Opinions and attitudes of experts to the digitization of the Czech healthcare: preliminary report on the implementation of the first wave of the DELPHI study
Authors:
Zdeněk Kučera 1; Petr Struk 2; Martin Zeman 2; Jiří Borej 2; Zdeněk Gütter 2; Christian Raming 3; Marc Lange 4; Paul G. Kučera 5
Authors‘ workplace:
Ústav pro zdravotní gramotnost, z. ú.
1; Národní centrum elektronického zdravotnictví, MZ ČR
2; Agency for Economic Cooperation and Development (AED), Vídeň
3; European Health Telematics Association (EHTEL), Brusel
4; Symfonie Group, Praha
5
Published in:
Čas. Lék. čes. 2020; 159: 228-232
Category:
Original Article
Overview
The article provides an overview of the opinions and attitudes of a selected group of experts on the introduction of electronic healthcare in the Czech healthcare system. The research used the DELPHI method, the first wave of which took place in the first quarter of this year and the second wave is planned for the second half of this year. A total of forty respondents assessed the relevance of the individual steps of electronization and digitization, as well as the obstacles that need to be overcome in the implementation of the National eHealth Strategy. Respondents consider electronic information on health promotion and prevention programs (87%) and support for chronic patients (77%) to be the most appropriate or important, while the least supported is the publication of service level assessments of providers (27%) and on-line access to documentation of the authorizing person (30%), less support is also given to the optimization of waiting times with the help of digitization (35%) and electronic consultation with a doctor (35%). Respondents see the biggest obstacles to eHealth implementation in the resistance of providers (up to 70% for some measures) and in unsatisfactory or missing legislation (up to 85% for some steps). The survey was carried out as part of the project Structural Reform Support Service (SRSS) of the European Commission at the Ministry of Health and under coordination of National eHealth Centre (NeHC).
Keywords:
Telemedicine – eHealth – digitization – DELPHI method – mHealth
Sources
- Dalkey N, Helmer O. An experimental application of the Delphi method to the use of experts. Management Science 1963; 9(3): 458–467.
- de Villiers MR, de Villiers PJT, Kent AP. The Delphi technique in health sciences education research. Medical Teacher 2005; 27(7): 639–643.
- Fletcher AJ, Marchildon, GP. Using the Delphi method for qualitative, participatory action research in health leadership. International Journal of Qualitative Methods 2014; 13: 1–18.
- Green B, Jones M, Hughes D, Williams A. Applying the Delphi technique in a study of GPs’ information requirements. Health & Social Care in the Community 2002; 7(3): 198–205.
- Iljaž RI, Meglič M, Švab I. Building consensus about eHealth in Slovene primary health care: Delphi study. BMC Med Inform Decis Mak 2011; 11: 25.
- Linstone HA, Turoff M. The Delphi method 1975. Addison-Wesley, Reading, 1975.
- Massaroli A et al. The DELPHI method as a methodological framework for research in nursing. Texto Contexto Enferm 2017; 26(4): e1110017.
- Moerman AH, van Houwelingen C, Kort H. An explorative Delphi study to uncover knowledge, attitudes and skills for nurses using eHealth. Hogeschool Utrecht, 2014.
- Murry JWJ, Hammons JO. Delphi: a versatile methodology for conducting qualitative research. The Review of Higher Education 1995; 18(4): 423–436.
- Okoli C, Pawlowski, SD. The Delphi method as a research tool: an example, design considerations and applications. Information & Management 2004; 42(1): 15–29.
- Oranga HM, Nordberg E. The Delphi panel method for generating health information. Health Policy and Planning 1993; 8(4): 405–412.
- Ziglio E. The Delphi method and its contribution to decision-making. In: Adler N, Ziglio E (eds.). Gazing into the oracle: the Delphi method and its application to social policy and public health. Jessica Kingsley Publishers, Bristol, 1995: 3–33.
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Journal of Czech Physicians
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