Kriwy Peter, Nötzold Anett, Seitz Anna-Theresa, Berger Roger
Institut für Soziologie, Technische Universität Chemnitz, Chemnitz, Germany.
Stammdatenmanagement, Medizinisches Labor Westsachsen, Zwickau, Germany.
Gesundheitswesen. 2023 Dec;85(12):1149-1156. doi: 10.1055/a-1999-7523. Epub 2023 Jan 31.
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.
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.
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.
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.
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。
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。
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。
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。