Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

Objective: The German Innovation Funds project MSnetWork introduced a complex outpatient intervention to improve treatment of patients with MS. This study analyses the perception of healthcare professionals working in neurological practices to determine their ability and willingness to implement these interventions during the MSnetWork period and beyond the end of the project. The study assumes that the motivation of these professionals to implement the intervention is crucial for its success.

Methods: For this qualitative study, semi-structured interviews assessed the perception of neurological practice personnel (neurologists, assistants) of all MSnetWork practices (full sample) to determine their motivation to implement the interventions. Furthermore, challenges and opportunities of the implementation were retrieved to find out the reasons for promoting or hindering the new intervention. The interviews were transcribed and analysed using qualitative content analysis.

Results: The interviews with 26 participants from 19 neurology practices (52.8 % participation, 12 interviews with physicians and 14 interviews with assistants) were conducted from October to December 2023 and lasted about 60 minutes.. From the professionals' perspective, key motivations included improving patient care, exploring innovative approaches, and fostering collaboration. Challenges included resource limitations, unclear intervention processes, and patient engagement. The healthcare professionals also indicated that making the MSnetWork interventions an essential element of routine treatment of MS patients would require more flexibility, fair reimbursement, and specialized training.

Discussion: MSnetWork seems to have implementation potential, i.e., healthcare professionals perceive that the new services fill gaps in care that are usually not appropriately addressed due to a lack of adequate funding. However, the main barrier to implement the new scheme is its integration into routine care, given the tense situation in specialist care and the simultaneous shortage of staff.

Conclusion: The ultimate goal of innovative care projects is the transition of the pilot into routine care. The results of this interview study indicate that healthcare professionals have to be involved right from the start in both design and implementation of innovative care projects. Innovative routine care is not only a medical or technological challenge, but above all a social process that requires the joint efforts of all stakeholders. The findings indicate that the project should be transferred into routine care.

Background: Maturity measurements are becoming increasingly important in order to record the level of digitalization of healthcare institutions. To this point, the digital maturity of GP practices has hardly been measured. This study examines GPs' interest in maturity measurements and their perceptions of factors influencing the level of digitalization.

Method: General practitioners in Germany were surveyed using web-based questionnaires on demographic information, their interest in maturity assessments, and factors influencing the level of digitalization. Multiple regression analysis was used to investigate the influence of demographic characteristics on interest in maturity level measurements. Using a mean value comparison, a ranking of the most important factors influencing the level of digitalization from the GPs' perspective was established.

Results: 201 data sets were included in the analysis. The average interest of GPs in maturity measurements was 3.61 out of 5. The levels of digitalization of the practice and digital health literacy of patients were positively associated with interest in maturity measurements. The highest perceived influences on the level of digitalization were related to the technical infrastructure of medical practices.

Conclusion: In order to establish maturity level measurements in primary care, the interest of potential users such as GPs should be strengthened at an early stage by including their perspectives. The added value of the surveys in the development of maturity models should be worked out and clearly communicated to GPs.