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首页> 外文期刊>BMC Medical Informatics and Decision Making >Readiness to use telemonitoring in diabetes care: a cross-sectional study among Austrian practitioners
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Readiness to use telemonitoring in diabetes care: a cross-sectional study among Austrian practitioners

机译：准备在糖尿病护理中使用远程监护：奥地利从业者的横断面研究

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Telemonitoring services could dramatically improve the care of diabetes patients by enhancing their quality of life while decreasing healthcare expenditures. However, the potential for implementing innovative treatment options in the Austrian public and private health system is not known yet. Thus, we analyzed the readiness to use telemonitoring in diabetes care among Austrian practitioners. We conducted an online survey among a purposive sample of Austrian practitioners (n?=?41) using an adapted German version of the practitioner telehealth readiness assessment tool. We assessed three readiness domains for telemonitoring in the context of diabetes care, i.e. core readiness, engagement readiness, and structural readiness, and validated the German tool using principal components analysis. Study subjects perceived themselves as open to innovations and also expressed optimistic attitudes towards telemonitoring in general and offering telemonitoring-based services for their patients. Participants achieved a medium average readiness level for telemonitoring (58.2, 95% CI 53.9–62.5) and were thus in a good position to use telemonitoring, although some arguments may adversely affected its use. The top three perceived benefits of telemonitoring were enhanced quality of treatment, better therapy adjustment, and reduced travel and waiting times for patients. The top three barriers were reduced personal communication, practitioner time expenditure and equally placed poor financial compensation as well as data security and privacy issues. Our data revealed that Austrian practitioners showed a quite moderate readiness to use telemonitoring in diabetes care. To further advance telemonitoring readiness among all pillars of diabetes care in Austria, joint efforts among healthcare stakeholders are required to overcome existing financial, organizational, and technical obstacles.
机译：远程监控服务可以通过提高糖尿病患者的生活质量，同时减少医疗保健支出，来显着改善其护理水平。但是，尚不知道在奥地利的公共和私人卫生系统中实施创新治疗方案的潜力。因此，我们分析了奥地利从业人员在糖尿病护理中使用远程监护的意愿。我们使用经过修改的德语版从业者远程医疗就绪评估工具对奥地利从业者的有意样本（n？=？41）进行了在线调查。我们评估了在糖尿病护理中用于远程监护的三个准备范围，即核心准备，参与准备和结构准备，并使用主成分分析验证了德国工具。研究对象认为自己愿意接受创新，并且对总体远程监控以及为患者提供基于远程监控的服务表示乐观的态度。与会者达到了远程监视的平均平均准备水平（58.2，95％CI 53.9–62.5），因此可以使用远程监视，尽管有些争论可能会对远程监视的使用产生不利影响。远程监控的前三大好处是提高治疗质量，更好的治疗调整以及减少患者的旅行和等待时间。前三大障碍是减少个人交流，从业人员的时间支出以及经济补偿差，数据安全和隐私问题。我们的数据显示，奥地利的从业人员对在糖尿病护理中使用远程监控的准备程度相当中等。为了进一步提高奥地利糖尿病护理所有支柱之间的远程监控准备水平，医疗保健利益相关方需要共同努力克服现有的财务，组织和技术障碍。

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