Chien Shih-Ying, Hu Han-Chung, Cho Hsiu-Ying
Department of Industrial Design, Chang Gung University, Taoyuan, Taiwan.
Department of Public Health & Medical Humanities, School of Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan.
J Med Internet Res. 2025 Feb 5;27:e63660. doi: 10.2196/63660.
Digital health adoption in clinical practice has been widespread, yet there remains further potential for optimizing care specifically for chronic obstructive pulmonary disease (COPD). This study therefore conducted qualitative research involving 35 health care professionals from a range of hospitals in Taiwan.
This study aims to investigate barriers and facilitators related to the implementation of digital health technology (DHT) in the long-term monitoring of individuals with COPD based on clinical experiences in Taiwan. The perspectives of Taiwanese health care professionals provided valuable insights into the challenges and opportunities associated with using DHT for the management and enhancement of respiratory rehabilitation and long-term monitoring of patients with COPD.
Several key themes related to the development of DHT were identified. Barriers encompassed concerns pertaining to digital safety, insurance coverage, constraints related to medical resources, and the presence of a digital divide. Facilitators included the potential for cost reduction, personalized prescriptions, and instilling motivation in users.
To enhance the acceptance and use of DHT, embracing a user-centered approach that prioritizes the distinct needs of all parties involved is recommended. Moreover, optimizing and leveraging the effective use of DHT in managing the health of individuals with COPD promises to deliver care characterized by greater precision and efficiency.
Overall, the benefits of using DHT for the long-term care of patients with COPD outweigh the disadvantages. After the COVID-19 pandemic, there has been an increased emphasis in Taiwan on the effectiveness of DHT in managing chronic diseases. Relevant studies including this paper have suggested that web-based exercise management systems could benefit patients with COPD in rehabilitation and tracking. Our findings provide meaningful directions for future research endeavors and practical implementation. By addressing identified barriers and capitalizing on facilitators, advancements can be made in the development and use of DHT, especially in overcoming challenges such as information security and operational methods. The implementation of the recommended strategies will likely lead to improved COPD care outcomes.
数字健康在临床实践中的应用已很广泛，但在优化慢性阻塞性肺疾病（COPD）的护理方面仍有进一步潜力。因此，本研究对来自台湾多家医院的35名医护人员进行了定性研究。
本研究旨在基于台湾的临床经验，调查在COPD患者长期监测中与数字健康技术（DHT）实施相关的障碍和促进因素。台湾医护人员的观点为使用DHT管理和加强COPD患者的呼吸康复及长期监测所带来的挑战和机遇提供了宝贵见解。
确定了与DHT发展相关的几个关键主题。障碍包括对数字安全、保险覆盖范围、医疗资源相关限制以及数字鸿沟的担忧。促进因素包括降低成本的潜力、个性化处方以及激发用户积极性。
为提高DHT的接受度和使用率，建议采用以用户为中心的方法，优先考虑所有相关方的独特需求。此外，优化并有效利用DHT来管理COPD患者的健康有望提供更精准、高效的护理。
总体而言，使用DHT对COPD患者进行长期护理利大于弊。COVID-19大流行后，台湾更加重视DHT在慢性病管理中的有效性。包括本文在内的相关研究表明，基于网络的运动管理系统可能有益于COPD患者的康复和跟踪。我们的研究结果为未来的研究努力和实际应用提供了有意义的方向。通过解决已识别的障碍并利用促进因素，可以在DHT的开发和使用方面取得进展，特别是在克服信息安全和操作方法等挑战方面。实施推荐的策略可能会改善COPD的护理结果。
