Digitalisierung in der ambulanten Gesundheitsversorgung

Zingg, Tarja; Sojer, Reinhold; Röthlisberger, Fabian

doi:10.4414/saez.2019.17521

Cited by 11 publications

(13 citation statements)

References 5 publications

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“…However, in 2020, a survey of 842 physicians in the U.S. showed that nearly 50% of them used telemedicine during the pandemic compared to only 18% in 2018 [6]. In countries such as Switzerland, where the telemedicine ecosystem is relatively mature, in comparison to other European countries, the country's largest private providers report about 2.5 million annual telemedical consultations, and that number is increasing [7,8]. Currently, several medical centers are performing triage via telemedicine, which allows for the screening of patients without the need for physical interaction [8].…”

Section: Multidisciplinary Use Of Telemedicinementioning

confidence: 99%

The Development of Telemedicine and eHealth in Surgery during the SARS-CoV-2 Pandemic

Taha

Saad

Enodien

et al. 2021

IJERPH

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SARS-CoV-2 has hampered healthcare systems worldwide, but some countries have found new opportunities and methods to combat it. In this study, we focused on the rapid growth of telemedicine during the pandemic around the world. We conducted a systematic literature review of all the articles published up to the present year, 2021, by following the requirements of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. The data extracted comprised eHealth and telemedicine in surgery globally, and independently in Europe, the United States, and Switzerland. This review explicitly included fifty-nine studies. Out of all the articles included, none of them found that telemedicine causes poor outcomes in patients. Telemedicine has created a new path in the world of healthcare, revolutionizing how healthcare is delivered to patients and developing alternative methods for clinicians.

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Section: Multidisciplinary Use Of Telemedicinementioning

confidence: 99%

The Development of Telemedicine and eHealth in Surgery during the SARS-CoV-2 Pandemic

Taha

Saad

Enodien

et al. 2021

IJERPH

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“…Parallel to this, the topic of digitalization has also been taken up by the Swiss Medical Association (FMH) in the ambulant sector and it has been determined that the opportunities presented by digitalization can only be optimally realized if the digital competencies of physicians are fostered in tandem with those of patients. All of these approaches emphasize the immense importance of adapting post-graduate training and continuing medical education to address digitalization and defining this as a major strategic task [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Digital competencies in medical education in Switzerland: an overview of the current situation

Hautz

Hoffmann

Exadaktylos

et al. 2020

GMS Journal for Medical Education; 37(6):Doc62

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“…However, the adoption of digital solutions and services, according to recent studies, is progressing slowly [8,9]. Today, agreed aims and actions at all governance levels still show neither substantial impact on the hospital landscape nor the clinical practice in primary care [10][11][12]. However, during health care expert panels and conferences in Switzerland, it is increasingly pointed out where framework conditions have advanced and may allow next digitization steps.…”

Section: Introductionmentioning

confidence: 99%

Health System Stakeholders’ Perspective on the Role of Mobile Health and Its Adoption in the Swiss Health System: Qualitative Study (Preprint)

Lingg¹,

Lütschg²

2019

Preprint

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BACKGROUND Digital health solutions have great potential to change the way health care is delivered, including better clinical outcomes and improved processes and access to health services. However, the adoption of mobile health (mHealth) solutions for patient monitoring has been rather slow in Switzerland. The reasons are complex, and a better understanding is needed to leverage the full potential of mHealth. OBJECTIVE This study aimed to deepen the understanding of the potential relevance and influence of mHealth for the health system and health care provision, and factors influencing its adoption. The findings will be used to provide an outlook on feasible recommendations for action. METHODS We conducted a qualitative survey using a maximum variation sample of a heterogeneous group of stakeholders (N=50) in the Swiss health care system with a profound knowledge of digital health and medical devices. A semistructured interview guide including open- and closed-ended questions was used to address questions around mHealth relevance and its influence on the health system, the relevance of selected determinants for mHealth adoption, and important influencing factors. A content analysis method was applied. RESULTS Overall, respondents thought that mHealth would have a beneficial impact on the Swiss health system but that its adoption would evolve slowly. We derived 23 key opportunities regarding patient and patient pathway, treatment of disease, and diseases and health conditions. High consistency in answers among respondents was observed for treatment of disease. Stakeholders’ attitudes toward mHealth adoption along the relevance of 23 preselected determinants were relatively consistent. However, we obtained diverging attitudes regarding the influence of trends, enablers, and restraints in Switzerland and translated them into 26 key themes influencing mHealth adoption. Relevant trends comprise changing needs and expectations of patients, a rising need for efficient health care delivery, growing interest in improved outpatient care, and emerging technologies and progressing digitization. Important enablers include growing demand for new financing schemes and incentive concepts, rising demand for comprehensive information on and stronger body of evidence for mHealth use cases, and increasing need for easy to use alternate care approaches. Challenging restraints are rigidness of thinking and siloed actions of health system actors, complexity of changing the existing regulations and structures, little understanding of mHealth use and the role of clinicians, and risk of further polarization of the population. CONCLUSIONS This study provides a comprehensive look at mHealth in the Swiss health system. It becomes apparent that strong governance is inevitable to foster a sustainable data strategy and to reconcile the different interests of stakeholders. The use of mHealth will add value but will not necessarily reduce the burden on the system caused by emerging societal needs and changing disease prevalence.

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Digitalisierung in der ambulanten Gesundheitsversorgung

Abstract: Die Schweiz hat gute technische und politische Voraussetzungen für die Digitalisierung im ambulanten Gesundheitswesen [1]. Internetzugang und Smartphone-Nutzung sind eine Selbstverständlichkeit für die Schweizer Bevölkerung. Digitale Infrastrukturen wie FMH eHealth 113

Cited by 11 publications

References 5 publications

The Development of Telemedicine and eHealth in Surgery during the SARS-CoV-2 Pandemic

The Development of Telemedicine and eHealth in Surgery during the SARS-CoV-2 Pandemic

Digital competencies in medical education in Switzerland: an overview of the current situation

Health System Stakeholders’ Perspective on the Role of Mobile Health and Its Adoption in the Swiss Health System: Qualitative Study (Preprint)

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