Heidel Alexandra, Hagist Christian, Spinler Stefan, Schoeneberger Michael
WHU - Otto Beisheim School of Management, Vallendar, Germany.
JMIR Hum Factors. 2023 May 4;10:e42186. doi: 10.2196/42186.
In 2019, Germany launched the Digital Healthcare Act. The reform enables physicians to prescribe health apps as treatments to their statutory-insured patients.
We aimed to determine the extent to which the integration of health apps into standard care could be considered beneficial and which aspects of the regulation could still be improved.
We conducted a semistructured interview study with 23 stakeholders in Germany and analyzed them thematically. We used descriptive coding for the first-order codes and pattern coding for the second-order codes.
We created 79 first-order codes and 9 second-order codes following the interview study. Most stakeholders argued that the option of prescribing health apps could improve treatment quality.
The inclusion of health apps into German standard care could improve the quality of treatment by expanding treatment portfolios. The educational elements of the apps might additionally lead to more patient emancipation through a better understanding of personal conditions. Location and time flexibility are the biggest advantages of the new technologies, but they also raise the most significant concerns for stakeholders because app use requires personal initiative and self-motivation. Overall, stakeholders agree that the Digital Healthcare Act has the potential to remove dust from the German health care system.
2019年，德国颁布了《数字医疗法案》。这项改革使医生能够为其法定参保患者开具健康应用程序作为治疗手段。
我们旨在确定将健康应用程序整合到标准护理中在多大程度上可被视为有益，以及该法规的哪些方面仍可改进。
我们对德国的23名利益相关者进行了半结构化访谈研究，并对其进行了主题分析。我们对一阶编码使用描述性编码，对二阶编码使用模式编码。
访谈研究后，我们创建了79个一阶编码和9个二阶编码。大多数利益相关者认为，开具健康应用程序的选项可以提高治疗质量。
将健康应用程序纳入德国标准护理可以通过扩大治疗组合来提高治疗质量。应用程序的教育元素可能还会通过患者对自身状况的更好理解而带来更多的患者自主。地点和时间的灵活性是这些新技术的最大优势，但它们也引起了利益相关者最大的担忧，因为应用程序的使用需要个人主动性和自我激励。总体而言，利益相关者一致认为，《数字医疗法案》有可能清除德国医疗保健系统中的积弊。
