Huisma, P. (Piter) (2019) Experiences, challenges and perspectives in telemedicine for cardiac patients: Lessons learned from different stakeholders. thesis, Medicine.
Full text available on request.Abstract
Background: Telemedicine enables the remote monitoring, diagnosing, and treatment through (mobile) software applications or implantable devices. Telemedicine is a relatively new but quickly developing area in health care. It has great potential to reduce the ever-increasing healthcare costs and help deal with future medical personnel shortages. However, medical professionals are still hesitant to fully invest in telemedicine, often because there is a mismatch between clinical practice and developers. Aim: In this study, we aimed to provide insight into the experiences and the challenges of working with telemedicine in cardiac patients from the perspective of medical professionals, patients and non-medical professionals. Methods: Semi-structured interviews were conducted to provide insight into the experiences, challenges, and perspectives of working with telemedicine in the clinical practice. Interviews were recorded, transcribed verbatim, and coded for different categories. These were summarized in different themes. Results: 6 main themes and two subthemes emerged. These include 1) Benefits for quality of care 2) Overseen secondary advantages 3) Downsides in daily practice 4) Important requirements for telemedicine 5) obstructing policies 6) challenges during implementation. Subthemes include 1) Challenges during development 2) Benefits for cost-effectiveness. Conclusion: Significant challenges need to be overcome, and important concerns have to be addressed before telemedicine’s full potential can be realized. To accomplish this, an extensive team-effort is needed involving patients, medical- and non-medical professionals. The most significant barriers being the actual implementation and interoperability between systems. However, if the requirements are met, telemedicine can make a substantial contribution to reducing the expected increase in healthcare costs and high workload. As well as providing opportunities to enhance patients’ quality of care, self-management and perceived service level.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Supervisors: and Schuuring, dr. M.J. and Winter, dr. M.M. and Uijlings, dr. R. and Cardiology department A UMC, location AMC |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:03 |
| Last Modified: | 25 Jun 2020 11:03 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2265 |
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