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      Embracing digital health: German otolaryngology patients’ usage and prospects of digital information and communication technologies for cross-sectoral care

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          Abstract

          Objective

          The usage of digital information and communication technologies in European healthcare is growing. Unlike numerous technological possibilities, the present use of these technologies and perspectives towards them in relation to otolaryngology care have so far been of less interest. This study evaluates the utilisation of and attitudes towards digital information and communication technologies in cross-sectoral otolaryngology care among German patients.

          Methods

          A structured interview-based study was conducted at the outpatient facility of a tertiary hospital in Germany. It focused on chief complaints, current use of digital technologies, estimated benefits of increased digital technology use in otolaryngology care, and sociodemographic data. The detailed statistical analysis employed Chi-squared tests and multivariate logistic regression.

          Results

          A total of 208 otolaryngology patients completed the interview. Digital communication technologies exhibited a high penetration rate (91.8%) and were regularly used in daily life (78.7%) and for health reasons (73.3%). Younger age ( p ≤ 0.003) and higher education levels ( p ≤ 0.008) were significantly correlated with the increased digital communication technology use. The overall potential of eHealth technologies was rated significantly higher by younger patients ( p ≤ 0.001). The patients’ chief complaints showed no significant influence on the current and potential use of these technologies for cross-sectoral otolaryngology care.

          Conclusion

          Regardless of their chief complaints, German otolaryngology patients regularly use digital information and communication technologies for health reasons and express interest in their further use for cross-sectoral care. To enhance digital patient communication in otolaryngology, attention should be given to treatment quality, usability, data security and availability and financial remuneration for service providers.

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          Most cited references50

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          Evaluating barriers to adopting telemedicine worldwide: A systematic review

          Introduction and objective Studies on telemedicine have shown success in reducing the geographical and time obstacles incurred in the receipt of care in traditional modalities with the same or greater effectiveness; however, there are several barriers that need to be addressed in order for telemedicine technology to spread. The aim of this review is to evaluate barriers to adopting telemedicine worldwide through the analysis of published work. Methods The authors conducted a systematic literature review by extracting the data from the Cumulative Index of Nursing and Allied Health Literature (CINAHL) and PubMed (MEDLINE) research databases. The reviewers in this study analysed 30 articles (nine from CINAHL and 21 from Medline) and identified barriers found in the literature. This review followed the checklist from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009. The reviewers organized the results into one table and five figures that depict the data in different ways, organized by: barrier, country-specific barriers, organization-specific barriers, patient-specific barriers, and medical-staff and programmer-specific barriers. Results The reviewers identified 33 barriers with a frequency of 100 occurrences through the 30 articles. The study identified the issues with technically challenged staff (11%), followed by resistance to change (8%), cost (8%), reimbursement (5%), age of patient (5%), and level of education of patient (5%). All other barriers occurred at or less than 4% of the time. Discussion and conclusions Telemedicine is not yet ubiquitous, and barriers vary widely. The top barriers are technology-specific and could be overcome through training, change-management techniques, and alternating delivery by telemedicine and personal patient-to-provider interaction. The results of this study identify several barriers that could be eliminated by focused policy. Future work should evaluate policy to identify which one to lever to maximize the results.
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            State of Telehealth.

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              Good practice in the conduct and reporting of survey research.

              K. Kelley (2003)
              Survey research is sometimes regarded as an easy research approach. However, as with any other research approach and method, it is easy to conduct a survey of poor quality rather than one of high quality and real value. This paper provides a checklist of good practice in the conduct and reporting of survey research. Its purpose is to assist the novice researcher to produce survey work to a high standard, meaning a standard at which the results will be regarded as credible. The paper first provides an overview of the approach and then guides the reader step-by-step through the processes of data collection, data analysis, and reporting. It is not intended to provide a manual of how to conduct a survey, but rather to identify common pitfalls and oversights to be avoided by researchers if their work is to be valid and credible.
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                Author and article information

                Journal
                Digit Health
                Digit Health
                DHJ
                spdhj
                Digital Health
                SAGE Publications (Sage UK: London, England )
                2055-2076
                6 May 2024
                Jan-Dec 2024
                : 10
                : 20552076241249280
                Affiliations
                [1 ]Department of Medical Development, Process and Quality Management, Tuebingen University Hospital, 72076 Tuebingen, Germany
                [2 ]eHealth Research Group, Department of Otolaryngology — Head and Neck Surgery, Tuebingen University Hospital, 72076 Tuebingen, Germany
                [3 ]Institute of Health Care and Public Management, University of Hohenheim, 70599 Stuttgart, Germany
                [4 ]Business Teams, German Society for Telematic Applications of the Health Card, 10117 Berlin, Germany
                [5 ]Tuebingen Institute for Medical Education (TIME), Faculty of Medicine, University of Tuebingen, 72076 Tuebingen, Germany
                [6 ]Institute of Medical Systems Biology, University of Ulm, 89081 Ulm, Germany
                Author notes
                [*]Leonie Stauss, Hoppe-Seyler-Str. 6, 72076 Tuebingen, Germany. Email: leonie.stauss@ 123456med.uni-tuebingen.de
                Author information
                https://orcid.org/0000-0002-9731-211X
                https://orcid.org/0009-0001-7887-0255
                Article
                10.1177_20552076241249280
                10.1177/20552076241249280
                11075615
                38715973
                dc7d6bb9-a8de-4572-810e-91176ecfbfc5
                © The Author(s) 2024

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 8 November 2023
                : 8 April 2024
                Categories
                Original Research Article
                Custom metadata
                ts19
                January-December 2024

                otolaryngology,ehealth,telemedicine,patient engagement,digital health,health communications

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