Detecting deterioration in patients with chronic disease using telemonitoring: navigating the 'trough of disillusionment'

Objectives  To examine the evidence base for telemonitoring designed for patients who have chronic obstructive pulmonary disease and heart failure, and to assess whether telemonitoring fulfils the principles of monitoring and is ready for implementation into routine settings. Design  Qualitative dat...

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Published inJournal of evaluation in clinical practice Vol. 18; no. 4; pp. 896 - 903
Main Authors Elwyn, Glyn, Hardisty, Alex R., Peirce, Susan C., May, Carl, Evans, Robert, Robinson, Douglas K. R., Bolton, Charlotte E., Yousef, Zaheer, Conley, Edward C., Rana, Omer F., Gray, W. Alex, Preece, Alun D.
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Publishing Ltd 01.08.2012
Wiley
Subjects
Business administration
Chronic Disease
chronic illness
Diffusion of Innovation
Disease Progression
Health Personnel - psychology
Heart Failure - physiopathology
Human health and pathology
Humanities and Social Sciences
Humans
Life Sciences
long-term conditions
Pulmonary Disease, Chronic Obstructive - physiopathology
Qualitative Research
Remote Consultation - methods
telehealth
telemedicine
Telemetry - methods
telemonitoring
United Kingdom
Chronic illness
Long-term conditions
Telemonitoring
Telehealth
Telemedicine
Chronic disease
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Abstract Objectives  To examine the evidence base for telemonitoring designed for patients who have chronic obstructive pulmonary disease and heart failure, and to assess whether telemonitoring fulfils the principles of monitoring and is ready for implementation into routine settings. Design  Qualitative data collection using interviews and participation in a multi‐path mapping process. Participants  Twenty‐six purposively selected informants completed semi‐structured interviews and 24 individuals with expertise in the relevant clinical and informatics domains from academia, industry, policy and provider organizations and participated in a multi‐path mapping workshop. Results  The evidence base for the effectiveness of telemonitoring is weak and inconsistent, with insufficient cost‐effectiveness studies. When considered against an accepted definition of monitoring, telemonitoring is found wanting. Telemonitoring has not been able so far to ensure that the technologies fit into the life world of the patient and into the clinical and organizational milieu of health service delivery systems. Conclusions  To develop effective telemonitoring for patients with chronic disease, more attention needs to be given to agreeing the central aim of early detection and, to ensure potential implementation, engaging a wide range of stakeholders in the design process, especially patients and clinicians.
AbstractList Objectives To examine the evidence base for telemonitoring designed for patients who have chronic obstructive pulmonary disease and heart failure, and to assess whether telemonitoring fulfils the principles of monitoring and is ready for implementation into routine settings. Design Qualitative data collection using interviews and participation in a multi-path mapping process. Participants Twenty-six purposively selected informants completed semi-structured interviews and 24 individuals with expertise in the relevant clinical and informatics domains from academia, industry, policy and provider organizations and participated in a multi-path mapping workshop. Results The evidence base for the effectiveness of telemonitoring is weak and inconsistent, with insufficient cost-effectiveness studies. When considered against an accepted definition of monitoring, telemonitoring is found wanting. Telemonitoring has not been able so far to ensure that the technologies fit into the life world of the patient and into the clinical and organizational milieu of health service delivery systems. Conclusions To develop effective telemonitoring for patients with chronic disease, more attention needs to be given to agreeing the central aim of early detection and, to ensure potential implementation, engaging a wide range of stakeholders in the design process, especially patients and clinicians.
Objectives  To examine the evidence base for telemonitoring designed for patients who have chronic obstructive pulmonary disease and heart failure, and to assess whether telemonitoring fulfils the principles of monitoring and is ready for implementation into routine settings. Design  Qualitative data collection using interviews and participation in a multi‐path mapping process. Participants  Twenty‐six purposively selected informants completed semi‐structured interviews and 24 individuals with expertise in the relevant clinical and informatics domains from academia, industry, policy and provider organizations and participated in a multi‐path mapping workshop. Results  The evidence base for the effectiveness of telemonitoring is weak and inconsistent, with insufficient cost‐effectiveness studies. When considered against an accepted definition of monitoring, telemonitoring is found wanting. Telemonitoring has not been able so far to ensure that the technologies fit into the life world of the patient and into the clinical and organizational milieu of health service delivery systems. Conclusions  To develop effective telemonitoring for patients with chronic disease, more attention needs to be given to agreeing the central aim of early detection and, to ensure potential implementation, engaging a wide range of stakeholders in the design process, especially patients and clinicians.
