DO GERMAN PHYSICIANS WANT ELECTRONIC HEALTH SERVICES? - A Characterization of Potential Adopters and Rejecters in German Ambulatory Care

Sebastian Dünnebeil, Ali Sunyaev, Ivo Blohm, Jan Marco Leimeister, Helmut Krcmar

Abstract

Germany is introducing a nation-wide health telematics infrastructure that enables various electronic health services (EHS). Little is known about the burdens and drivers for potential adoption of these innovations. Based on a quantitative study among German physicians participating in pilot test regions for health telematics, this paper clusters potential adopters and rejecters of EHS, based on their usage intention as determined with the UTAUT model. The study furthermore depicts opinions, attitudes, as well as equipment of physicians in ambulatory care to find similarities in terms of IT diffusion, process and security standardization, patient involvement, communication, documentation and general working patterns. The clustering shows that “Supporters” and “Rejecters” of EHS differ significantly in many aspects investigated. Based on these empirical findings, implications for design and introduction of e-health services can be derived, ranging from a different way of approaching physicians in ambulatory care to incentive structures for EHS usage.

References

  1. Backhaus, K., Erichson, B., Plinke, W. & Weiber, R. (2006) Multivariate Analysemethoden: Eine Anwendungsorientierte Einführung, Berlin, Springer.
  2. Bernnat, R. (2006) Kosten-Nutzen-Analyse Der Einrichtung Einer Telematik-Infrastruktur Im Deutschen Gesundheitswesen. Booz Allen Hamilton Gmbh.
  3. Bundesministerium Für Gesundheit (2005) The German eHealth Strategy (Target and strategy, concept, legal framework, activities/roll-out plan, costs and return of investment, European perspective). Berlin/Bonn.
  4. Bundesrepublik Deutschland (1988) Sozialgesetzbuch (Sgb) Fünftes Buch, Gesetzliche Krankenversicherung.
  5. Fraunhofer Institut (2005) Spezifikation der Lösungsarchitektur zur Umsetzung der Awendungen der elektronischen Gesundheitskarte. Fraunhofer, Projektgruppe FuE-Projekt.
  6. Gematik (2008a) Einführung der Gesundheitskarte - Gesamtarchitektur. gematik GmbH.
  7. Gematik (2008b) Übergreifendes Sicherheitskonzept der Telematikinfrastruktur. Specification.
  8. German Federal Office for Information Security (2008) Common Criteria Protection Profile - electronic Health Card (eHC)
  9. Haux, R. (2005) Health information systems - past, present, future. International Journal of Medical Informatics, 75, 268-281.
  10. Hoppe, J.-D. & Richter-Reichhelm, M. (2000) Medizinische Über- , Unter- und Fehlversorgung in Deutschland. Ärztliche Zentralstelle Qualitätssicherung im Auftrag von Bundesärztekammer und Kassenärztlicher Bundesvereinigung.
  11. Marschollek, M. & Demirbilek, E. (2006) Providing longitudinal health care information with the new German Health Card - a pilot system to track patient pathways. Computer Methods and Programs in Biomedicine, 81, 266-271.
  12. Oliver Kalthoff, O., Marsden, N., Kalthoff, S. & Drescher, F. (2008) Abschlussbericht Evaluation der Einführung der elektronischen Gesundheitskarte in der Testregion Heilbronn.
  13. Shekelle, P., Morton, S. C. & Keeler, E. B. (2006) Costs and Benefits of Health Information Technology. Evidence Report - Technology Assessment.
  14. Sunyaev, A., Kaletsch, A., Mauro, C. & Krcmar, H. (2009) Security Analysis of the German electronic Health Card's Peripheral Parts. Proceedings of the 11th International Conference on Enterprise Information Systems.
  15. Sunyaev, A., Leimeister, J. M., Schweiger, A. & Krcmar, H. (2008) IT-Standards and Standardization Approaches in Healthcare. IN WICKRAMASINGHE, N. & GEISLER, E. (Eds.) Encyclopedia of Healthcare Information Systems. Idea Group.
  16. Techniker Krankenkasse (2009) Branchenbarometer EHealth. F.A.Z. - Institut fuer Management-, Marktund Medieninformation, 1.
  17. Tuffs, A. (2008) Germany Plans To Introduce Electronic Health Card Bmj.Com Medical Publication Of The Year.
  18. Venkatesh, V., Morris, M., Davis, G. & Davis, F. (2003) User Acceptance of Information Technology: Toward a Unified View. MIS Quarterly, 27, 425-478.
  19. Ztg Zentrum Für Telematik Im Gesundheitswesen Gmbh (2009) Testregionen in Deutschland.
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Paper Citation


in Harvard Style

Dünnebeil S., Sunyaev A., Blohm I., Marco Leimeister J. and Krcmar H. (2010). DO GERMAN PHYSICIANS WANT ELECTRONIC HEALTH SERVICES? - A Characterization of Potential Adopters and Rejecters in German Ambulatory Care . In Proceedings of the Third International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2010) ISBN 978-989-674-016-0, pages 202-209. DOI: 10.5220/0002695602020209


in Bibtex Style

@conference{healthinf10,
author={Sebastian Dünnebeil and Ali Sunyaev and Ivo Blohm and Jan Marco Leimeister and Helmut Krcmar},
title={DO GERMAN PHYSICIANS WANT ELECTRONIC HEALTH SERVICES? - A Characterization of Potential Adopters and Rejecters in German Ambulatory Care},
booktitle={Proceedings of the Third International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2010)},
year={2010},
pages={202-209},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0002695602020209},
isbn={978-989-674-016-0},
}


in EndNote Style

TY - CONF
JO - Proceedings of the Third International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2010)
TI - DO GERMAN PHYSICIANS WANT ELECTRONIC HEALTH SERVICES? - A Characterization of Potential Adopters and Rejecters in German Ambulatory Care
SN - 978-989-674-016-0
AU - Dünnebeil S.
AU - Sunyaev A.
AU - Blohm I.
AU - Marco Leimeister J.
AU - Krcmar H.
PY - 2010
SP - 202
EP - 209
DO - 10.5220/0002695602020209