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Table 3 Themes and sub themes

From: Implementing telemonitoring in primary care: learning from a large qualitative dataset gathered during a series of studies

Theme Associated sub themes
Using data BP data
 • Measurement more trusted than surgery measurement
 • Patients and professionals confident to use as a basis for treatment change
Blood sugar data
 • Not used by all professionals, some waited for HbA1c
 • Useful when treatment change contemplated
 • Sharing data motivated patients – diet and medication
COPD data (O2 saturation, symptoms, FEV1)
 • Not discriminatory for severe exacerbation/ lots of false alarms
 • Complex, need to know the patient – can change fast
 • Overtreatment
 • Other symptoms
Patients use of data
 • Previously not told their readings.
 • Understanding their normal
 • Reduced dependency on readings
 • Data providing motivation
 • Sharing data motivated patients
 • Not willing to keep manual record of self monitoring
Empowering patients  • Empowering patients
   Use shared readings to actively negotiate care
   Self management and reassurance
 • Confidence - patients/ families
   Reassurance
   Guardian angel/ access to care
 • Potential negative effects
   Anxiety
   Concern about dependency
 • Valuing convenience
Adjusting the model of care  • Scaling up
 • Workloads:
   Fitting telemonitoring into practice workflows
   Increasing or decreasing workloads
 • Communication channels with patient and within the team
 • Letting go
 • ‘How does this affect my role?’
System design  • Hardware
 • Reliability
 • Professional interface
 • Easy access via patient records
 • Easy two way communication
 • Feedback and decision support