scholarly journals eHealth Literacy of German Physicians in the Pre–COVID-19 Era: Questionnaire Study (Preprint)

2020 ◽  
Author(s):  
Johanna Kirchberg ◽  
Johannes Fritzmann ◽  
Jürgen Weitz ◽  
Ulrich Bork

BACKGROUND Digitalization is a disruptive technology that changes the way we deliver diagnostic procedures and treatments in medicine. Different stakeholders have varying interests in and expectations of the digitalization of modern medicine. Many recent digital advances in the medical field, such as the implementation of electronic health records, telemedical services, and mobile health apps, are increasingly used by medical professionals and patients. During the current pandemic outbreak of a novel coronavirus-caused respiratory disease (COVID-19), many modern information and communication technologies (ICT) have been used to overcome the physical barriers and limitations caused by government-issued curfews and workforce shortages. Therefore, the COVID-19 pandemic has led to a surge in the usage of modern ICT in medicine. At the same time, the eHealth literacy of physicians working with these technologies has probably not improved since our study. OBJECTIVE This paper describes a representative cohort of German physicians before the COVID-19 pandemic and their eHealth literacy and attitude towards modern ICT. METHODS A structured, self-developed questionnaire about user behavior and attitudes towards eHealth applications was administered to a representative cohort of 93 German physicians. RESULTS Of the 93 German physicians who participated in the study, 97% (90/93) use a mobile phone. Medical apps are used by 42% (39/93). Half of the surveyed physicians (47/93, 50%) use their private mobile phones for official purposes on a daily basis. Telemedicine is part of the daily routine for more than one-third (31/93, 33%) of all participants. More than 80% (76/93, 82%) of the trial participants state that their knowledge regarding the legal aspects and data safety of medical apps and cloud computing is insufficient. CONCLUSIONS Modern ICT is frequently used and mostly welcomed by German physicians. However, there is a tremendous lack of eHealth literacy and knowledge about the safe and secure implementation of these technologies in routine clinical practice.

10.2196/20099 ◽  
2020 ◽  
Vol 8 (10) ◽  
pp. e20099
Author(s):  
Johanna Kirchberg ◽  
Johannes Fritzmann ◽  
Jürgen Weitz ◽  
Ulrich Bork

Background Digitalization is a disruptive technology that changes the way we deliver diagnostic procedures and treatments in medicine. Different stakeholders have varying interests in and expectations of the digitalization of modern medicine. Many recent digital advances in the medical field, such as the implementation of electronic health records, telemedical services, and mobile health apps, are increasingly used by medical professionals and patients. During the current pandemic outbreak of a novel coronavirus-caused respiratory disease (COVID-19), many modern information and communication technologies (ICT) have been used to overcome the physical barriers and limitations caused by government-issued curfews and workforce shortages. Therefore, the COVID-19 pandemic has led to a surge in the usage of modern ICT in medicine. At the same time, the eHealth literacy of physicians working with these technologies has probably not improved since our study. Objective This paper describes a representative cohort of German physicians before the COVID-19 pandemic and their eHealth literacy and attitude towards modern ICT. Methods A structured, self-developed questionnaire about user behavior and attitudes towards eHealth applications was administered to a representative cohort of 93 German physicians. Results Of the 93 German physicians who participated in the study, 97% (90/93) use a mobile phone. Medical apps are used by 42% (39/93). Half of the surveyed physicians (47/93, 50%) use their private mobile phones for official purposes on a daily basis. Telemedicine is part of the daily routine for more than one-third (31/93, 33%) of all participants. More than 80% (76/93, 82%) of the trial participants state that their knowledge regarding the legal aspects and data safety of medical apps and cloud computing is insufficient. Conclusions Modern ICT is frequently used and mostly welcomed by German physicians. However, there is a tremendous lack of eHealth literacy and knowledge about the safe and secure implementation of these technologies in routine clinical practice.


