Electronic-Health-Technologien als Chance für eine individualisierte Versorgung? Technikakzeptanz von Health-Care-Professionals in der Versorgung von Parkinson-Patienten
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Abstract
This dissertation addressed three central questions regarding the technology-
acceptance of e-health in Parkinson's disease (PD) care from the perspective of health-
care-professionals (HCPs). Previous research has mainly focused on the patient's
perspective, however the perspective of the HCPs comes up short and therefore served
as the research basis for this study. The first research question focused on the perceived
usefulness of e-health-technologies compared to conventional treatment approaches,
particularly in terms of personalized patient care. Secondly, the extent to which the use
of digital technologies could improve the communication between HCPs and patients
was analyzed. Thirdly, existing barriers and concerns regarding the implementation of e-
health in PD care were identified and discussed. Finally, we identified the conditions
needed to overcome these challenges and to enable the successful integration of digital
solutions into clinical practice.
In this study, 19 HCPs in the Marburg area were recruited and interviewed about their
views on the research priorities using semi-structured interviews. In addition, ten post
usage evaluations between HCPs and patients were documented and analyzed through
a participatory observation. Of the ten observation protocols prepared, nine could be
used for further analysis. The semi-structured interviews were conducted using an
interview guide, which allowed the HCPs to share their opinions on the relevant topic as
freely as possible.
While the current importance of e-health was considered to be rather low, the HCPs
expected e-health to become increasingly important in the future, not least due to the
ageing of today's younger generations. They also highlighted the positive influence of
the SARS-CoV-2-pandemic on the importance of e-health. The HCPs saw e-health-
technologies as a great opportunity for individualized patient care, particularly through
the quantifiable recording of motor symptoms in the patient’s home environment. The
evaluation of therapy adjustments and the continuous monitoring of patients' disease
progression as well as the possibility of increased compliance, were also mentioned
positively. From the respondents' perspective, the use of e-health for patient care in rural
regions could act as a digital solution to infrastructural barriers and improve access to
medical care. Also, the HCPs predicted improved communication between HCPs and
patients in participatory therapy decisions. Despite the advantages, that e-health holds
the HCPs identified the progressive cognitive impairment of PD patients as a central
barrier while implementing e-health-technologies in PD care. Additionally, many HCPs
saw the general implementation of e-health-technologies in everyday medical practice
critically. Specialists in private practice and those working in nursing care in particular
emphasized time and economic barriers, limited time slots, high workloads and
inadequate remuneration models. Possible solutions for promoting e-health integration
in PD care were seen mainly in technological designs and structural adjustments to the
healthcare system.
In the discussion, the study results were compared with the existing literature and
analyzed in the context of the technology acceptance model by Venkatesh et al. This
showed that the HCPs' acceptance of e-health-technologies could certainly be improved
by facilitating conditions and a high perceived usefulness. As a result, low-threshold and
comprehensive care for PD patients, especially in rural areas, were identified as
particularly beneficial influences. In addition, the possibility of a customized treatment
plan was assessed as a positive factor influencing technology acceptance. Improved
communication and compliance could also facilitate the general framework conditions
and could therefore also lead to an increased technology acceptance. At the same time,
however, inhibiting factors were also identified: Insufficiently fulfilled performance
expectations of HCPs as well as structural limitations represented the greatest barriers
to technology acceptance and would have a correspondingly negative effect on the
implementation of e-health in PD care.
The present study concluded that e-health-technologies currently still play a minor role
in PD care. However, the SARS-CoV-2 pandemic has led to an increased awareness in
their importance and highlighted the key benefits of these technologies - such as the
possibility of individualized therapy, improved care in rural areas and an objective
recording of motor symptoms in the patient’s home environment. A shared database
could also have a positive impact on the communication between HCPs and patients
and on therapy adherence. However, structural and technical limitations need to be
overcome and further evidence-based research is needed to further increase the uptake
of e-health technologies.
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Dates
Issued: 2026-03-19
Faculty
FB20:Medizin
Language
de
Keywords
E-HealthWearablesTechnikakzeptanzParkinsonTelemedizinTelemonitoringHealth-Care-ProfessionalsMonitoringUTAUT
DFG-subjects
2.23-07 - Klinische Neurologie; Neurochirurgie und Neuroradiologie
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Hohn, Jonas: Electronic-Health-Technologien als Chance für eine individualisierte Versorgung? Technikakzeptanz von Health-Care-Professionals in der Versorgung von Parkinson-Patienten. : 2026-03-19.
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This item has been published with the following license: In Copyright