Peggy Richter

Research Group Digital Health at Technische Universität Dresden

Patient engagement is a cornerstone of high-quality care and essential for patients with chronic diseases to achieve improved health outcomes. Through digital transformation, possibilities to engage patients in their personal healthcare have multiplied. However, the exploitation of this potential is still lagging. To support the transmission of pat...

In the realm of modern healthcare, digital health solutions are poised to transform patient care, particularly in surgical interventions such as Total Hip Arthroplasty. Through a scoping review of 40 studies, this paper identifies six categories of digital interventions tailored for pre- and post-operative care in THA, spanning (Tele-)Rehabilitatio...

BACKGROUND In contemporary healthcare, patient-centered care has emerged as a pivotal paradigm shift that redefines the traditional physician-centric model. Particularly in the context of cancer care, marked by its intricate nature and emotional impact, there's a pressing requirement to rethink how healthcare is delivered. In this context, Comprehe...

Multiple sclerosis (MS) as a chronic, degenerative autoimmune disease of the central nervous system has a longitudinal and heterogeneous course with increasing treatment options and risk profiles requiring constant monitoring of a growing number of parameters. Despite treatment guidelines, there is a lack of strategic and individualised monitoring...

The ever-expanding potential of digital technologies is increasingly influencing healthcare, with a focus on connecting various stakeholders, including patients, healthcare providers, developers, and researchers. To fully realize this potential, it is crucial to nurture and enhance the digital skills of patients, particularly considering demographi...

Zusammenfassung Im Dezember 2019 wurden in Deutschland Digitale Gesundheitsanwendungen (DiGA) in die Regelversorgung aufgenommen und können somit durch die gesetzlichen Krankenkassen erstattet werden, um PatientInnen bei der Behandlung von Erkrankungen oder Beeinträchtigungen zu unterstützen. Inzwischen gibt es 48 DiGA (Stand: Oktober 2023) im Verz...

Interventions for noncommunicable diseases (NCDSs) often require changing behaviors. In this regard, habitual behaviors (i.e., habits) are positively evaluated to foster behavioral changes. Forming habits is challenging but can be supported digitally. This paper reviews the requirements of forming habits and investigates how these requirements are...

Some classes of person-oriented services such as healthcare services require individualization to be effective. Individualizing services and corresponding patient pathways are costly. To provide such services in an individualized, but also efficient manner, service modularization is known as a solution. Until now, modularization parameters that tak...

Zusammenfassung Die digitale Transformation im Gesundheitswesen ermöglicht durch die Entwicklung zahlreicher neuer Technologien und Standards eine zunehmend individualisierte, bedarfsgerechte und berufsgruppenübergreifende Versorgung von Patienten. Diese neue Generation von Digital Health Innovationen – die Digital Health Generation Alpha (in Anleh...

Background Patients as active partners in their personal healthcare are key drivers to reducing costs, securing an effective usage of resources, and ensuring patient-provider satisfaction. Even though these benefits are acknowledged, a theoretical framework for the plethora of concepts used in this context, such as patient engagement, patient empow...

Digital technologies are increasingly embedded into healthcare aiming to improve quality of patient care, enhance patients’ safety and cut down economical costs. Healthcare professionals’ digital skills are indeed need enhancement with policies and initiatives have started working towards that, but digital soft skills are underplayed. Digital soft...

Patient pathways are a means to structure the care process for patients with complex and long-term diseases in integrated care networks. Simultaneously, they have a stronger emphasis on the patient perspective and engagement than related pathway concepts. Still, there are no common mechanisms for patient engagement concepts in patient pathway model...

Patient pathways (PPs) are considered a valuable instrument for managing integrated, patient-centred healthcare services. Still, a uniform understanding and definition of PPs is lacking, leading to misunderstandings and inconsistent use in both science and practice. Accordingly, the objective of this paper is to assess the practical view of PP stak...

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...

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...

Patient pathways are a means to structure the care process for patients with complex and long-term diseases in integrated care networks. Simultaneously, they have a stronger emphasis on the patient perspective and engagement than related pathway concepts. Still, there are no common mechanisms for patient engagement concepts in patient pathway model...

Patient pathways are recognized as a valuable tool to support standardization, comparability, quality, and transparency of care processes in comprehensive care networks. Still, existing development approaches lack real practical guidance as well as an integration of the network and patient perspectives. Therefore, a user-centered and requirements-b...

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...

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...

Patient pathways are recognized as a valuable governance instrument to increase standardization, quality, comparability, and transparency of care in comprehensive care networks. Yet, methodological support is lacking. This paper aims to support their development, implementation and continuous maintenance. Therefore, a systematic literature review o...

