Evidence of How Physicians and Their Patients Adopt mHealth Apps in Germany: Exploratory Qualitative Study
BackgroundThe enactment of the “Act to Improve Healthcare Provision through Digitalisation and Innovation ” (Digital Healthcare Act; Digitale-Versorgung-Gesetz [DVG]) in Germany has introduced a paradigm shift in medical practice, allowing physicians to prescribe mobile healt...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2024-01-01
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| Series: | JMIR mHealth and uHealth |
| Online Access: | https://mhealth.jmir.org/2024/1/e48345 |
| _version_ | 1797352902901104640 |
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| author | Tanja Schroeder Maximilian Haug Andrew Georgiou Karla Seaman Heiko Gewald |
| author_facet | Tanja Schroeder Maximilian Haug Andrew Georgiou Karla Seaman Heiko Gewald |
| author_sort | Tanja Schroeder |
| collection | DOAJ |
| description |
BackgroundThe enactment of the “Act to Improve Healthcare Provision through Digitalisation and Innovation ” (Digital Healthcare Act; Digitale-Versorgung-Gesetz [DVG]) in Germany has introduced a paradigm shift in medical practice, allowing physicians to prescribe mobile health (mHealth) apps alongside traditional medications. This transformation imposes a dual responsibility on physicians to acquaint themselves with qualifying apps and align them with patient diagnoses, while requiring patients to adhere to the prescribed app use, similar to pharmaceutical adherence. This transition, particularly challenging for older generations who are less skilled with technology, underscores a significant evolution in Germany’s medical landscape.
ObjectiveThis study aims to investigate physicians’ responses to this novel treatment option, their strategies for adapting to this form of prescription, and the willingness of patients to adhere to prescribed mHealth apps.
MethodsUsing an exploratory qualitative study design, we conducted semistructured interviews with 28 physicians and 30 potential patients aged 50 years and older from August 2020 to June 2021.
ResultsThe findings reveal several factors influencing the adoption of mHealth apps, prompting a nuanced understanding of adoption research. Notably, both physicians and patients demonstrated a lack of information regarding mHealth apps and their positive health impacts, contributing to a deficiency in trust. Physicians’ self-perceived digital competence and their evaluation of patients’ digital proficiency emerge as pivotal factors influencing the prescription of mHealth apps.
ConclusionsOur study provides comprehensive insights into the prescription process and the fundamental factors shaping the adoption of mHealth apps in Germany. The identified information gaps on both the physicians’ and patients’ sides contribute to a trust deficit and hindered digital competence. This research advances the understanding of adoption dynamics regarding digital health technologies and highlights crucial considerations for the successful integration of digital health apps into medical practice. |
| first_indexed | 2024-03-08T13:23:28Z |
| format | Article |
| id | doaj.art-55e7fbcb985246f297e78cd694c8048e |
| institution | Directory Open Access Journal |
| issn | 2291-5222 |
| language | English |
| last_indexed | 2024-03-08T13:23:28Z |
| publishDate | 2024-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR mHealth and uHealth |
| spelling | doaj.art-55e7fbcb985246f297e78cd694c8048e2024-01-17T15:30:32ZengJMIR PublicationsJMIR mHealth and uHealth2291-52222024-01-0112e4834510.2196/48345Evidence of How Physicians and Their Patients Adopt mHealth Apps in Germany: Exploratory Qualitative StudyTanja Schroederhttps://orcid.org/0000-0002-1733-6542Maximilian Haughttps://orcid.org/0000-0002-0525-5294Andrew Georgiouhttps://orcid.org/0000-0002-7619-3668Karla Seamanhttps://orcid.org/0000-0003-4611-9616Heiko Gewaldhttps://orcid.org/0000-0003-2107-2217 BackgroundThe enactment of the “Act to Improve Healthcare Provision through Digitalisation and Innovation ” (Digital Healthcare Act; Digitale-Versorgung-Gesetz [DVG]) in Germany has introduced a paradigm shift in medical practice, allowing physicians to prescribe mobile health (mHealth) apps alongside traditional medications. This transformation imposes a dual responsibility on physicians to acquaint themselves with qualifying apps and align them with patient diagnoses, while requiring patients to adhere to the prescribed app use, similar to pharmaceutical adherence. This transition, particularly challenging for older generations who are less skilled with technology, underscores a significant evolution in Germany’s medical landscape. ObjectiveThis study aims to investigate physicians’ responses to this novel treatment option, their strategies for adapting to this form of prescription, and the willingness of patients to adhere to prescribed mHealth apps. MethodsUsing an exploratory qualitative study design, we conducted semistructured interviews with 28 physicians and 30 potential patients aged 50 years and older from August 2020 to June 2021. ResultsThe findings reveal several factors influencing the adoption of mHealth apps, prompting a nuanced understanding of adoption research. Notably, both physicians and patients demonstrated a lack of information regarding mHealth apps and their positive health impacts, contributing to a deficiency in trust. Physicians’ self-perceived digital competence and their evaluation of patients’ digital proficiency emerge as pivotal factors influencing the prescription of mHealth apps. ConclusionsOur study provides comprehensive insights into the prescription process and the fundamental factors shaping the adoption of mHealth apps in Germany. The identified information gaps on both the physicians’ and patients’ sides contribute to a trust deficit and hindered digital competence. This research advances the understanding of adoption dynamics regarding digital health technologies and highlights crucial considerations for the successful integration of digital health apps into medical practice.https://mhealth.jmir.org/2024/1/e48345 |
| spellingShingle | Tanja Schroeder Maximilian Haug Andrew Georgiou Karla Seaman Heiko Gewald Evidence of How Physicians and Their Patients Adopt mHealth Apps in Germany: Exploratory Qualitative Study JMIR mHealth and uHealth |
| title | Evidence of How Physicians and Their Patients Adopt mHealth Apps in Germany: Exploratory Qualitative Study |
| title_full | Evidence of How Physicians and Their Patients Adopt mHealth Apps in Germany: Exploratory Qualitative Study |
| title_fullStr | Evidence of How Physicians and Their Patients Adopt mHealth Apps in Germany: Exploratory Qualitative Study |
| title_full_unstemmed | Evidence of How Physicians and Their Patients Adopt mHealth Apps in Germany: Exploratory Qualitative Study |
| title_short | Evidence of How Physicians and Their Patients Adopt mHealth Apps in Germany: Exploratory Qualitative Study |
| title_sort | evidence of how physicians and their patients adopt mhealth apps in germany exploratory qualitative study |
| url | https://mhealth.jmir.org/2024/1/e48345 |
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