ArticleDigital health
How telemonitoring impacts the responsibilities of patients and healthcare professionals in cardiology: A Q-methodology study.
Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
7 authors.
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Abstract
Objective: Telemonitoring is widely used in cardiology but raises questions about the impact on roles and responsibilities for patients and caregivers. This study explores this using a Dutch cardiology telemonitoring program. Methods: Q-methodology was employed, combining quantitative and qualitative data from semi-structured interviews. Participants ranked statements on caregiver and patient roles and responsibilities in telemonitoring and explained their rankings. By-person factor analysis was used to identify clusters in the statement rankings. These factors were interpreted using interview data. Results: Thirty participants revealed four viewpoints on roles and responsibilities in telemonitoring: (1) Conclusion: Ambiguity about responsibilities create practical and ethical challenges, including increased workload for nurses, lack of overview among cardiologists, anxiety in patients, and inconsistent care delivery. Unrecognized or unaddressed differences in views about roles and responsibilities using telemonitoring can negatively affect patient care. Appropriate implementation and use of telemonitoring requires sound ethical prologue and dialogue, not only to sensitize stakeholders about differing interpretations of responsibility, but also to ensure a structured approach when implementing telemonitoring to support best care.
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