Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Richelle J KoopmanDavid R Mehr

Abstract

Prior telemonitoring trials of blood pressure and blood glucose have shown improvements in blood pressure and glycemic targets. However, implementation of telemonitoring in primary care practices may not yield the same results as research trials with extra resources and rigid protocols. In this study we examined the process of implementing home telemonitoring of blood glucose and blood pressure for patients with diabetes in six primary care practices. Grounded theory qualitative analysis was conducted in parallel with a randomized controlled effectiveness trial of home telemonitoring. Data included semistructured interviews with 6 nurse care coordinators and 12 physicians in six participating practices and field notes from exit interviews with 93 of 108 randomized patients. The three stakeholder groups (patients, nurse care coordinators, and physicians) exhibited some shared themes and some unique to the particular stakeholder group. Major themes were that practices should (1) understand the capabilities and limitations of the technology and the willingness of patient and physician stakeholders to use it, (2) understand the workflow, flow of information, and human factors needed to optimize use of the technology, (3) engage and...Continue Reading

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Citations

Mar 15, 2015·Behaviour Research and Therapy·Allison G Harvey, Nicole B Gumport
May 5, 2016·Journal of Medical Internet Research·Sebastiaan Theodorus Michaël PeekHubertus J M Vrijhoef
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Aug 20, 2020·BMC Medical Informatics and Decision Making·Richelle J KoopmanMichael L LeFevre
Sep 21, 2017·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Elizabeth L CieminsPatricia J Coon
Jan 16, 2018··P WegierS M Canfield

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