The active integration of a patient into his/her own care process offers great potentials for improving care quality. With this regard, patient portals are frequently referenced for enabling patient integration. Existing solutions primarily focus on the access to electronic health records but do not aim for the integration of cross-institutional in...

Care pathways (CPs) are used as a tool to organize complex care processes and to foster the quality management in general. However, the quality management potentials have not been sufficiently exploited yet, since the development, documentation, and controlling of quality indicators (QIs) for quality management purposes are not fully integrated to...

Integrated care is a promising approach to create connectivity, alignment, and collaboration in a network of health care providers, especially for people with long-term and complex conditions. It aims at improving care quality, but a common, standardised quality management approach for such networks is still missing. In this context, care pathways...

Background: In the European Guide on Quality Improvement in Comprehensive Cancer Control (CanCon Guide) patient pathways (PPs) are recognized as a valuable tool to support seamless care, patient information and guidelines implementation in comprehensive cancer control networks (CCCNs). However, there is neither a common definition of the term nor a...

Die aktive Integration eines Patienten in seinen Behandlungsverlauf besitzt große Potentiale zur Verbesserung der Behandlungsqualität. Als Ansatz zur besseren Patientenintegration werden häufig Patientenportale genannt. Die bestehenden Lösungen fokussieren jedoch vornehmlich auf die Zugänglichkeit elektronischer Patientenakten aber nicht auf die In...

Healthcare systems in western countries are continuously working to achieve efficient resource allocation and to improve access to quality medical care. The implementation of standardised care processes promises better integration and coordination of care across several healthcare providers. In this context, an increasing use of the term patient pa...

In Wissenschaft und Praxis der onkologischen Versorgung kann die zunehmende Verwendung des Begriffs Patientenpfad (engl. patient pathway) beobachtet werden. Er wird häufig in Zusammenhang mit der Optimierung des Versorgungsprozesses sowie der Kommunikation und des Informationsaustauschs zwischen den beteiligten Leistungserbringern verwendet. Das ma...

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...

Health care systems need to cope with continuous changes such as with the current trends towards pay-for-performance and value-based health care. In this context, the article aims at analysing the potentials of the integration and utilisation of quality indicators in clinical pathways. It comprises the first steps of a design-oriented research proc...

Medical guidelines have become established as the standard for the comprehensive synopsis of all available information (scientific trials, expert opinion) on diagnosis and treatment recommendations. The transfer of guidelines to clinical practice and subsequent monitoring has however proven difficult. In particular the potential interaction between...

Medizinische Leitlinien sind ein gängiges Werkzeug zur Wissensspeicherung und -bereitstellung im Rahmen evidenzbasierter Medizin. Die Beteiligung verschiedener Fachrichtungen und hohe Wechselbeziehungen zwischen einzelnen Empfehlungen machen Leitlinien zu komplexen Artefakten. Dabei sind neben ihrer Erstellung auch die kontinuierliche Pflege, Imple...

This paper presents the structure and contents of an integrated curriculum on teaching enterprise modeling for master students at a large German university. The module is composed of two main master classes (Business Engineering and Enterprise Modeling) and supplemented by an additional seminar and the final master thesis. The major classes respect...

Integrated care (IC) helps to diminish demographic challenges. Electronic health records (EHRs) are recognized to support IC with regard to continuity, efficiency and quality of care. Lifetime EHRs (LEHRs) allow an even higher level of integration by including all care-related stakeholders along the whole lifetime of an individual. The article aims...

Health care systems need to cope with continuous changes such as with the current trends towards pay-for-performance and value-based health care. In this context, the article aims at analysing the potentials of the integration and utilisation of quality indicators in clinical pathways. It comprises the first steps of a design-oriented research proc...

Integrated care concepts can help to diminish demographic challenges. Hereof, the use of eHealth, esp. overarching electronic health records, is recognized as an efficient approach. The article aims at rigorously defining the concept of lifetime electronic health records (LEHRs) and the identification of core factors that need to be fulfilled in or...

Integrated care concepts can help to diminish demographic challenges. Therefore, the use of eHealth solutions is recognised as an efficient approach. Lifetime electronic health records (LEHRs) are expected to increase continuity, effectiveness, efficiency and thus quality of the care process. With respect to these benefits, an overarching implement...

Die Anwendung agiler Prozesse und standardisierter Projekte resultiert aus der Notwendigkeit zur Anpassung ihrer Organisation und Durchführung an in- und externe Einflüsse und Veränderungen. Jedoch fehlen ganzheitliche Ansätze, die Hinweise auf die agile bzw. standardisierte Ausrichtung betrieblicher Vorhaben geben. Vor diesem Hintergrund widmet si...