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Article

Digital Health Transition in Rheumatology: A Qualitative Study

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Center for Health Services Research, Brandenburg Medical School Theodor Fontane, 15562 Rüdersdorf, Germany
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Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, 14476 Potsdam, Germany
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Department of Palliative Medicine, CCC Erlangen-EMN, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany
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Rheumatology and Clinical Immunology, Charité Universitätsmedizin Berlin, 10117 Berlin, Germany
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Policlinic and Hiller Research Unit for Rheumatology, Heinrich-Heine-University, 40225 Duesseldorf, Germany
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Department of Orthopaedics and Trauma Surgery, Brandenburg Medical School Theodor Fontane, Municipal Clinic Brandenburg, 14770 Brandenburg, Germany
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Department of Psychiatry and Psychotherapy, Brandenburg Medical School Theodor Fontane, Immanuel Klinik Rüdersdorf, 15562 Rüdersdorf, Germany
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Medizinisches Versorgungszentrum für Rheumatologie Dr. M. Welcker GmbH, 82152 Planegg, Germany
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Division of Rheumatology and Clinical Immunology, Department of Medicine IV, Ludwig-Maximilians-Universität München, 80336 Munich, Germany
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AGEIS, Faculty of Medicine, Université Grenoble Alpes, 38706 Grenoble, France
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Institut Universitaire de France, 75006 Paris, France
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LabCom Telecom4Health, Université Grenoble Alpes & Orange Labs, 38400 Grenoble, France
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Department of Internal Medicine 3—Rheumatology and Immunology, Friedrich-Alexander University Erlangen-Nürnberg and Universitätsklinikum Erlangen, 91054 Erlangen, Germany
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Deutsches Zentrum für Immuntherapie, Friedrich-Alexander University Erlangen-Nürnberg and Universitätsklinikum Erlangen, 91054 Erlangen, Germany
*
Author to whom correspondence should be addressed.
Academic Editor: Irene Torres-Sanchez
Int. J. Environ. Res. Public Health 2021, 18(5), 2636; https://doi.org/10.3390/ijerph18052636
Received: 20 January 2021 / Revised: 27 February 2021 / Accepted: 2 March 2021 / Published: 5 March 2021
(This article belongs to the Special Issue eHealth in Chronic Diseases)
The global COVID-19 pandemic has led to drastic changes in the management of patients with rheumatic diseases. Due to the imminent risk of infection, monitoring intervals of rheumatic patients have prolonged. The aim of this study is to present insights from patients, rheumatologists, and digital product developers on the ongoing digital health transition in rheumatology. A qualitative and participatory semi-structured fishbowl approach was conducted to gain detailed insights from a total of 476 participants. The main findings show that digital health and remote care are generally welcomed by the participants. Five key themes emerged from the qualitative content analysis: (1) digital rheumatology use cases, (2) user descriptions, (3) adaptation to different environments of rheumatology care, and (4) potentials of and (5) barriers to digital rheumatology implementation. Codes were scaled by positive and negative ratings as well as on micro, meso, and macro levels. A main recommendation resulting from the insights is that both patients and rheumatologists need more information and education to successfully implement digital health tools into clinical routine. View Full-Text
Keywords: rheumatology; chronic disease; digital health; eHealth; telemedicine; remote care; patient perspective; qualitative research; fishbowl discussion; content analysis rheumatology; chronic disease; digital health; eHealth; telemedicine; remote care; patient perspective; qualitative research; fishbowl discussion; content analysis
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MDPI and ACS Style

Mühlensiepen, F.; Kurkowski, S.; Krusche, M.; Mucke, J.; Prill, R.; Heinze, M.; Welcker, M.; Schulze-Koops, H.; Vuillerme, N.; Schett, G.; Knitza, J. Digital Health Transition in Rheumatology: A Qualitative Study. Int. J. Environ. Res. Public Health 2021, 18, 2636. https://doi.org/10.3390/ijerph18052636

AMA Style

Mühlensiepen F, Kurkowski S, Krusche M, Mucke J, Prill R, Heinze M, Welcker M, Schulze-Koops H, Vuillerme N, Schett G, Knitza J. Digital Health Transition in Rheumatology: A Qualitative Study. International Journal of Environmental Research and Public Health. 2021; 18(5):2636. https://doi.org/10.3390/ijerph18052636

Chicago/Turabian Style

Mühlensiepen, Felix, Sandra Kurkowski, Martin Krusche, Johanna Mucke, Robert Prill, Martin Heinze, Martin Welcker, Hendrik Schulze-Koops, Nicolas Vuillerme, Georg Schett, and Johannes Knitza. 2021. "Digital Health Transition in Rheumatology: A Qualitative Study" International Journal of Environmental Research and Public Health 18, no. 5: 2636. https://doi.org/10.3390/ijerph18052636

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