Lorenz Harst

• PhD
• Researcher at TU Dresden

Background: Cardiotoxicity is a major concern in patients undergoing chemotherapy, requiring interdisciplinary management. However, the extent to which cardiotoxicity is managed in the outpatient setting among these specialists may vary, potentially leading to gaps in patient care. Methods: This questionnaire study assessed the current practices an...

Background The COVID-19 pandemic entailed a global health crisis, significantly affecting medical service delivery in Germany as well as elsewhere. While intensive care capacities were overloaded by COVID cases, not only elective cases but also non-COVID cases requiring urgent treatment unexpectedly decreased, potentially leading to a deterioration...

Background The citizens’ perspectives on health care are central to the assessment of the health care situation and to regional development. In Germany, however, strategic goals for health care delivery are planned based on population statistics and partly on regional morbidity. Saxony is a German federal state with high average age and low density...

Zusammenfassung Der Innovationsfonds hat inzwischen verschiedene Studien zur Patientensicherheit gefördert. Deren thematisches Spektrum, methodische Güte, Ergebnisse und Empfehlungen des Innovationsausschusses sollten systematisch aufbereitet und Vorschläge zur Optimierung des Transfererfolgs abgeleitet werden. Im Rahmen eines Scoping-Reviews wurde...

Zusammenfassung Hintergrund Jüngste Analysen zeigen, dass Versorgungsorganisationen in der Versorgungsforschung in Deutschland häufig in erster Linie als Studiensetting betrachtet werden, ohne deren komplexen organisationalen Charakter in vollem Umfang zu berücksichtigen, weder theoretisch noch methodisch. Daher wurde eine Initiative gestartet, um...

During a pandemic, resilience must be considered not only as an attribute of the health care system, but also of the surrounding research environment. To provide reliable evidence-based advice from university medicine to health policy and decision makers, scientific evidence must be generated, synthesized and communicated in a rapid, integrative an...

Background In October 2020, digital health applications (DiGAs) became part of standard care in Germany. For approval, DiGA manufacturers must demonstrate medical benefit or patient-relevant improvement of structure and processes (PISP). PISP refers to an innovative outcome core area in terms of proof of benefits and reimbursement decisions. These...

Zusammenfassung Hintergrund Seit Beginn der Corona-Pandemie im Frühjahr 2020 stehen Krankenhäuser vor der Herausforderung, die erforderlichen Kapazitäten für krankenhaus- bzw. intensivpflichtige COVID-Erkrankte sicherzustellen und gleichzeitig Patienten mit anderen Erkrankungen angemessen zu versorgen. Dies hat eine sehr starke Belastung des pflege...

Background About 2% of the German population are affected by psoriasis. A growing number of cost-intensive systemic treatments are available. Surveys have shown high proportions of patients with moderate to severe psoriasis are not adequately treated despite a high disease burden. Digital therapy recommendation systems (TRS) may help implement guid...

Background: Games and game components have become a major trend in the realm of digital health research and practice as they are assumed to foster behavior change and thereby improve patient-reported and clinical outcomes for patients with type 2 diabetes. Objective: The aim of this systematic review was to summarize and evaluate the current evi...

Zusammenfassung Mit diesem Diskussionspapier greift die Kleingruppe Mixed Methods der AG Qualitative Methoden im Deutschen Netzwerk Versorgungsforschung e. V. (DNVF) das Thema dreier voran-gegangener Diskussionspapiere zum Stellenwert und den Potenzialen qualitativer Forschungsmethoden für die Versorgungsforschung auf. Mixed Methods sind in der Ver...

Background: In October 2020, digital health applications (DiGAs) became part of standard care in Germany. For approval, DiGA manufacturers must demonstrate medical benefit or patient-relevant improvement of structure and processes (PISP). PISP refers to an innovative outcome core area in terms of proof of benefits and reimbursement decisions. These...

Vor dem Hintergrund stetig komplexer werdender Leistungen in vielen Bereichen des Lebens stehen immer mehr Unternehmen und Organisationen vor der Herausforderung, ihren Anspruchsgruppen und insbesondere ihren Kund*innen Hilfestellungen zur erfolgreichen Nutzung dieser Leistungen zu geben. Zudem müssen Kund*innen immer öfter Teile der Leistungserste...

