Personalized Telehealth in the Future: A Global Research Agenda

Dinesen, Birthe; Nonnecke, Brandie; Lindeman, David; Toft, Egon; Kidholm, Kristian; Jethwani, Kamal; Young, Heather M.; Spindler, Helle; Oestergaard, Claus Ugilt; Southard, Jeffrey; Gutiérrez, Mario; Anderson, Nick; Albert, Nancy M.; Han, Jay J.; Nesbitt, Thomas S.

doi:10.30953/tmt.v2.18

Cited by 8 publications

(8 citation statements)

References 45 publications

(39 reference statements)

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“…Given that TM has an increasing role in global healthcare delivery and can address the growing burden of COPD on healthcare systems, it will be increasingly important to develop a strong knowledge base (Dinesen et al, ). Several studies have mentioned that qualitative research is required (Brunton, Bower, & Sanders, ; Lilholt, Witt Udsen, Ehlers, & Hejlesen, ; McLean et al, ) to identify subgroups of patients with COPD who would benefit from TM (Cruz et al, ; Gregersen et al, ; Lilholt et al, ; Pedone & Lelli, ) and those who would not (Gorst, Armitage, Brownsell, & Hawley, ).…”

Section: Introductionmentioning

confidence: 99%

A sense of belonging: A meta‐ethnography of the experience of patients with chronic obstructive pulmonary disease receiving care through telemedicine

Barken

Söderhamn

Thygesen

2019

Journal of Advanced Nursing

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Aim To synthesize the qualitative research in the literature addressing how patients with chronic obstructive pulmonary disease experience care received by telemedicine. Design Meta‐ethnography. Data Sources Twelve studies, published from 2013 – 2018, were identified by a search of relevant systematic databases in June 2017, including updated searches performed in June 2018. Review Methods The studies were reviewed and critically appraised independently by three researchers. The review followed the seven steps of meta‐ethnography developed by Noblit and Hare, including a line‐of‐argument synthesis. Results The synthesis revealed three second‐order constructs: presence, transparency, and ambivalence. Using a line‐of‐argument synthesis, a model was developed that showed patients’ experience of a sense of belonging when receiving care by telemedicine. Conclusion This meta‐ethnography contributes to the existing and contradictory evidence base of telemedicine to chronic obstructive pulmonary disease patients. It addresses and adds renewed understanding of who would benefit from telemedicine and why, by illustrating the interrelationship between the conditions of telemedicine care, the severity of COPD, and the need for connectedness and emphasizes that the need to belong in telemedicine care increases with the progression of illness burden and severity. Impact The present study endorses the view that the patients with a severe illness burden are likely to benefit the most when receiving care by telemedicine. However, the benefits rely on the fact that the telemedicine interventions involve emotional, social, and clinical support, including regular contact with healthcare professionals, to meet the requirements to belong.

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Section: Introductionmentioning

confidence: 99%

A sense of belonging: A meta‐ethnography of the experience of patients with chronic obstructive pulmonary disease receiving care through telemedicine

Barken

Söderhamn

Thygesen

2019

Journal of Advanced Nursing

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“…The uncertainty pertains particularly to the effects of hospital admissions and mortality (Kamei, Yamamoto, Kajii, Nakayama, & Kawakami, ; McLean et al., ) and to the effect on quality of life (Gregersen et al., ; McLean et al., ). However, as TM is expected to play a greater role in future global healthcare delivery, it will be increasingly important to develop a strong and diverse evidence base (Dinesen et al., ).…”

Section: Introductionmentioning

confidence: 99%

Unlocking the limitations: Living with chronic obstructive pulmonary disease and receiving care through telemedicine—A phenomenological study

