Digital health in rheumatology

Ravindran, Vinod; Kataria, Suchitra

doi:10.1136/annrheumdis-2018-214146

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Furthermore, the negative association between being aged 51 to 60 years and TM willingness is striking, as the average age of physicians in Germany is currently 54.2 years with an increasing trend [ 38 ]. This is linked to substantial concerns about increasing workforce shortage [ 5 ], which TM is actually intended to address [ 6 , 39 ]. However, a previous study on mobile health found no gender differences in patients with rheumatoid arthritis yet revealed a negative correlation with age [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Telemedicine Use Among German General Practitioners and Rheumatologists: Secondary Analysis of Data From a Nationwide Survey

Muehlensiepen¹,

Petit²,

Knitza³

et al. 2022

J Med Internet Res

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Background Previous studies have demonstrated telemedicine (TM) to be an effective tool to complement rheumatology care and address workforce shortage. With the outbreak of the SARS-CoV-2 pandemic, TM experienced a massive upswing. However, in rheumatology care, the use of TM stagnated again shortly thereafter. Consequently, the factors associated with physicians’ willingness to use TM (TM willingness) and actual use of TM (TM use) need to be thoroughly investigated. Objective This study aimed to identify the factors that determine TM use and TM willingness among German general practitioners and rheumatologists. Methods We conducted a secondary analysis of data from a German nationwide cross-sectional survey with general practitioners and rheumatologists. Bayesian univariate and multivariate logistic regression analyses were applied to the data to determine which factors were associated with TM use and TM willingness. The predictor variables (covariates) that were studied individually included sociodemographic factors (eg, age and sex), work characteristics (eg, practice location and medical specialty), and self-assessed knowledge of TM. All the variables positively and negatively associated with TM use and TM willingness in the univariate analysis were then considered for Bayesian model averaging analysis after a selection based on the variance inflation factor (≤2.5). All analyses were stratified by sex. Results Univariate analysis revealed that out of 83 variables, 36 (43%) and 34 (41%) variables were positively or negatively associated (region of practical equivalence≤5%) with TM use and TM willingness, respectively. The Bayesian model averaging analysis allowed us to identify 13 and 17 factors of TM use and TM willingness, respectively. Among these factors, being female, having very poor knowledge of TM, treating <500 patients per quarter, and not being willing to use TM were negatively associated with TM use, whereas having good knowledge of TM and treating >1000 patients per quarter were positively associated with TM use. In addition, being aged 51 to 60 years, thinking that TM is not important for current and future work, and not currently using TM were negatively associated with TM willingness, whereas owning a smart device and working in an urban area were positively associated with TM willingness. Conclusions The results point to the close connection between health care professionals’ knowledge of TM and actual TM use. These results lend support to the integration of digital competencies into medical education as well as hands-on training for health care professionals. Incentive programs for physicians aged >50 years and practicing in rural areas could further encourage TM willingness.

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Section: Discussionmentioning

confidence: 99%

Factors Associated With Telemedicine Use Among German General Practitioners and Rheumatologists: Secondary Analysis of Data From a Nationwide Survey

Muehlensiepen¹,

Petit²,

Knitza³

et al. 2022

J Med Internet Res

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show abstract

“…A first publication on a hero in the ‘Heroes and Pillars of Rheumatology’ part has also appeared,5 a section intended to tell the younger rheumatologists about people (or publications) that paved the roads to modern rheumatology—more will follow. Finally, ARD also made an initial blink into the ‘unthinkable’ future,6 which already elicited an interesting online discussion 7 8…”

mentioning

confidence: 99%

Greetings from the editor 2019

Smolen

2018

Ann Rheum Dis

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“…It was with great interest that I read the e-letter by Drs Kataria and Ravindran1 directed to a recent article of mine in the new Annals of the Rheumatic Diseases section ‘Thinking the unthinkable’ 2. Their comments are much appreciated, especially since they re-emphasise the upcoming disruption in chronic diseases, but also outline the complexity that many tools will not yet be approved by regulatory authorities for use in daily routine care.…”

mentioning

confidence: 99%

Response to: ‘Digital health: a new dimension in rheumatology patient care’ by Kataria and Ravindran

Burmester

2018

Ann Rheum Dis

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Digital health in rheumatology

Cited by 5 publications

References 4 publications

Factors Associated With Telemedicine Use Among German General Practitioners and Rheumatologists: Secondary Analysis of Data From a Nationwide Survey

Factors Associated With Telemedicine Use Among German General Practitioners and Rheumatologists: Secondary Analysis of Data From a Nationwide Survey

Greetings from the editor 2019

Response to: ‘Digital health: a new dimension in rheumatology patient care’ by Kataria and Ravindran

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