[医疗康复数字化支持服务现状与实施条件]。

IF 1.4 4区 医学 Q3 REHABILITATION
Rehabilitation Pub Date : 2025-04-01 Epub Date: 2025-03-03 DOI:10.1055/a-2505-5175
Susanne Stampa, Monica-Diana Podar, Christine Thienel, Alexandra Maria Freţian, Oliver Razum, Christoph Dockweiler
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引用次数: 0

摘要

2019冠状病毒病大流行迫使康复中心调整其日常护理程序和组织流程以适应相应的情况。在此背景下,数字支持的服务得到了扩展和进一步发展。本研究旨在系统地评估德国的数字支持康复服务,包括阻碍或促进其实施的因素。这项全国性的探索性定量在线调查探讨了一个迄今尚未被充分研究的话题。采用基于实施研究综合框架构建的自研问卷,调查医疗康复科室数字化支持康复服务的接受情况和类型,包括实施障碍和促进因素。共有452个部门参与了这项研究,大约一半的部门报告在医疗康复中使用了数字支持服务,其中数字培训和远程康复后护理是最常见的。主要报告的执行障碍是与技术有关的工作中断和费用覆盖/偿还不确定。管理支助和数字支助服务的有用性被认为特别有利于实施进程,工作人员的参与也是如此。该研究首次概述了德国医疗康复中使用的数字支持服务,并更好地了解了阻碍或促进其实施的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Status and implementation conditions of digitally supported services in medical rehabilitation].

The COVID-19 pandemic forced rehabilitation centres to adapt their daily care routine and their organisational processes to the corresponding circumstances. In this context, digitally supported services were expanded and further developed. This study aims to systematically take stock of digitally supported rehabilitation services in Germany, including factors hindering or facilitating their implementation.The nationwide explorative quantitative online survey explores a so-far understudied topic. Using a self-developed questionnaire based on the Consolidated Framework for Implementation Research constructs, we surveyed the uptake and type of digitally supported rehabilitation services in medical rehabilitation departments, including implementation hindrances and facilitators.A total of 452 departments participated in the study and about half reported using digitally supported services in medical rehabilitation, with digital training and telerehabilitation aftercare being the most common. The primarily reported implementation hindrances were technology-related work interruptions and cost coverage/reimbursements uncertainties. Managerial support and the usefulness of the digitally supported services were perceived as particularly conducive for the implementation process, as was the staff involvement.The study provides a first overview of digitally supported services used in medical rehabilitation in Germany, and a better understanding of the factors hindering or facilitating their implementation.

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来源期刊
Rehabilitation
Rehabilitation REHABILITATION-
CiteScore
0.90
自引率
11.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift Die Rehabilitation richtet sich an Mitarbeiterinnen und Mitarbeiter in Einrichtungen, Forschungsinstitutionen und Trägern der Rehabilitation. Sie berichtet über die medizinischen, gesetzlichen, politischen und gesellschaftlichen Grundlagen und Rahmenbedingungen der Rehabilitation und über internationale Entwicklungen auf diesem Gebiet. Schwerpunkte sind dabei Beiträge zu Rehabilitationspraxis (medizinische, berufliche und soziale Rehabilitation, Qualitätsmanagement, neue Konzepte und Versorgungsmodelle zur Anwendung der ICF, Bewegungstherapie etc.), Rehabilitationsforschung (praxisrelevante Ergebnisse, Methoden und Assessments, Leitlinienentwicklung, sozialmedizinische Fragen), Public Health, Sozialmedizin Gesundheits-System-Forschung sowie die daraus resultierenden Probleme.
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