To successfully scale-up telemedicine initiatives (TIs), communities play a crucial role. To empower communities fulfilling this role and increase end users' acceptance of TIs, support tools (from now on entitled artifacts) are needed that include specific measures to implement and scale up telemedicine. Addressing this need, the article introduces...

Digitale Interventionen (DI) zu gesundheitsbezogenen Themen gewinnen zunehmend an Bedeutung. Oftmals sind sie komplexe Interventionen, die in einem komplexen Versorgungskontext evaluiert und implementiert werden. Aufgrund der Merkmale digitaler Interventionen ist die Versorgungsforschung vor methodische Herausforderungen gestellt. Daher hat die Arb...

Zusammenfassung Methodische Herausforderungen bei der Evaluation digitaler Interventionen (DI) sind für die Versorgungsforschung allgegenwärtig. Die Arbeitsgruppe Digital Health des Deutschen Netzwerks Versorgungsforschung (DNVF) hat in einem zweiteiligen Diskussionspapier diese Herausforderungen dargestellt und diskutiert. Im ersten Teil wurden be...

BACKGROUND Games and game components have become a major trend in the realm of digital health research and practice as they are assumed to foster behavior change and thereby improve patient-reported and clinical outcomes for patients with type 2 diabetes. OBJECTIVE The aim of this systematic review was to summarize and evaluate the current evidenc...

Background: About 2% of the German population are affected by psoriasis. A growing number of cost-intensive systemic treatments are available. Surveys have shown high proportions of patients with moderate to severe psoriasis are not adequately treated despite a high disease burden. Digital therapy recommendation systems (TRS) may help implement gui...

Aim Telemedicine is a promising solution to extend traditional health care services. Even though mainly discussed during the past two decades, its roots go back into the past century and even further, considering the use of bonfires to warn other villages of diseases. Insights from historical cases can therefore be useful for the ongoing discussion...

As physical inactivity is one of the four leading risk factors for mortality, it should be intensively treated. Therefore, this one-year follow-up study aimed to evaluate the long-term effects of a preventive app to increase physical activity in German adults under real-life circumstances. Data collection took place from July 2019 to July 2021 and...

Background Model projects for flexible and integrated treatment (FIT) in Germany aim at advancing the quality of care for people with mental disorders. A new FIT model project was established in 2017 at the Department of child and adolescent psychiatry (KJP) of the University Hospital Tübingen (Universitätsklinikum Tübingen, UKT). The study design...

Background: With the rise of digital health technologies and telemedicine, the need for evidence-based evaluation is growing. Patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) are recommended as an essential part of the evaluation of telemedicine. For the first time, a systematic review has been conducted to...

Introduction: The complex and dynamic situation in the current pandemic requires a regionally coordinated and interconnected cooperation between the different stakeholders within the health care system, such as the inpatient sector or the public health service. The aim of this study is to analyze health care management during the COVID-19 pandemic...

Many telemedicine interventions fail to be implemented in medical care with non-use and discontinued use by patients being among the major reasons. The aim of this scoping review was to provide an overview of barriers associated with non-use and discontinued use of telemedicine. An electronic search was conducted in Pubmed in October 2019 and updat...

Introduction: The increasing availability of healthcare IT has the potential to improve the integration of health services. Existing projects developing healthcare IT mostly disregard the potential and importance of incorporating user feedback and proper evaluation measures to gain user feedback throughout the development process. We therefore pro...

Aim The purpose of this editorial is to provide guidance for the readers concerning the broad realm of approaches towards successful implementation of digital health applications into the health care system. Recent developments due to the challenges posed by the COVID-19 pandemic are used as a current angle. Subject and Methods All contributions w...

Aim Because the field of information systems (IS) research is vast and diverse, structuring it is a necessary precondition for any further analysis of artefacts. To structure research fields, taxonomies are a useful tool. Approaches aiming to develop sound taxonomies exist, but they do not focus on empirical development. We aimed to close this gap...

