
2
Teledermatology During COVID-19: An Updated Review.新冠疫情期间的远程皮肤病学:更新综述。
Am J Clin Dermatol. 2021 Jul;22(4):467-475. doi: 10.1007/s40257-021-00601-y. Epub 2021 Apr 9.
3
Economics of Teledermatology-Does the Math Add Up?
JAMA Dermatol. 2021 Jan 1;157(1):27-28. doi: 10.1001/jamadermatol.2020.4067.
4
[Digitalization and Health Sciences - White Paper Digital Public Health].[数字化与健康科学——白皮书《数字公共卫生》]
Gesundheitswesen. 2020 Jul;82(7):620-622. doi: 10.1055/a-1191-4344. Epub 2020 Jul 22.
5
Teledermatology: a useful tool to fight COVID-19.远程皮肤病学:对抗新冠疫情的有用工具。
J Dermatolog Treat. 2020 Jun;31(4):325. doi: 10.1080/09546634.2020.1750557. Epub 2020 Apr 13.
6
Long-Term Weight Management Using Wearable Technology in Overweight and Obese Adults: Systematic Review.长期使用可穿戴技术管理超重和肥胖成年人的体重:系统评价。
JMIR Mhealth Uhealth. 2020 Mar 10;8(3):e13461. doi: 10.2196/13461.
7
Barriers and Facilitators That Influence Telemedicine-Based, Real-Time, Online Consultation at Patients' Homes: Systematic Literature Review.影响基于远程医疗的患者家中实时在线咨询的障碍与促进因素:系统文献综述
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8
Teledermatology and its Current Perspective.远程皮肤病学及其当前展望。
Indian Dermatol Online J. 2020 Jan 13;11(1):12-20. doi: 10.4103/idoj.IDOJ_241_19. eCollection 2020 Jan-Feb.
9
Telemonitoring and experimentation in telemedicine for the improvement of healthcare pathways (ETAPES program). Sustainability beyond 2021: What type of organisational model and funding should be used?远程医疗中的远程监护和实验,以改善医疗保健途径(ETAPES 计划)。2021 年后的可持续性:应采用何种组织模式和资金?
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Telehealth and telemedicine applications for the diabetic foot: A systematic review.远程医疗和远程医疗在糖尿病足中的应用:系统评价。
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[远程皮肤病学的接受度:德国萨克森州全科医生和皮肤科医生的调查结果]

[Acceptance of Teledermatology: Results of a Survey of General Practitioners and Dermatologists in Saxony (Germany)].

作者信息

Kriwy Peter, Nötzold Anett, Seitz Anna-Theresa, Berger Roger

机构信息

Institut für Soziologie, Technische Universität Chemnitz, Chemnitz, Germany.

Stammdatenmanagement, Medizinisches Labor Westsachsen, Zwickau, Germany.

出版信息

Gesundheitswesen. 2023 Dec;85(12):1149-1156. doi: 10.1055/a-1999-7523. Epub 2023 Jan 31.

DOI:10.1055/a-1999-7523
PMID:36720234
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11248933/
Abstract

AIM OF THE STUDY

The aim of this study was to investigate acceptance and intention to use teledermatological application by means of a survey of general practitioners and dermatologists in Saxony (Germany). Considering the demographic development in Saxony and the low regional density of medical specialists, this federal state is particularly well suited for conducting a survey dealing with telemedicine.

METHODS

Based on a stratified random selection, 108 physicians were interviewed via self-administered postal or online questionnaire (60 general practitioners and 48 dermatologists, response rate: 23.5%). The theory of acceptance and use of technology (UTAUT) was applied to teledermatology. Four central hypotheses were deduced and tested with logistic regressions.

RESULTS

The tested hypotheses postulating relationships between performance expectancy, effort expectancy, social influence and facilitating conditions and the intention to use teledermatology were partly confirmed. In addition, teledermatology was shown to have potential among Saxon general practitioners, as 9.5% of their patients came to the medical office for treatment of skin diseases; 78% of general practitioners offered skin cancer screenings.

CONCLUSION

The population structure and the low density of medical specialists in Saxony would be favourable prerequisites for the implementation of teledermatology. Survey results failed to show any reservations of general practitioners and dermatologists towards teledermatology.

摘要

研究目的

本研究旨在通过对德国萨克森州的全科医生和皮肤科医生进行调查,来探究远程皮肤病应用的接受度和使用意愿。考虑到萨克森州的人口发展情况以及该地区医学专家密度较低,这个联邦州特别适合开展一项关于远程医疗的调查。

方法

基于分层随机抽样,通过自填式邮政问卷或在线问卷对108名医生进行了访谈(60名全科医生和48名皮肤科医生,回复率:23.5%)。技术接受与使用理论(UTAUT)被应用于远程皮肤病学。推导了四个核心假设,并通过逻辑回归进行了检验。

结果

假设绩效期望、努力期望、社会影响和便利条件与使用远程皮肤病学意愿之间存在关系的检验假设得到了部分证实。此外,远程皮肤病学在萨克森州的全科医生中显示出有潜力,因为他们9.5%的患者因皮肤病前来诊所就诊;78%的全科医生提供皮肤癌筛查。

结论

萨克森州的人口结构和医学专家的低密度将是实施远程皮肤病学的有利前提条件。调查结果未显示全科医生和皮肤科医生对远程皮肤病学有任何保留意见。