Implementation of the concept of home hospitalisation for heart patients by means of telehomecare technology: integration of clinical tasks

<b>Purpose</b>: To explore how the implementation of the concept ‘Home hospitalisation of heart patients’ by means of telehomecare technology influences the integration of clinical tasks across healthcare sectors.<br><br> <b>Theory</b>: Inter-organisational theory...

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Main Authors: Birthe Dinesen, Jeppe Gustafsson, Christian Nøhr, Stig Kjær Andersen, Holger Sejersen, Egon Toft
Format: Article
Language:English
Published: Ubiquity Press 2007-05-01
Series:International Journal of Integrated Care
Subjects:
Online Access:http://www.ijic.org/articles/188
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author Birthe Dinesen
Jeppe Gustafsson
Christian Nøhr
Stig Kjær Andersen
Holger Sejersen
Egon Toft
author_facet Birthe Dinesen
Jeppe Gustafsson
Christian Nøhr
Stig Kjær Andersen
Holger Sejersen
Egon Toft
author_sort Birthe Dinesen
collection DOAJ
description <b>Purpose</b>: To explore how the implementation of the concept ‘Home hospitalisation of heart patients’ by means of telehomecare technology influences the integration of clinical tasks across healthcare sectors.<br><br> <b>Theory</b>: Inter-organisational theory.<br><br> <b>Methods</b>: The case study approach was applied. Triangulations of data collection techniques were used: documentary materials, participant observation, qualitative and focus group interviews.<br><br> <b>Results</b>: The clinical decision-making and task solving became multidisciplinary and integrated with the implementation of telehomecare and, therefore, complex in terms of the prescription and adjustment of patient medicine. Workflows between healthcare professionals across sectors changed from sequential to collective client flows. Pre-existing procedures for patient care, treatment, and responsibility were challenged. In addition, the number of tasks for the district nurses increased. Integration in the clinical task-solving area increases fragmentation in the knowledge technologies in a network perspective. Conclusions: Implementing the concept of ‘Home hospitalisation of heart patients’ by means of telehomecare technology will result in a more integrated clinical task-solving process that involves healthcare professionals from various sectors. Overall, the integration of clinical tasks between hospital and district nursing will result in a direct benefit for the heart patients.
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spelling doaj.art-0da4647e52cc48bba52be4e51fac43da2022-12-22T01:00:10ZengUbiquity PressInternational Journal of Integrated Care1568-41562007-05-017210.5334/ijic.188188Implementation of the concept of home hospitalisation for heart patients by means of telehomecare technology: integration of clinical tasksBirthe DinesenJeppe GustafssonChristian NøhrStig Kjær AndersenHolger SejersenEgon Toft<b>Purpose</b>: To explore how the implementation of the concept ‘Home hospitalisation of heart patients’ by means of telehomecare technology influences the integration of clinical tasks across healthcare sectors.<br><br> <b>Theory</b>: Inter-organisational theory.<br><br> <b>Methods</b>: The case study approach was applied. Triangulations of data collection techniques were used: documentary materials, participant observation, qualitative and focus group interviews.<br><br> <b>Results</b>: The clinical decision-making and task solving became multidisciplinary and integrated with the implementation of telehomecare and, therefore, complex in terms of the prescription and adjustment of patient medicine. Workflows between healthcare professionals across sectors changed from sequential to collective client flows. Pre-existing procedures for patient care, treatment, and responsibility were challenged. In addition, the number of tasks for the district nurses increased. Integration in the clinical task-solving area increases fragmentation in the knowledge technologies in a network perspective. Conclusions: Implementing the concept of ‘Home hospitalisation of heart patients’ by means of telehomecare technology will result in a more integrated clinical task-solving process that involves healthcare professionals from various sectors. Overall, the integration of clinical tasks between hospital and district nursing will result in a direct benefit for the heart patients.http://www.ijic.org/articles/188telehomecarehome hospitalisationhealthcare professionalsintegrated healthcare networkscoordination and integration of tasks
spellingShingle Birthe Dinesen
Jeppe Gustafsson
Christian Nøhr
Stig Kjær Andersen
Holger Sejersen
Egon Toft
Implementation of the concept of home hospitalisation for heart patients by means of telehomecare technology: integration of clinical tasks
International Journal of Integrated Care
telehomecare
home hospitalisation
healthcare professionals
integrated healthcare networks
coordination and integration of tasks
title Implementation of the concept of home hospitalisation for heart patients by means of telehomecare technology: integration of clinical tasks
title_full Implementation of the concept of home hospitalisation for heart patients by means of telehomecare technology: integration of clinical tasks
title_fullStr Implementation of the concept of home hospitalisation for heart patients by means of telehomecare technology: integration of clinical tasks
title_full_unstemmed Implementation of the concept of home hospitalisation for heart patients by means of telehomecare technology: integration of clinical tasks
title_short Implementation of the concept of home hospitalisation for heart patients by means of telehomecare technology: integration of clinical tasks
title_sort implementation of the concept of home hospitalisation for heart patients by means of telehomecare technology integration of clinical tasks
topic telehomecare
home hospitalisation
healthcare professionals
integrated healthcare networks
coordination and integration of tasks
url http://www.ijic.org/articles/188
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