Digital Transformation of Rheumatology Care in Germany: Cross-Sectional National Survey

BackgroundIn recent years, health care has undergone a rapid and unprecedented digital transformation. In many fields of specialty care, such as rheumatology, this shift is driven by the growing number of patients and limited resources, leading to increased use of digital hea...

Full description

Saved in:
Bibliographic Details
Main Authors: Susann May, Robert Darkow, Johannes Knitza, Katharina Boy, Philipp Klemm, Martin Heinze, Nicolas Vuillerme, Pascal Petit, Patricia Steffens-Korbanka, Heike Kladny, Johannes Hornig, Peer Aries, Martin Welcker, Felix Muehlensiepen
Format: Article
Language:English
Published: JMIR Publications 2025-01-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2025/1/e52601
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841557092702355456
author Susann May
Robert Darkow
Johannes Knitza
Katharina Boy
Philipp Klemm
Martin Heinze
Nicolas Vuillerme
Pascal Petit
Patricia Steffens-Korbanka
Heike Kladny
Johannes Hornig
Peer Aries
Martin Welcker
Felix Muehlensiepen
author_facet Susann May
Robert Darkow
Johannes Knitza
Katharina Boy
Philipp Klemm
Martin Heinze
Nicolas Vuillerme
Pascal Petit
Patricia Steffens-Korbanka
Heike Kladny
Johannes Hornig
Peer Aries
Martin Welcker
Felix Muehlensiepen
author_sort Susann May
collection DOAJ
description BackgroundIn recent years, health care has undergone a rapid and unprecedented digital transformation. In many fields of specialty care, such as rheumatology, this shift is driven by the growing number of patients and limited resources, leading to increased use of digital health technologies (DHTs) to maintain high-quality clinical care. Previous studies examined user acceptance of individual DHTs in rheumatology, such as telemedicine, video consultations, and mHealth. However, it is essential to conduct cross-technology and continuous analyses of user acceptance and DHT use to maximize the benefits for all relevant stakeholders. ObjectiveThis study aimed to explore the current acceptance, use, and preferences regarding DHTs among patients in rheumatology care in Germany. MethodsRheumatology patients from 3 clinics in Germany were surveyed to understand their perspectives on DHTs. The survey included main themes, including acceptance, preferences, COVID-19’s impact, potential, and barriers related to DHTs. The data were analyzed using descriptive statistics and correlation analysis. ResultsOut of 337 participants, 53% (179/337) reported using DHTs. Specific technologies included wearables (72/337, 21%), mHealth apps (71/337, 21%), digital therapeutics (32/337, 9%), electronic prescriptions (30/337, 9%), video consultations (15/337, 4%), and at-home blood self-sampling (3/337, 1%). Nearly two-thirds (220/337, 65%) found DHTs useful, and 69% (233/337) held a generally positive attitude toward DHTs. Attitudes shifted positively during the COVID-19 pandemic for 40% (135/337) of participants. Higher education was more prevalent among DHT users (114/179, 63.7%) compared with nonusers (42/151, 27.8%; P=.02). The main potential benefits identified were location-independent use (244/337, 72%) and time-independent use (216/337, 64%). Key barriers included insufficient user knowledge (165/337, 49%) and limited information on DHTs (134/337, 40%). ConclusionsPatient acceptance and use of DHTs in rheumatology is increasing in Germany. A prospective, standardized monitoring of digital transformation in rheumatology care is highly needed.
format Article
id doaj-art-8b2811facd37442cb1e8c2ed8c8f8c07
institution Kabale University
issn 1438-8871
language English
publishDate 2025-01-01
publisher JMIR Publications
record_format Article
series Journal of Medical Internet Research
spelling doaj-art-8b2811facd37442cb1e8c2ed8c8f8c072025-01-06T20:30:25ZengJMIR PublicationsJournal of Medical Internet Research1438-88712025-01-0127e5260110.2196/52601Digital Transformation of Rheumatology Care in Germany: Cross-Sectional National SurveySusann Mayhttps://orcid.org/0000-0003-3847-4861Robert Darkowhttps://orcid.org/0000-0002-7991-3691Johannes Knitzahttps://orcid.org/0000-0001-9695-0657Katharina Boyhttps://orcid.org/0009-0009-9616-6278Philipp Klemmhttps://orcid.org/0000-0001-7911-4235Martin Heinzehttps://orcid.org/0000-0003-3645-1033Nicolas Vuillermehttps://orcid.org/0000-0003-3773-393XPascal Petithttps://orcid.org/0000-0001-9015-5230Patricia Steffens-Korbankahttps://orcid.org/0009-0009-9718-6238Heike