1983 ◽  
Vol 17 (3) ◽  
pp. 169-176 ◽  
Author(s):  
David Haber

A ten-week yoga program was implemented with sixty-one white and forty-five low-income black elders at two community sites, along with a pretest-posttest control group research design with random assignment at each site. White elders attended class regularly, practiced yoga on their own on a daily basis, improved psychological well-being, and lowered their systolic blood pressure level, in comparison to a control group. Black elders, on the other hand, attended the once-a-week class regularly but did not practice on their own on a daily basis. Thus, they did not improve psychological well-being nor reduce blood pressure level in comparison to a control group. Social analysts suggest that low-income minority elders need more frequent contact with structured leadership in order to adhere to a daily routine that may lead to psychological and physical change. Other directions for controlled follow-up studies are suggested.


2010 ◽  
pp. 1172-1192
Author(s):  
Umit Topacan ◽  
A. Nuri Basoglu ◽  
Tugrul U. Daim

Recent developments in information and communication technologies have helped to accelerate the diffusion of electronic services in the medical industry. Health information services house, retrieve, and make use of medical information to improve service quality and reduce cost. Users—including medical staff, administrative staff, and patients—of these systems cannot fully benefit from them unless they can use them comfortably. User behavior is affected by various factors relating to technology characteristics, user characteristics, social environment, and organizational environment. Our research evaluated the determinants of health information service adoption and analyzed the relationship between these determinants and the behavior of the user. Health information service adoption was found to be influenced by service characteristics, user characteristics, intermediary variables, facilitating conditions, and social factors.


2018 ◽  
Author(s):  
Laite Chen ◽  
Chen-Yang Jiang

BACKGROUND Smart phones containing medical related apps have been applied to medical practice and proved to be helpful by previous studies. However, no attention has been paid to the use of mobile phone and medical related apps among foreign medical students(FMSs) in China. OBJECTIVE The objective of the study was to investigate the utilization of mobile phones with medical apps among FMSs in WMU. METHODS A survey of FMSs was conducted in Wenzhou Medical University (WMU). Data from questionnaire include the major obstacles FMSs face in China; the acceptance and preference of medical related apps in FMSs; the patterns of medical related app usage within FMSs. RESULTS This study included ninety-three FMSs, all of whom owned at least one mobile phone. Most owners had more than one medical related app. No difference on gender or operating system was found in utilization of apps. 55% of FMSs reported using medical related apps on a daily basis, among which, 65% of them spent more than 20 minutes on medical related apps everyday. CONCLUSIONS Mobile phones were highly applied among FMSs in WMU. With more effort in app designing, smart phones could be a possible solution for necessary aid in learning medicine overseas.


Author(s):  
Aleš Hes ◽  
Daniela Šálková

Information and communications technologies (ICT) are usually given attention primarily from the standpoint of the technical aspects. However the legal aspects of this specific area cannot be forgotten, as they significantly influence the efficacy and usefulness to entrepreneurial subjects i.e. the conditions for making business transactions. ICT are one of the factors that markedly influence agricultural primary production and the food industry as well as all other branches of the economy. Therefore it is necessary to analyse the effect Community legal regulations for electronic transactions have on resource utility. The aim of the paper is to analyse the state of the legal regulation of information and communication technologies in the food industry in the CR in comparison with Community law. Currently a basic overall source of law for the ICT area does not exist in the CR in an integral form. This branch of law is regulated complementarily in a whole number of varying legal regulations. With regards to the specifics of the media used in the ICT framework it is essential to resolve certain issues differently from the general regulations.The paper has resulted from the institutional research intention MSM 6046070906 “The Economics of Resources from Czech Agriculture and their Efficient Use in the Framework of Multifunctional Agri-food Systems“.


Author(s):  
Johannes Knitza ◽  
David Simon ◽  
Antonia Lambrecht ◽  
Christina Raab ◽  
Koray Tascilar ◽  
...  

