Table 3.
Identification of barriers to the implementation of digital technologies.
| Barriersa,b | Remote consultation (%) | Remote monitoring (%) | Technologies for diagnostics (%) | Systems to support physicians in making medical decisions (%) | |||||
| Motivation barriersc | 42 | 39.2 | 37.2 | 45.7 | |||||
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I don’t see any practical benefit from using this technology in my daily work. | 5.3 | 5.5 | 5.7 | 5.1 | ||||
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I am concerned about data privacy issues when using this technology. | 20.9 | 15.7 | 9.3 | 15.3 | ||||
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I am concerned about the problem of excessive control over my work when using this technology. | 9.4 | 5.2 | 4.3 | 9.8 | ||||
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This technology reduces the importance of physician’s work. | 8.4 | 6.3 | 7.6 | 9.7 | ||||
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I don't trust the quality of this technology. | 4.6 | 6 | 6.5 | 10.7 | ||||
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I am concerned about overdiagnosis when using this technology. | 7.6 | 9.8 | 15.8 | 11.9 | ||||
| Capability-related barriersc | 28.7 | 38.9 | 48.5 | 48 | |||||
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I don't have time to master this technology. | 5.8 | 8.5 | 7.5 | 6.1 | ||||
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This technology is too complex to master. | 1.4 | 2.5 | 4.2 | 5 | ||||
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I have no knowledge of specific products within this technology that could be used in my practice. | 12.4 | 17.5 | 24.7 | 26 | ||||
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I don't have access to training courses to master this technology. | 13.2 | 16.8 | 20.8 | 19.9 | ||||
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The technology requires personal investments to master it. | 5.2 | 5.7 | 5.1 | 4.7 | ||||
| Process-related barriersc | 49.7 | 53.7 | 40.8 | 39.8 | |||||
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I am not sure that this technology will work stably without delays and breakdowns. | 25.3 | 29.2 | 18.9 | 18.2 | ||||
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I am afraid of making wrong decisions when using this technology. | 22.2 | 26.4 | 26.8 | 22 | ||||
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Technology takes time without making work easier. | 13.5 | 12.9 | 3.2 | 9 | ||||
| Environmental (physical) barriersc | 44.4 | 39.4 | 45.4 | 47.5 | |||||
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I do not have technical base to master this technology (suitable equipment, software, communications). | 20.5 | 24 | 31.6 | 26.7 | ||||
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Existing regulations do not include this technology or need to be revised. | 20.5 | 13.4 | 12.5 | 15.3 | ||||
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This technology does not have qualified technical support. | 14.8 | 11.3 | 10.4 | 13.3 | ||||
| Social barriersc | 47.5 | 39.3 | 33.9 | 40.4 | |||||
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Management of my health care facility is not interested in using this technology. | 13.9 | 15.1 | 14.3 | 20.7 | ||||
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My environment condemns the use of this technology. | 1.1 | 0.9 | 0.6 | 1.5 | ||||
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I prefer to use other long-proven methods rather than this technology. | 8.6 | 5.8 | 9.8 | 5.9 | ||||
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I feel a lack of legal security when using this technology. | 29.8 | 21 | 14.9 | 17.5 | ||||
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None of the above. | 14.2 | 13 | 13.6 | 11.1 | ||||
aThe data provided are weighted by the distribution of physicians across populated areas of the Russian Federation. Multimedia Appendix 5 provides unweighted data.
bThe table shows the percentage of doctors who selected each answer. Each respondent could select up to 5 answers.
cThe total for each category shows the percentage of doctors who selected at least one of the category barriers.