@文章{信息:doi/10.2196/14787，作者=“Dittrich, Florian and Back, David Alexander and Harren, Anna Katharina and Landgraeber, Stefan and Reinecke, Felix and Serong, Sebastian and Beck, Sascha”，标题=“骨科和创伤手术中智能手机和应用程序的使用:德国医生关于接受度、风险和未来前景的调查研究”，期刊=“JMIR Form Res”，年=“2020”，月=“11”，日=“30”，卷=“4”，数=“11”，页=“e14787”，关键词=“mHealth;智能手机;沟通;医学;调查和问卷;技术;整形外科;背景:在数字化的过程中，智能手机正在影响用户生活中越来越多的领域，让他们几乎无处不在地访问互联网和其他网络应用程序。移动医疗(mHealth)已成为患者护理某些领域不可或缺的一部分。与其他学科相比，德国骨科和创伤外科中移动设备的常规整合仍处于起步阶段。 Objective: This study aimed to investigate physicians' current state of opinion regarding acceptance, future prospects, and risks of medical apps in the field of orthopedics and trauma surgery in Germany. Methods: A web-based survey among orthopedics and trauma surgeons in German university hospitals on the use of medical apps in everyday clinical practice was conducted between September 2018 and February 2019. The survey consisted of 13 open- and closed-ended or multiple-choice questions. A logistic regression analysis was performed to ascertain the effects of interindividual characteristics on the likelihood of participants' app and smartphone usage behavior. Results: A total of 206 physicians participated in the survey. All of the participants (206/206, 100{\%}) owned a smartphone, and 79.1{\%} (159/201) used the device, while 64.7{\%} (130/201) used apps regularly in everyday clinical practice. Medical apps were perceived as beneficial, given their substantial future promise, by 90.1{\%} (181/201) of the participants. However, 62.5{\%} (120/192) of the participants were not satisfied with the current supply of medical apps in app stores. Desired specifications for future apps were ``intuitive usability'' (167/201, 83.1{\%}), ``no advertising'' (145/201, 72.1{\%}), and ``free apps'' (92/201, 45.8{\%}). The attributes ``transparent app development and app sponsoring'' (75/201, 37.3{\%}) and the existence of an ``easy-to-understand privacy statement'' (50/201, 24.9{\%}) were of minor relevance. The majority of the participants (162/194, 83.5{\%}) considered that future apps in the field of ``medical research'' would provide the greatest benefit. The greatest predicted risks were ``data misuse'' (147/189, 77.8{\%}), ``usage of untrustworthy apps'' (135/189, 71.4{\%}), and ``alienation from patients'' (51/189, 27.0{\%}). Increasing age was significantly associated with a reduction in the likelihood of regular smartphone (odds ratio [OR] 0.91, 95{\%} CI 0.86-0.97; P=.002) and app (OR 0.90, 95{\%} CI 0.85-0.96; P=.001) usage, while the medical profession grade had no significant impact on the usage behavior. Conclusions: The study demonstrates that young German doctors in orthopedics and trauma surgery already use smartphones and apps in everyday clinical practice. Medical apps are considered to play an important role in the future. However, a significant discrepancy exists between the supply and demand of mHealth applications, which creates a legal and ethical vacuum with regard to data protection. ", issn="2561-326X", doi="10.2196/14787", url="http://formative.www.mybigtv.com/2020/11/e14787/", url="https://doi.org/10.2196/14787", url="http://www.ncbi.nlm.nih.gov/pubmed/33252340" }