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 |