The Emergence and Unfolding of Telemonitoring Practices in Different Healthcare Organizations

International Journal of Environmental Research and Public Health
Jannie Kristine Bang Christensen

Abstract

Telemonitoring, a sub-category of telemedicine, is promoted as a solution to meet the challenges in Western healthcare systems in terms of an increasing population of people with chronic conditions and fragmentation issues. Recent findings from large-scale telemonitoring programs reveal that these promises are difficult to meet in complex real-life settings which may be explained by concentrating on the practices that emerge when telemonitoring is used to treat patients with chronic conditions. This paper explores the emergence and unfolding of telemonitoring practices in relation to a large-scale, inter-organizational home telemonitoring program which involved 5 local health centers, 10 district nurse units, four hospitals, and 225 general practice clinics in Denmark. Twenty-eight interviews and 28 h of observations of health professionals and administrative staff were conducted over a 12-month period from 2014 to 2015. This study's findings reveal how telemonitoring practices emerged and unfolded differently among various healthcare organizations. This study suggests that the emergence and unfolding of novel practices is the result of complex interplay between existing work practices, alterations of core tasks, inscriptions i...Continue Reading

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Citations

Sep 5, 2019·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Katie Jordan
Jan 7, 2020·Health Informatics Journal·Francesca LunardiniSimona Ferrante
Jun 18, 2020·International Journal of Environmental Research and Public Health·Fangyuan ChangBritt Östlund
Feb 28, 2020·International Journal of Environmental Research and Public Health·Remedios López-LiriaDaniel Catalán-Matamoros
Jan 2, 2021·International Journal of Environmental Research and Public Health·Niels Christian Mossfeldt Nickelsen, Roland Bal
Nov 18, 2020·BMC Geriatrics·Rafael Jesus Bautista-MesaCesar Leal-Costa
Jul 8, 2021·Australian Journal of Primary Health·Josephine S F ChowVeronica Gonzalez-Arce

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Software Mentioned

TeleCare
NVivo

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