Designing and implementing telemonitoring for early detection of deterioration in chronic disease: defining the requirements

Peirce, Susan Caroline ORCID: https://orcid.org/0000-0001-9102-1410, Hardisty, Alex ORCID: https://orcid.org/0000-0002-0767-4310, Preece, Alun David ORCID: https://orcid.org/0000-0003-0349-9057 and Elwyn, Glyn ORCID: https://orcid.org/0000-0002-0917-6286 2011. Designing and implementing telemonitoring for early detection of deterioration in chronic disease: defining the requirements. Health informatics journal 17 (3) , pp. 173-190. 10.1177/1460458211409717

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Abstract

Patients with chronic disease may suffer frequent acute deteriorations and associated increased risk of hospitalisation. Earlier detection of these could enable successful intervention, improving patients’ well-being and reducing costs; however, current telemonitoring systems do not achieve this effectively. We conducted a qualitative study using stakeholder interviews to define current standards of care and user requirements for improved early detection telemonitoring. We determined that early detection is not a concept that has informed technology or service design and that telemonitoring is driven by the available technology rather than by users’ needs. We have described a set of requirements questions to inform the design and implementation of telemonitoring systems and suggested the research needed to develop successful early detection telemonitoring. User-centred design and genuine interdisciplinary approaches are needed to create solutions that are fit for purpose, sustainable and address the real needs of patients, clinicians and healthcare organisations.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Engineering Medicine
Subjects:	R Medicine > R Medicine (General)
Uncontrolled Keywords:	chronic disease, design, requirements, telemonitoring, usability
Publisher:	Sage
ISSN:	1460-4582
Last Modified:	10 Dec 2022 02:26
URI:	https://orca.cardiff.ac.uk/id/eprint/27970

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