Universität zu Köln

Vollmar, Horst Christian, Kramer, Ursula, Mueller, Hardy, Griemmert, Maria, Noelle, Guido and Schrappe, Matthias (2017). Position Paper of The AG Digital Health DNVF on Digital Health Applications: Framework Conditions For Use in Health Care, Structural Development and Science. Gesundheitswesen, 79 (12). S. 1080 - 1093. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4421

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Abstract

The term digitalhealth is currently the most comprehensive term that includes all information and communication technologies in healthcare, including e-health, mobile health, telemedicine, big data, health apps and others. Digital health can be seen as a good example of the use of the concept and methodology of health services research in the interaction between complex interventions and complex contexts. The position paper deals with 1) digital health as the subject of health services research; 2) digital health as a methodological and ethical challenge for health services research. The often-postulated benefits of digital health interventions should be demonstrated with good studies. First systematic evaluations of apps for treatment support show that risks are higher than benefits. The need for a rigorous proof applies even more to big data-assisted interventions that support decision-making in the treatment process with the support of artificial intelligence. Of course, from the point of view of health services research, it is worth participating as much as possible in data access available through digital health and big data. However, there is the risk that a noncritical application of digital health and big data will lead to a return to a linear understanding of biomedical research, which, at best, accepts complex conditions assuming multivariate models but does not take complex facts into account. It is not just a matter of scientific ethical requirements in health services care research, for instance, better research instead of unnecessary research (reducing waste), but it is primarily a matter of anticipating the social consequences (system level) of scientific analysis and evaluation. This is both a challenge and an attractive option for health services research to present itself as a mature and responsible scientific discipline.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Vollmar, Horst Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Kramer, Ursula UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Hardy UNSPECIFIED UNSPECIFIED UNSPECIFIED Griemmert, Maria UNSPECIFIED UNSPECIFIED UNSPECIFIED Noelle, Guido UNSPECIFIED UNSPECIFIED UNSPECIFIED Schrappe, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-208783
DOI:	10.1055/s-0043-122233
Journal or Publication Title:	Gesundheitswesen
Volume:	79
Number:	12
Page Range:	S. 1080 - 1093
Date:	2017
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-4421
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BIG DATA; SERVICES RESEARCH; TECHNOLOGY; MEDICINE; SYSTEMS; SAFETY; ERRORS Multiple languages Public, Environmental & Occupational Health Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20878