Stand der Digitalisierung und des Technologieeinsatzes in deutschen Krankenhäusern

Hübner, Ursula; Liebe, Jan-David; Esdar, Moritz; Hüsers, Jens; Rauch, Jens; Thye, Johannes; Weiß, Jan-Patrick

doi:10.1007/978-3-662-58225-1_3

Cited by 15 publications

(15 citation statements)

References 12 publications

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“…26 Thus, for the purpose of clarity in our study focussing on hospitals, using the term ‘institutional electronic patient record’ would seem more appropriate. Following the definitions provided by Haas 24 (p. 55) and Hübner et al 27 (p. 36), the EPR is meant to contain all patient data and related documents pertaining to a specific healthcare institution, that is, a given hospital. EPRs replace paper-based documentation and register all current and past treatments (including the patient’s medical history, diagnoses, medication, treatment plans, immunisation records, allergies, laboratory and other test results).…”

Section: Methodsmentioning

confidence: 99%

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Usability of electronic patient record systems: Instrument validation study conducted for hospitals in Germany

Simon

2020

Health Informatics J

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In Germany and elsewhere, few hospital electronic patient record usability surveys are available. Moreover, there seems to be a complete lack of validated instruments in the respective literature. Hence, this study’s purpose is to validate a scale for measuring the usability of hospital electronic patient record systems. The data used for the study’s analyses (n = 949) were originally obtained during the German national initiative ‘Hospital IT User Questionnaire’. In the course of the study, reliability and exploratory factor analyses were conducted and psychometric tests showed a reliable, valid and suitable instrument. Descriptive data analysis suggests a generally low user perception and variances hint at a high potential for future improvements. To our knowledge, this study shows that a general inventory (subscales from the IsoMetrics inventory) can be applied to measuring hospital electronic patient record usability as well. The validated instrument can be used to inform healthcare providers, decision makers and politicians of a given state of usability, discrepancies between different hospitals or systems providers, and serve as a basis for improvements.

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Section: Methodsmentioning

confidence: 99%

“…Many patient data are electronic, but still large parts of patient records remain paper-based. 27 Also, several service providers scan patients’ paper records.…”

Section: Methodsmentioning

confidence: 99%

Usability of electronic patient record systems: Instrument validation study conducted for hospitals in Germany

Simon

2020

Health Informatics J

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“…However, in Germany, the Digital Health Index indicates the need for improvement as Germany is 16th out of 17 indexed countries [ 1 ]. Only 25.6 % of German clinics have a fully functional electronic patient record system [ 2 ]. This need for improvement is recognized in health policy [ 3 , 4 ], and legislative measures to support the use of digitalization are continuously being developed (Digital Healthcare Act [Digitale-Versorgung-Gesetz], Patient Data Protection Act [Patientendaten-Schutzgesetz]).…”

Section: Introductionmentioning

confidence: 99%

“…This need for improvement is recognized in health policy [ 3 , 4 ], and legislative measures to support the use of digitalization are continuously being developed (Digital Healthcare Act [Digitale-Versorgung-Gesetz], Patient Data Protection Act [Patientendaten-Schutzgesetz]). Electronic patient records (EPR) [elektronische Patientenakte, EPA] 2 ) [ 6 ] enable the storage, retrieval and modification of health data using digital means instead of paper-based recording systems within one healthcare organization (here: hospital, also called in-house EPR [interne EPA]) [ 2 , 7 ]. This in-house EPR is the prerequisite for compiling electronic records that can be accessed by all healthcare organizations and by patients themselves.…”

Section: Introductionmentioning

confidence: 99%

Electronic patient record and its effects on social aspects of interprofessional collaboration and clinical workflows in hospitals (eCoCo): a mixed methods study protocol