BACKGROUND With the rise of digital health technologies and telemedicine services, the need for evidence-based evaluation is growing. Patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) are recommended as an essential part of comprehensive and multidisciplinary evaluation studies on telemedicine applications....

Background: In Germany, the 12-month prevalence of methamphetamine use among persons aged 15 to 34 is 1.9%. An increasing number of newborns are being born after a prenatal methamphetamine exposure (PME). In 2014, in the German state of Saxony, approximately four out of 1000 newborns were affected. Methods: This systematic review (Prospero registr...

Trotz ihres allgemein anerkannten Potenzials scheitern auch in Deutschland Digitale Gesundheitsanwendungen (DiGA) nach wie vor an der nachhaltigen Integration in die Regelversorgung. Im Folgenden werden, im Einklang mit den Anforderungen des neu eingerichteten BfArM-Fast-Tracks für die Aufnahme von DiGA in die Regelversorgung, mehrere konkrete Maßn...

„Smart Home“ ist Trend – doch es ist oft nicht wirklich klar, worum es sich dabei handelt und wem es überhaupt nützt. Dieser Artikel erklärt die Hintergründe von Smart Home und gibt einen Einblick in die vielfältigen Möglichkeiten von intelligenter Technik im eigenen Zuhause.

„Smart Home“ ist Trend – doch es ist oft nicht wirklich klar, worum es sich dabei handelt und wem es überhaupt nützt. Dieser Artikel erklärt die Hintergründe von Smart Home und gibt einen Einblick in die vielfältigen Möglichkeiten von intelligenter Technik im eigenen Zuhause.

Purpose: The increase of longitudinal integrated curricula in medical schools worldwide represents the shift towards an outcome-oriented education. This novel model allows comprehensive student-patient interactions over time and integrates the educational content across disciplines. According to quantitative research, students, patients, doctors an...

Background Integrated care is said to improve the way in which care is delivered. To support integrated care by ensuring close collaboration between involved stakeholders, information and communication technologies, especially telemedicine, are needed. Despite their potential, most telemedicine solutions never make it from pilot project stage to fu...

(1) Background: The objective of this study was to identify, categorize and prioritize current implications for future research in the use telemedicine for diabetes and hypertension in order to inform policy and practice decisions. (2) Methods: An iterative mixed methods design was followed, including three consecutive steps: An updated umbrella re...

Background Owing to the increasing popularity of smartphones in Rwanda, almost 75% of the entire population currently has access to the internet. Although it has been shown that smartphone applications can support diabetes self-management, there was no diabetes self-management application available in Rwanda until April 2019. Based on the findings...

Background: Telemedicine is defined by three characteristics: (1) using information and communication technologies, (2) covering a geographical distance, and (3) involving professionals who deliver care directly to a patient or a group of patients. It is said to improve chronic care management and self-management in patients with chronic diseases....

The way health care is delivered changes continuously and is increasingly supported by digital technologies, such as telemedicine. Many terms in that context exist, which are not defined consistently and therefore used ambiguously. This makes it difficult to assess the evidence base. Ontologies bring structure and clarity to the discourse around te...

Electronic patient records or virtual consultation hours—in recent years, digital developments have increasingly found their way into medical care structures and individual healthcare. Additionally, communication on health and illness in individuals’ everyday lives is increasingly taking place via digital media and has become an element of our life...

Background Insufficient physical activity is one of the most important risk factors for non-communicable diseases and should therefore be intensively prevented in all age groups. According to several trials, activity can be effectively increased by smartphone-based interventions. However, the use of digital applications depends on many factors such...

Background Insufficient physical activity is one of the most important risk factors for non-communicable diseases and should therefore be intensively prevented in all age groups. According to several trials, activity can be effectively increased by smartphone-based interventions. However, the use of digital applications depends on many factors such...

Despite the increasing application of information and communication technologies (ICT) in health care, robust data on the effectiveness and implementation of digital health solutions is lacking. Therefore, the objective of this analysis is to identify and categorise implications for future research in order to inform policy and practice decisions....

Background Telemedicine solutions providing patient-centered care over distance need to be integrated into the regional setting. The acceptance by both providers and patients hat to be continuously evaluated using methods of participatory implementation research. In controlled trials, often taking place in laboratory settings, these methods cannot...

