Rauner Yvonne, Stummer Harald
Institute for Management and Economics in Health Care, UMIT TIROL-Private University for Health Sciences and Health Technology, 6060 Hall, Austria.
Faculty for Business Administration, Seeburg Castle University, 5201 Seekirchen am Wallersee, Austria.
Healthcare (Basel). 2024 Jan 6;12(2):129. doi: 10.3390/healthcare12020129.
(1) Background: Individual adoption experiences represent important factors in implementing innovations. In the context of health systems, where the implementation of innovations aims to improve the quality of care, they provide an important basis for developing and adapting implementation strategies. (2) Methods: This study examines the adoption experiences of (tele-)medical experts ( = 13) using the example of telemedicine in the German healthcare system by means of a qualitative, guideline-based interview study. The interview guide, as well as the deductive-inductive analysis, is based on Rogers' adoption theory. The transcription and analysis process was carried out according to Kuckartz. (3) Results: A total of 304 interview statements could be coded and assigned to the five main categories of persuasion, knowledge, implementation, decision and confirmation. More than half of all statements were coded under the main category persuasion, with its subcategories of convictions regarding the implementation of telemedicine ( = 89), international comparison of Germany's development ( = 50), telemedicine as a way of optimizing resources ( = 22) and conviction to understand telemedicine as an overall system ( = 10). (4) Conclusions: This study provides insight into how the implementation of telemedicine in the German healthcare system is perceived by experts and allows for adjustments to the ongoing implementation strategy.
(1) 背景：个体采用经历是实施创新的重要因素。在卫生系统背景下，创新实施旨在提高医疗质量，这些经历为制定和调整实施策略提供了重要依据。(2) 方法：本研究以德国医疗系统中的远程医疗为例，通过一项基于定性指南的访谈研究，考察了（远程）医学专家（n = 13）的采用经历。访谈指南以及演绎 - 归纳分析均基于罗杰斯的采用理论。转录和分析过程按照库卡茨的方法进行。(3) 结果：总共304条访谈陈述可被编码并归入说服、知识、实施、决策和确认这五个主要类别。所有陈述中超过一半被编码在主要类别说服之下，其细分类别包括对远程医疗实施的信念（n = 89）、德国发展的国际比较（n = 50）、远程医疗作为优化资源的方式（n = 22）以及将远程医疗理解为一个整体系统的信念（n = 10）。(4) 结论：本研究深入了解了德国医疗系统中专家对远程医疗实施的看法，并有助于对正在进行的实施策略进行调整。