Beckmann

Dittmer

Jaschke

et al. 2021

BMC Health Serv Res

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Background The need for and usage of electronic patient records within hospitals has steadily increased over the last decade for economic reasons as well as the proceeding digitalization. While there are numerous benefits from this system, the potential risks of using electronic patient records for hospitals, patients and healthcare professionals must also be discussed. There is a lack in research, particularly regarding effects on healthcare professionals and their daily work in health services. The study eCoCo aims to gain insight into changes in interprofessional collaboration and clinical workflows resulting from introducing electronic patient records. Methods eCoCo is a multi-center case study integrating mixed methods from qualitative and quantitative social research. The case studies include three hospitals that undergo the process of introducing electronic patient records. Data are collected before and after the introduction of electronic patient records using participant observation, interviews, focus groups, time measurement, patient and employee questionnaires and a questionnaire to measure the level of digitalization. Furthermore, documents (patient records) as well as structural and administrative data are gathered. To analyze the interprofessional collaboration qualitative network analyses, reconstructive-hermeneutic analyses and document analyses are conducted. The workflow analyses, patient and employee assessment analyses and classification within the clinical adoption meta-model are conducted to provide insights into clinical workflows. Discussion This study will be the first to investigate the effects of introducing electronic patient records on interprofessional collaboration and clinical workflows from the perspective of healthcare professionals. Thereby, it will consider patients’ safety, legal and ethical concerns and quality of care. The results will help to understand the organization and thereby improve the performance of health services working with electronic patient records. Trial registration The study was registered at the German clinical trials register (DRKS00023343, Pre-Results) on November 17, 2020.

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“…However, according to an annual cross-sectoral investigation in Germany, the health care domain is not exploiting the potential to the same extent as are other domains [ 4 ]. Furthermore, within the domain (eg, between different hospitals), the digitalization status varies considerably [ 5 , 6 ]. Health care institutions, admittedly, contain particularities that distinguish them from classic value-creating companies: they heavily rely on “highly specialized human capital” [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

The Role of Physicians in Digitalizing Health Care Provision: Web-Based Survey Study

Burmann¹,

Tischler²,

Faßbach³

et al. 2021

JMIR Med Inform

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Background Digitalization affects all areas of society, including the health care sector. However, the digitalization of health care provision is progressing slowly compared to other sectors. In the professional and political literature, physicians are partially portrayed as digitalization sceptics. Thus, the role of physicians in this process requires further investigation. The theory of “digital natives” suggests a lower hurdle for younger generations to engage with digital technologies. Objective The objective of this study was to investigate the role of physicians in the process of digitalizing health care provision in Germany and to assess the age factor. Methods We conducted a large-scale study to assess the role of this professional group in the progress of the digital transformation of the German health care sector. Therefore, in an anonymous online survey, we inquired about the current digital penetration of the personal working environment, expectations, attitude toward, and concerns regarding digitalization. Based on these data, we studied associations with the nominal variable age and variations across 2 age groups. Results The 1274 participants included in the study generally showed a high affinity towards digitalization with a mean of 3.88 on a 5-point Likert scale; 723 respondents (56.75%) stated they personally use mobile apps in their everyday working life, with a weak tendency to be associated with the respondents’ age (η=0.26). Participants saw the most noticeable existing benefits through digitalization in data quality and readability (882/1274, 69.23%) and the least in patient engagement (213/1274, 16.72%). Medical practitioners preponderantly expect further improvements through increased digitalization across almost all queried areas but the most in access to medical knowledge (1136/1274, 89.17%), treatment of orphan diseases (1016/1274, 79.75%), and medical research (1023/1274, 80.30%). Conclusions Respondents defined their role in the digitalization of health care provision as ambivalent: “scrutinizing” on the one hand but “active” and “open” on the other. A gap between willingness to participate and digital sovereignty was indicated. Thus, education on digitalization as a means to support health care provision should not only be included in the course of study but also in the continuing process of further and advanced training.

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Stand der Digitalisierung und des Technologieeinsatzes in deutschen Krankenhäusern

Cited by 15 publications

References 12 publications

Usability of electronic patient record systems: Instrument validation study conducted for hospitals in Germany

Usability of electronic patient record systems: Instrument validation study conducted for hospitals in Germany

Electronic patient record and its effects on social aspects of interprofessional collaboration and clinical workflows in hospitals (eCoCo): a mixed methods study protocol

The Role of Physicians in Digitalizing Health Care Provision: Web-Based Survey Study

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