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Table 4 Approaches towards facilitating DHA integration into healthcare

From: How can primary care benefit from digital health applications? – a quantitative, explorative survey on attitudes and experiences of general practitioners in Germany

Question: Thinking about your previous experience with DHAs: What further improvements would you like to see in DHAs? (n = 546)

Overall approval

(Further) optimization of the usability of DHAs, especially towards more simple, intuitive, and target group-compliant use to prevent issues such as measurement and user error

59%

Structured further training programs for doctors on using DHAs in healthcare, especially primary care, such as by planning a sufficient range of CME-certified training courses

53%

Inclusion of appropriate remuneration for medical services and additional expenses provided in connection with DHAs in the German doctors’ fee schedule

52%

A reliable manufacturer-agnostic information platform focused on DHAs, ideally under state administration – suggestions include the National Health Portal)

52%

More gamification elements for a more playful, interactive approach to patient management

49%

(Further) improvement on information security and data privacy by creating more binding and uniform privacy standards for manufacturers

48%

Clearly exclude liability risks for doctors if, for example, bugs in a DHA should lead to treatment error – liability and responsibility should not lie with care providers or patients

45%

DHAs should be specifically designed to avoid exacerbating health anxiety, such as by preventing misinterpretation by patients or excessive fixation on individual health data items

42%

Increased advice and support for patients by statutory health insurance organizations specifically referring to DHAs

41%

Make more convincing arguments for the importance and benefits of (comprehensive) digitalization in healthcare towards increasing their willingness to integrate this into their own patient healthcare services

34%

Removal of temporary DHA approval in the fast-track procedure, thus tightening the evaluation procedure

33%

Technical aspects of integrating DHAs into everyday routine at medical practices such as by providing a cost-neutral and functional connection to software used at the practice

23%

Insured people from all statutory health insurance organizations should receive bonuses or bonus programs for using certain DHAs regularly and forwarding their data to the statutory health insurance organization

7%