BACKGROUND Mobile health (mHealth) defines the support and practice of health care using mobile devices and promises to improve the current treatment situation of patients with chronic diseases. Little is known about mHealth usage and digital preferences of patients with chronic rheumatic diseases. OBJECTIVE The aim of the study was to explore mHealth usage, preferences, barriers, and eHealth literacy reported by German patients with rheumatic diseases. METHODS Between December 2018 and January 2019, patients (recruited consecutively) with rheumatoid arthritis, psoriatic arthritis, and axial spondyloarthritis were asked to complete a paper-based survey. The survey included questions on sociodemographics, health characteristics, mHealth usage, eHealth literacy using eHealth Literacy Scale (eHEALS), and communication and information preferences. RESULTS Of the patients (N=193) who completed the survey, 176 patients (91.2%) regularly used a smartphone, and 89 patients (46.1%) regularly used social media. Patients (132/193, 68.4%) believed that using medical apps could be beneficial for their own health. Out of 193 patients, only 8 (4.1%) were currently using medical apps, and only 22 patients (11.4%) stated that they knew useful rheumatology websites/mobile apps. Nearly all patients (188/193, 97.4%) would agree to share their mobile app data for research purposes. Out of 193 patients, 129 (66.8%) would regularly enter data using an app, and 146 patients (75.6%) would welcome official mobile app recommendations from the national rheumatology society. The preferred duration for data entry was not more than 15 minutes (110/193, 57.0%), and the preferred frequency was weekly (59/193, 30.6%). Medication information was the most desired app feature (150/193, 77.7%). Internet was the most frequently utilized source of information (144/193, 74.6%). The mean eHealth literacy was low (26.3/40) and was positively correlated with younger age, app use, belief in benefit of using medical apps, and current internet use to obtain health information. CONCLUSIONS Patients with rheumatic diseases are very eager to use mHealth technologies to better understand their chronic diseases. This open-mindedness is counterbalanced by low mHealth usage and competency. Personalized mHealth solutions and clear implementation recommendations are needed to realize the full potential of mHealth in rheumatology.


Author(s):  
andrio adwibowo

The social distancing as a response to COVID 19 pandemic has led to the exceptional reductions of daily routine people activities and vehicle uses mainly in city. This same situation was also experienced by several busy, large, and populous cities in Southeast Asia (SA) countries. Correspondingly, this study aimed to test the hypothesis that the social distancing implementation period has increased the air quality in the term of carbon monoxide (CO) emission reduction as drawn from Jakarta city as an example of the one of populated cities in SA region. The CO was measured in parts per billions (ppb) and monitored on the daily basis employing remote sensor platform. The monitor periods were started from January, February, March, and April 2020 with 10 measurement days for each month. The social distancing was implemented from mid of March to the recent April. The CO measurement data were statistically tested to justify the significant effects of social distancing on the CO levels. Based on the CO data analysis, the order of CO mean by months is February > January > March > April. The CO levels for January, February, March, and April were 87.46 ppb (95%CI: 83.54-91.37), 88.20 ppb (95%CI: 81.65-94.74), 86.38 (95%CI: 81.06-91.69), and 78.68 (95%CI: 74.03-83.32) respectively. This study also find significant difference (p<0.05) of CO levels especially in April when social distancing has been implemented. Hence, these findings illustrate the potential air pollutant reduction gained from implementing social distancing as can be seen in April.


2021 ◽  
Vol 258 ◽  
pp. 03003
Author(s):  
Ludmila Oznobikhina

The modern world is impossible without telecommunication technologies, which blur state borders and the distance between people, make mobile and video communication available and allow solving many problems in the field of management, education, and commerce. Each person encounters them on a daily basis, sharing phone calls, checking emails or buying goods from online stores. The general concept of information and communication technologies includes a set of methods, processes and devices that allow you to receive, collect, accumulate, store, process and transmit information encoded in digital form or existing in analog form. The actual problem today is the limited number of land plots for the construction of linear facilities, namely telecommunication networks, and it is one of the main problems in the city due to the rather high density of buildings.


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