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- Fakultät IV - Wirtschaft und Informatik (13) (remove)
BACKGROUND:
Despite their increasing popularity, little is known about how users perceive mobile devices such as smartphones and tablet PCs in medical contexts. Available studies are often restricted to evaluating the success of specific interventions and do not adequately cover the users' basic attitudes, for example, their expectations or concerns toward using mobile devices in medical settings.
OBJECTIVE:
The objective of the study was to obtain a comprehensive picture, both from the perspective of the patients, as well as the doctors, regarding the use and acceptance of mobile devices within medical contexts in general well as the perceived challenges when introducing the technology.
METHODS:
Doctors working at Hannover Medical School (206/1151, response 17.90%), as well as patients being admitted to this facility (213/279, utilization 76.3%) were surveyed about their acceptance and use of mobile devices in medical settings. Regarding demographics, both samples were representative of the respective study population. GNU R (version 3.1.1) was used for statistical testing. Fisher's exact test, two-sided, alpha=.05 with Monte Carlo approximation, 2000 replicates, was applied to determine dependencies between two variables.
RESULTS:
The majority of participants already own mobile devices (doctors, 168/206, 81.6%; patients, 110/213, 51.6%). For doctors, use in a professional context does not depend on age (P=.66), professional experience (P=.80), or function (P=.34); gender was a factor (P=.009), and use was more common among male (61/135, 45.2%) than female doctors (17/67, 25%). A correlation between use of mobile devices and age (P=.001) as well as education (P=.002) was seen for patients. Minor differences regarding how mobile devices are perceived in sensitive medical contexts mostly relate to data security, patients are more critical of the devices being used for storing and processing patient data; every fifth patient opposed this, but nevertheless, 4.8% of doctors (10/206) use their devices for this purpose. Both groups voiced only minor concerns about the credibility of the provided content or the technical reliability of the devices. While 8.3% of the doctors (17/206) avoided use during patient contact because they thought patients might be unfamiliar with the devices, (25/213) 11.7% of patients expressed concerns about the technology being too complicated to be used in a health context.
CONCLUSIONS:
Differences in how patients and doctors perceive the use of mobile devices can be attributed to age and level of education; these factors are often mentioned as contributors of the problems with (mobile) technologies. To fully realize the potential of mobile technologies in a health care context, the needs of both the elderly as well as those who are educationally disadvantaged need to be carefully addressed in all strategies relating to mobile technology in a health context.
Mit der Hannoverschen Korruptionsskala (HKS 38) kann die Einstellung gegenüber Korruption gemessen werden. Die HKS 38 besteht aus 38 Items, die den Subskalen kognitiv, affektiv und konativ zugeordnet werden können. Die 38 Items der Endversion wurden anhand studentischer Stichproben (n=709) per Itemanalyse nach den Regeln der klassischen Testtheorie aus 130 Items selektiert. Für die Gesamtskala sowie die drei Subskalen stehen einheitliche Normen zur Verfügung. Die Daten für die Normierung wurden in einer repräsentativen Telefonumfrage innerhalb der deutschsprachigen Wohnbevölkerung erhoben (n=1.391). Der Einsatzbereich der Skala ist ab 18 Jahre.
In diesem Beitrag werden die Ergebnisse von sieben Datenhebungen zur Relevanz situativer Risikofaktoren für Korruption aus den Jahren 2010 bis 2013 vorgestellt. In fünf quantitativen Datenerhebungen wurden folgende sechs Faktoren untersucht: Dauer der Korruptionsbeziehung, Vorteilshöhe, Art der Vorteilsempfänger, Entdeckungswahrscheinlichkeit, Vorliegen einer persönliche Notlage und situative Unsicherheit. In zwei qualitativen Datenerhebungen wurde mit offenen Fragen nach situativen Einflussfaktoren von Korruption gefragt. Erwartungswidrig erwiesen sich die untersuchten Faktoren als weitgehend irrelevant für die Bewertung von Korruption sowie für das Meldeverhalten bei beobachteter Korruption. Zu vermuteten ist, dass situative Risikofaktoren nicht unmittelbar, sondern indirekt über vom Umfeld geteilte mögliche Rechtfertigungen korrupter Handlungen im Alltag wirken. Die durchgängig nicht signifikanten Ergebnisse lassen daran zweifeln, dass korruptes Handeln maßgeblich durch situative Risikofaktoren beeinflussbar ist.