BACKGROUND Telemedicine is said to improve chronic care management and self-management in patients with chronic diseases. However, currently available guidelines for the care of patients with diabetes, hypertension or dyslipidaemia do not include evidence-based guidance on which components of telemedicine are most effective for which patient popula...

Health systems and governments are increasingly required to implement measures that target at-risk populations to prevent noncommunicable diseases. In this review we lay out what governments should be doing to prevent diabetes throughout the life course. The following four target groups were used to structure the specific recommendations: (1) pregn...

Mit dem Ziel, Anforderungen und Wünsche an eine Diabetes-App zu identifizieren, erfolgte eine qualitative Befragung von Diabetespatienten in Ruanda/Ostafrika. Der vorliegende Beitrag stellt ausgewählte Ergebnisse der Publikation dieser Befragung vor [1]. Besonderes Augenmerk liegt auf der Übertragbarkeit der Ergebnisse auf die Entwicklung und Evalu...

Telemedicine is said to change the way care is delivered. Nevertheless, it still faces barriers to overcome the pilot stage and reach a majority of patients in regular care. Although research widely exists on telemedicine barriers in isolated settings, a systematic overview to summarize key scientific contributions is missing. This paper aims to cl...

Telemedicine is said to change the way care is delivered. Nevertheless, it still faces barriers to overcome the pilot stage and reach a majority of patients in regular care. Missing consideration of user-centred design processes is one major reason for this development as individuals are a key component for the technology’s success. Therefore, we a...

Background Knowledge of and coping with diabetes is still poor in some communities in Rwanda. While smartphone applications (or apps) have demonstrated improving diabetes self-care, there is no current study on the use of smartphones in the self-management of diabetes in Rwanda. Methods The main objective of this study was to assess the needs and...

INTERVIEW_GUIDE – Supplemental material for Assessment of Rwandan diabetic patients’ needs and expectations to develop their first diabetes self-management smartphone application (Kir’App)

BACKGROUND Only a few telemedicine applications have made their way into the regular care. One reason is the lack of acceptance of these applications by potential end users. OBJECTIVE The aim of this sys-tematic review was to identify theoretical predictors which influence the acceptance of telemedicine applications. METHODS An electronic search...

Background: Only a few telemedicine applications have made their way into regular care. One reason is the lack of acceptance of telemedicine by potential end users. Objective: The aim of this systematic review was to identify theoretical predictors that influence the acceptance of telemedicine. Methods: An electronic search was conducted in Pu...

The primary objective of this study was to analyze the most up-to-date evidence regarding whether and how blood sugar regulation influences cardiovascular health promotion and disease prevention by carrying out an umbrella review. Three separate, systematic literature searches identified 2,343 papers in total. Overall, 44 studies were included for...

ZUSAMMENFASSUNG Es ist ein steigendes praktisches und wissenschaftliches Interesse an digitalen Gesundheitsanwendungen wie telemedizinischen Ansätzen zur Steigerung des Diabetesselbstmanagements (DSM) bei Diabetes mellitus Typ 2 zu beobachten. Neben der klinischen Wirksamkeit und Kosteneffektivität von Telemedizin sollten jedoch auch Faktoren, die...

The primary objective of this study was to analyze the most up-to-date evidence regarding whether and how blood sugar regulation influences cardiovascular health promotion and disease prevention by carrying out an umbrella review. Three separate, systematic literature searches identified 2,343 papers in total. Overall, 44 studies were included for...

Dieser Artikel zeigt unter Rückgriff auf die jeweiligen kommunikationswissenschaftlichen Unterhaltungstheorien auf, wie sich die Serie Westworld sowohl Stilmitteln für hedonistische als auch für eudaimonische Unterhaltung bedient. Das Besondere an der Serie, so wird im folgenden Beitrag argumentiert, liegt aber zum einen in der Konsequenz, mit der...

This paper presents an approach for an evaluation of finished telemedicine projects using qualitative methods. Telemedicine applications are said to improve the performance of health care systems. While there are countless telemedicine projects, the vast majority never makes the threshold from testing to implementation and diffusion. Projects were...