To examine the evidence base for telemonitoring designed for patients who have chronic obstructive pulmonary disease and heart failure, and to assess whether telemonitoring fulfils the principles of monitoring and is ready for implementation into routine settings. Qualitative data collection using interviews and participation in a multi-path mapping process. Twenty-six purposively selected informants completed semi-structured interviews and 24 individuals with expertise in the relevant clinical and informatics domains from academia, industry, policy and provider organizations and participated in a multi-path mapping workshop. The evidence base for the effectiveness of telemonitoring is weak and inconsistent, with insufficient cost-effectiveness studies. When considered against an accepted definition of monitoring, telemonitoring is found wanting. Telemonitoring has not been able so far to ensure that the technologies fit into the life world of the patient and into the clinical and organizational milieu of health service delivery systems. To develop effective telemonitoring for patients with chronic disease, more attention needs to be given to agreeing the central aim of early detection and, to ensure potential implementation, engaging a wide range of stakeholders in the design process, especially patients and clinicians.
Abstract Objectives  To examine the evidence base for telemonitoring designed for patients who have chronic obstructive pulmonary disease and heart failure, and to assess whether telemonitoring fulfils the principles of monitoring and is ready for implementation into routine settings. Design  Qualitative data collection using interviews and participation in a multi‐path mapping process. Participants  Twenty‐six purposively selected informants completed semi‐structured interviews and 24 individuals with expertise in the relevant clinical and informatics domains from academia, industry, policy and provider organizations and participated in a multi‐path mapping workshop. Results  The evidence base for the effectiveness of telemonitoring is weak and inconsistent, with insufficient cost‐effectiveness studies. When considered against an accepted definition of monitoring, telemonitoring is found wanting. Telemonitoring has not been able so far to ensure that the technologies fit into the life world of the patient and into the clinical and organizational milieu of health service delivery systems. Conclusions  To develop effective telemonitoring for patients with chronic disease, more attention needs to be given to agreeing the central aim of early detection and, to ensure potential implementation, engaging a wide range of stakeholders in the design process, especially patients and clinicians.
OBJECTIVESTo examine the evidence base for telemonitoring designed for patients who have chronic obstructive pulmonary disease and heart failure, and to assess whether telemonitoring fulfils the principles of monitoring and is ready for implementation into routine settings.DESIGNQualitative data collection using interviews and participation in a multi-path mapping process.PARTICIPANTSTwenty-six purposively selected informants completed semi-structured interviews and 24 individuals with expertise in the relevant clinical and informatics domains from academia, industry, policy and provider organizations and participated in a multi-path mapping workshop.RESULTSThe evidence base for the effectiveness of telemonitoring is weak and inconsistent, with insufficient cost-effectiveness studies. When considered against an accepted definition of monitoring, telemonitoring is found wanting. Telemonitoring has not been able so far to ensure that the technologies fit into the life world of the patient and into the clinical and organizational milieu of health service delivery systems.CONCLUSIONSTo develop effective telemonitoring for patients with chronic disease, more attention needs to be given to agreeing the central aim of early detection and, to ensure potential implementation, engaging a wide range of stakeholders in the design process, especially patients and clinicians.
Author May, Carl
Evans, Robert
Peirce, Susan C.
Conley, Edward C.
Hardisty, Alex R.
Elwyn, Glyn
Yousef, Zaheer
Robinson, Douglas K. R.
Gray, W. Alex
Bolton, Charlotte E.
Preece, Alun D.
Rana, Omer F.
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Issue 4
Keywords Chronic illness
Long-term conditions
Telemonitoring
Telehealth
Telemedicine
Chronic disease
Language English
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SSID ssj0013057
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Snippet Objectives  To examine the evidence base for telemonitoring designed for patients who have chronic obstructive pulmonary disease and heart failure, and to...
To examine the evidence base for telemonitoring designed for patients who have chronic obstructive pulmonary disease and heart failure, and to assess whether...
Abstract Objectives  To examine the evidence base for telemonitoring designed for patients who have chronic obstructive pulmonary disease and heart failure,...
OBJECTIVESTo examine the evidence base for telemonitoring designed for patients who have chronic obstructive pulmonary disease and heart failure, and to assess...
Objectives To examine the evidence base for telemonitoring designed for patients who have chronic obstructive pulmonary disease and heart failure, and to...
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StartPage 896
SubjectTerms Business administration
Chronic Disease
chronic illness
Diffusion of Innovation
Disease Progression
Health Personnel - psychology
Heart Failure - physiopathology
Human health and pathology
Humanities and Social Sciences
Humans
Life Sciences
long-term conditions
Pulmonary Disease, Chronic Obstructive - physiopathology
Qualitative Research
Remote Consultation - methods
telehealth
telemedicine
Telemetry - methods
telemonitoring
United Kingdom
Title Detecting deterioration in patients with chronic disease using telemonitoring: navigating the 'trough of disillusionment'
URI https://api.istex.fr/ark:/67375/WNG-DS81S5SJ-Q/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1365-2753.2011.01701.x
https://www.ncbi.nlm.nih.gov/pubmed/21848942
https://search.proquest.com/docview/1036882983
https://minesparis-psl.hal.science/hal-00660235
Volume 18
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