Kladnyhttps://orcid.org/0009-0000-7612-6695Johannes Hornighttps://orcid.org/0000-0001-9875-9610Peer Arieshttps://orcid.org/0000-0001-7919-8010Martin Welckerhttps://orcid.org/0000-0002-1856-3085Felix Muehlensiepenhttps://orcid.org/0000-0001-8571-7286 BackgroundIn recent years, health care has undergone a rapid and unprecedented digital transformation. In many fields of specialty care, such as rheumatology, this shift is driven by the growing number of patients and limited resources, leading to increased use of digital health technologies (DHTs) to maintain high-quality clinical care. Previous studies examined user acceptance of individual DHTs in rheumatology, such as telemedicine, video consultations, and mHealth. However, it is essential to conduct cross-technology and continuous analyses of user acceptance and DHT use to maximize the benefits for all relevant stakeholders. ObjectiveThis study aimed to explore the current acceptance, use, and preferences regarding DHTs among patients in rheumatology care in Germany. MethodsRheumatology patients from 3 clinics in Germany were surveyed to understand their perspectives on DHTs. The survey included main themes, including acceptance, preferences, COVID-19’s impact, potential, and barriers related to DHTs. The data were analyzed using descriptive statistics and correlation analysis. ResultsOut of 337 participants, 53% (179/337) reported using DHTs. Specific technologies included wearables (72/337, 21%), mHealth apps (71/337, 21%), digital therapeutics (32/337, 9%), electronic prescriptions (30/337, 9%), video consultations (15/337, 4%), and at-home blood self-sampling (3/337, 1%). Nearly two-thirds (220/337, 65%) found DHTs useful, and 69% (233/337) held a generally positive attitude toward DHTs. Attitudes shifted positively during the COVID-19 pandemic for 40% (135/337) of participants. Higher education was more prevalent among DHT users (114/179, 63.7%) compared with nonusers (42/151, 27.8%; P=.02). The main potential benefits identified were location-independent use (244/337, 72%) and time-independent use (216/337, 64%). Key barriers included insufficient user knowledge (165/337, 49%) and limited information on DHTs (134/337, 40%). ConclusionsPatient acceptance and use of DHTs in rheumatology is increasing in Germany. A prospective, standardized monitoring of digital transformation in rheumatology care is highly needed.https://www.jmir.org/2025/1/e52601
spellingShingle Susann May
Robert Darkow
Johannes Knitza
Katharina Boy
Philipp Klemm
Martin Heinze
Nicolas Vuillerme
Pascal Petit
Patricia Steffens-Korbanka
Heike Kladny
Johannes Hornig
Peer Aries
Martin Welcker
Felix Muehlensiepen
Digital Transformation of Rheumatology Care in Germany: Cross-Sectional National Survey
Journal of Medical Internet Research
title Digital Transformation of Rheumatology Care in Germany: Cross-Sectional National Survey
title_full Digital Transformation of Rheumatology Care in Germany: Cross-Sectional National Survey
title_fullStr Digital Transformation of Rheumatology Care in Germany: Cross-Sectional National Survey
title_full_unstemmed Digital Transformation of Rheumatology Care in Germany: Cross-Sectional National Survey
title_short Digital Transformation of Rheumatology Care in Germany: Cross-Sectional National Survey
title_sort digital transformation of rheumatology care in germany cross sectional national survey
url https://www.jmir.org/2025/1/e52601
work_keys_str_mv AT susannmay digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT robertdarkow digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT johannesknitza digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT katharinaboy digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT philippklemm digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT martinheinze digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT nicolasvuillerme digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT pascalpetit digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT patriciasteffenskorbanka digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT heikekladny digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT johanneshornig digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT peeraries digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT martinwelcker digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey
AT felixmuehlensiepen digitaltransformationofrheumatologycareingermanycrosssectionalnationalsurvey