Barken

Thygesen

Söderhamn

2017

Journal of Clinical Nursing

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Aims and objectives: To describe the lived experiences of quality of life among a group of patients living with chronic obstructive pulmonary disease who were included in a telemedical intervention after hospitalisation for disease exacerbation.Background: Patients with chronic obstructive pulmonary disease have high symptom burden, poor control of symptoms and a need for greater requirements in care.Telemedicine can provide benefits for patients with chronic obstructive pulmonary disease by improving self-management.Design: Descriptive phenomenological approach.Methods: Ten in-depth interviews were conducted with chronic obstructive pulmonary disease patients participating in a telemedical intervention. The collected data were analysed using a descriptive phenomenological research method.Results: Living with chronic obstructive pulmonary disease was experienced as creating physical and mental limitations of the diseased body and an increasing identity as a patient, which led to impaired quality of life. Being included in the telemedicine intervention increased accessibility to healthcare services and support from telemedicine nurses. Self-measurement of health data increased participants' clinical insight and created a mutual clinical language in dialogue with telemedicine nurses, which led to increased quality of life. However, receiving care through telemedicine was also experienced as a dual chore. Relevance to clinical practice: Telemedicine can be beneficial when rethinking care for chronic obstructive pulmonary disease by providing knowledge on how living with chronic obstructive pulmonary disease can affect the experience of

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“…The time pressure of the nurses/physicians can be so high that there literally is no additional time which is needed to implement something new such as telehealth interventions (even when these interventions help to save time in the end). To successfully implement the use of telehealth, this requires an extensive care team, including nurses, disease management and other professionals [14].…”

Section: Initiative Through the Local Authority To Gain New Participantsmentioning

confidence: 99%

Implementing telehealth interventions between medical care and nursing homes in rural areas of Germany to enable regular medical support in everyday care procedures – a qualitative pre-post study

Brandt1

May

Münte

et al. 2023

Preprint

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Background Currently, there is a shortage of general practitioners and specialists in rural areas in Germany. In particular, people who are not mobile are at risk of not being provided adequately with medical care. This development is expected to increase in the coming years. One approach to counteracting this problem is the use of telemedicine. In two rural areas in Brandenburg/Germany, a telemedical intervention (video consultation and data exchange) is therefore to be tested in the general practitioner care of people living in nursing homes. The aim of this study is to investigate the expectations, experiences, barriers and motivation for the use from the perspective of the professional groups involved (physicians, nurses, software developers, legal supervisors). Methods The duration of the telemedicine intervention was six months. Following a qualitative pre-post design, interviews with the professionals were conducted at two time points, before the implementation of telemedicine interventions (t0) and after the implementation (t1). For the analysis of the interviews, the inductive-deductive approach according to Kuckartz was followed. Results In total 20 interviews were conducted. At t0 a positive influence on time savings, more efficient cooperation between nursing and medical care, an improved image of the institution and higher satisfaction of nursing home residents was expected. At t1, an improved quality of care, more efficient work, as well as an attractive image for the institution were positively emphasized. Enormous obstacles resulted from the fact that the technical interfaces of the different documentation systems were not compatible or technically unattainable. Video consultation and data exchange worked particularly well in cases where: 1. where patients/residents changed settings (e.g., from hospital back to nursing home) 2. frequent physician visits were required (e.g., wound checks) 3. routine appointments between physician and nurses with little or no contact with patients. Conclusions Telemedicine interventions such as video consultation and shared documentation systems can relieve the existing care structures and supplement them with additional elements, provided that the technical and legal framework conditions allow this. However, the use of telemedical interventions cannot replace the personal visit but is to be understood as an additional option.

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Personalized Telehealth in the Future: A Global Research Agenda

Cited by 8 publications

References 45 publications

A sense of belonging: A meta‐ethnography of the experience of patients with chronic obstructive pulmonary disease receiving care through telemedicine

A sense of belonging: A meta‐ethnography of the experience of patients with chronic obstructive pulmonary disease receiving care through telemedicine

Unlocking the limitations: Living with chronic obstructive pulmonary disease and receiving care through telemedicine—A phenomenological study

Implementing telehealth interventions between medical care and nursing homes in rural areas of Germany to enable regular medical support in everyday care procedures – a qualitative pre-post study

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