[Predetermined breaking points and recommendations for action in development of digital prevention services in public health: a practical example].

Abstract

Digital prevention is essential for a sustainable healthcare system in Germany, with health insurance companies playing a key role. Despite promising approaches in research, studies indicate that hybrid and digital prevention solutions are often short-lived, pointing to systematic challenges. This paper presents the development of a prevention app commissioned by a German health insurance company. The app promotes a health-oriented lifestyle through an integrated chatbot. The scientifically accompanied development process highlights the importance of user participation and emphasizes the challenges of the long-term implementation of digital prevention solutions. These include project communication, scientific monitoring, data protection requirements, and the technical infrastructure of the health insurance company. Practical insights provide recommendations for the development and a structural model for future projects is proposed. It focuses on the effective integration of expert knowledge from various fields, such as prevention and software development. This collaboration is more crucial than ever for the future use of AI in health prevention.