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      Chancen und Herausforderungen der Digitalisierung bei der Rehabilitation – Ergebnisse einer Befragung von Rehabilitationseinrichtungen Translated title: Opportunities and Challenges of Digitalization in Rehabilitation: Results of a Survey of Rehabilitation Facilities

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          Zusammenfassung

          Ziel der Studie Ziel der Studie ist die Messung des Stands der Digitalisierung und die mit einer Anbindung an die Telematikinfrastruktur verbundenen Chancen und Herausforderungen für Rehabilitationseinrichtungen.

          Methodik Teilstandardisierte Online-Befragung bei Trägern von Rehabilitationseinrichtungen in Bayern (n=33). Der Fragebogen mit 36 Fragen beinhaltet eine leicht veränderte Skala auf Basis des „Electronic Medical Record Adoption Model (EMRAM)“.

          Ergebnisse Der Digitalisierungsgrad wurde in 70 Prozent der Rehabilitationseinrichtungen mit Stufe 0 angegeben (Stufenmodell bis 7). Die Übermittlung patientenbezogener Daten (Eingang und Ausgang) erfolgt häufig analog, wohingegen die Verarbeitung innerhalb der Einrichtung in vielen Fällen bereits überwiegend digital ist. Beim Anschluss an die Telematikinfrastruktur wird hoher Aufwand bei der Installation, aber auch der Schulung des Personals und der Anpassung der Arbeitsorganisation gesehen.

          Schlussfolgerung Durch Änderung der gesetzlich-finanziellen Lage in Deutschland eröffnen sich für Rehabilitationseinrichtungen neue Möglichkeiten einer verstärkten Digitalisierung. Hürden hängen mit Anforderungen an IT-Sicherheit, Schulung des Personals und sowie dem ebenfalls geringen Digitalisierungsstand bei Krankenhäusern und Ärzt*innen sowie Patient*innen zusammen, die eine digitale Datenübermittlung erschweren.

          Abstract

          Purpose The aim of this study was to measure the status of digitalization and the opportunities and challenges for rehabilitation facilities connected to telematics infrastructure.

          Methods A partially standardized online survey of all providers of rehabilitation facilities in Bavaria (n=33) was carried out. The questionnaire with 36 questions included a scale based on the Electronic Medical Record Adoption Model (EMRAM).

          Results The level of digitization was reported as level 0 in 70% of the rehabilitation facilities (level model to 7). The transmission of patient-related data (incoming and outgoing) is often analogue, whereas the processing within the facility is already predominantly digital in many cases. When connecting to the telematics infrastructure, installation, training of staff and adaptation of work organization required quite a bit of effort.

          Conclusion Changes in the legal-financial situation in Germany open up new opportunities for increased digitalization of rehabilitation facilities. Hurdles are related to IT security requirements, staff training, and the low level of digitalization in hospitals, among doctors, and patients, which make digital data transmission difficult.

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          Improving web survey efficiency: the impact of an extra reminder and reminder content on web survey response

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            Use of Health Apps and Wearable Devices: Survey Among Italian Associations for Patient Advocacy

            Background Technological tools such as Web-based social networks, telemedicine, apps, or wearable devices are becoming more widespread in health care like elsewhere. Although patients are the main users, for example, to monitor symptoms and clinical parameters or to communicate with the doctor, their perspective is seldom analyzed, and to the best of our knowledge, no one has focused on the patients’ health care advocacy associations’ point of view. Objective The objective of this study was to assess patients’ health care advocacy associations’ opinions about the use, usefulness, obstacles, negative aspects, and impact of health apps and wearable devices through a Web-based survey. Methods We conducted a Web-based survey through SurveyMonkey over nearly 3 months. Participants were contacted via an email explaining the aims of the survey and providing a link to complete the Web-based questionnaire. All the 20 items were mandatory, and the anonymized data were collected automatically into a database. Only fully completed questionnaires were considered for analysis. Results We contacted 1998 patients’ health care advocacy associations; a total of 258 questionnaires were received back (response rate 12.91%), and 227 of the received questionnaires were fully completed (completion rate 88.0%). Informative apps, hospital apps for viewing medical reports or booking visits, and those for monitoring physical activity are the most used. They are considered especially useful to improve patients’ engagement and compliance with treatment. Wearable devices to check physical activity and glycemia are the most widespread considering, again, their benefits in increasing patients’ involvement and treatment compliance. For health apps and wearable devices, the main obstacles to their use are personal and technical reasons; the risk of overmedicalization is considered the most negative aspect of their constant use, while privacy and confidentiality of data are not rated a limitation. No statistical difference was found on stratifying the answers by responders’ technological level (P=.30), age (P=.10), and the composition of the association’s advisory board (P=.15). Conclusions According to responders, health apps and wearable devices are sufficiently known and used and are considered potential supports for greater involvement in health management. However, there are still obstacles to their adoption, and the developers need to work to make them more accessible and more useful. The involvement of patients and their associations in planning services and products based on these technologies (as well as others) would be desirable to overcome these barriers and boost awareness about privacy and the confidentiality of data.
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              Healthcare — Between Privacy and State-of-the-Art Medical Technology

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                Author and article information

                Journal
                Rehabilitation (Stuttg)
                Rehabilitation (Stuttg)
                10.1055/s-00000065
                Die Rehabilitation
                Georg Thieme Verlag (Rüdigerstraße 14, 70469 Stuttgart, Germany )
                0034-3536
                1439-1309
                22 August 2023
                October 2023
                1 August 2023
                : 62
                : 5
                : 299-307
                Affiliations
                [1 ]Institut für Sozialforschung und Technikfolgenabschätzung (IST), Ostbayerische Technische Hochschule (OTH) Regensburg
                [2 ]eHealth Labor, Ostbayerische Technische Hochschule (OTH) Regensburg, Regensburg
                Author notes
                Korrespondenzadresse Prof. Dr. Sonja Haug Ostbayerische Technische Hochschule RegensburgInstitut für Sozialforschung und Technikfolgenabschätzung (IST)Seybothstr. 293053 RegensburgDeutschland sonja.haug@ 123456oth-regensburg.de
                Author information
                http://orcid.org/0000-0003-1543-4680
                http://orcid.org/0000-0002-8399-6151
                http://orcid.org/0000-0002-0166-0460
                Article
                reha2022-09-0051
                10.1055/a-2123-1566
                10581779
                37607573
                de332dba-f035-4f4b-ad67-4d7f73a2fa2a
                The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

                This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.

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                Categories
                Original Article

                patientenbezogene daten,digitalisierungsgrad,telematikinfrastruktur,it-management,patient-related data,degree of digitalization,telematics infrastructure,it managementonline publiziert 2023

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