Do telemonitoring projects of heart failure fit the Chronic Care Model?
<div id="idp2217584" class="title">This study describes the characteristics of extramural and transmural telemonitoring projects on chronic heart failure in Belgium. It describes to what extent these telemonitoring projects coincide with the Chronic Care Model of Wagner.<...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2014-07-01
|
| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/index.php/ijic/article/view/1178 |
| _version_ | 1818303646884954112 |
|---|---|
| author | Evi Willemse Jef Adriaenssens Tinne Dilles Roy Remmen |
| author_facet | Evi Willemse Jef Adriaenssens Tinne Dilles Roy Remmen |
| author_sort | Evi Willemse |
| collection | DOAJ |
| description | <div id="idp2217584" class="title">This study describes the characteristics of extramural and transmural telemonitoring projects on chronic heart failure in Belgium. It describes to what extent these telemonitoring projects coincide with the Chronic Care Model of Wagner.</div><p><br /><strong>Background: </strong>The Chronic Care Model describes essential components for high-quality health care. Telemonitoring can be used to optimise home care for chronic heart failure. It provides a potential prospective to change the current care organisation.</p><p><br /><strong>Methods: </strong>This qualitative study describes seven non-invasive home-care telemonitoring projects in patients with heart failure in Belgium. A qualitative design, including interviews and literature review, was used to describe the correspondence of these home-care telemonitoring projects with the dimensions of the Chronic Care Model.</p><p><br /><strong>Results: </strong>The projects were situated in primary and secondary health care. Their primary goal was to reduce the number of readmissions for chronic heart failure. None of these projects succeeded in a final implementation of telemonitoring in home care after the pilot phase. Not all the projects were initiated to accomplish all of the dimensions of the Chronic Care Model. A central role for the patient was sparse.</p><p><br /><strong>Conclusion: </strong>Limited financial resources hampered continuation after the pilot phase. Cooperation and coordination in telemonitoring appears to be major barriers but are, within primary care as well as between the lines of care, important links in follow-up. This discrepancy can be prohibitive for deployment of good chronic care. Chronic Care Model is recommended as basis for future.</p> |
| first_indexed | 2024-12-13T05:58:07Z |
| format | Article |
| id | doaj.art-2b2ea638ec804d62baea1b28e01073c1 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-13T05:58:07Z |
| publishDate | 2014-07-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-2b2ea638ec804d62baea1b28e01073c12022-12-21T23:57:23ZengUbiquity PressInternational Journal of Integrated Care1568-41562014-07-011431363Do telemonitoring projects of heart failure fit the Chronic Care Model?Evi Willemse0Jef AdriaenssensTinne DillesRoy RemmenThomas More University College University of Antwerp<div id="idp2217584" class="title">This study describes the characteristics of extramural and transmural telemonitoring projects on chronic heart failure in Belgium. It describes to what extent these telemonitoring projects coincide with the Chronic Care Model of Wagner.</div><p><br /><strong>Background: </strong>The Chronic Care Model describes essential components for high-quality health care. Telemonitoring can be used to optimise home care for chronic heart failure. It provides a potential prospective to change the current care organisation.</p><p><br /><strong>Methods: </strong>This qualitative study describes seven non-invasive home-care telemonitoring projects in patients with heart failure in Belgium. A qualitative design, including interviews and literature review, was used to describe the correspondence of these home-care telemonitoring projects with the dimensions of the Chronic Care Model.</p><p><br /><strong>Results: </strong>The projects were situated in primary and secondary health care. Their primary goal was to reduce the number of readmissions for chronic heart failure. None of these projects succeeded in a final implementation of telemonitoring in home care after the pilot phase. Not all the projects were initiated to accomplish all of the dimensions of the Chronic Care Model. A central role for the patient was sparse.</p><p><br /><strong>Conclusion: </strong>Limited financial resources hampered continuation after the pilot phase. Cooperation and coordination in telemonitoring appears to be major barriers but are, within primary care as well as between the lines of care, important links in follow-up. This discrepancy can be prohibitive for deployment of good chronic care. Chronic Care Model is recommended as basis for future.</p>http://www.ijic.org/index.php/ijic/article/view/1178primary health carenursing evaluation researchchronic care modeltelemedicineheart failurepatient-centred care |
| spellingShingle | Evi Willemse Jef Adriaenssens Tinne Dilles Roy Remmen Do telemonitoring projects of heart failure fit the Chronic Care Model? International Journal of Integrated Care primary health care nursing evaluation research chronic care model telemedicine heart failure patient-centred care |
| title | Do telemonitoring projects of heart failure fit the Chronic Care Model? |
| title_full | Do telemonitoring projects of heart failure fit the Chronic Care Model? |
| title_fullStr | Do telemonitoring projects of heart failure fit the Chronic Care Model? |
| title_full_unstemmed | Do telemonitoring projects of heart failure fit the Chronic Care Model? |
| title_short | Do telemonitoring projects of heart failure fit the Chronic Care Model? |
| title_sort | do telemonitoring projects of heart failure fit the chronic care model |
| topic | primary health care nursing evaluation research chronic care model telemedicine heart failure patient-centred care |
| url | http://www.ijic.org/index.php/ijic/article/view/1178 |
| work_keys_str_mv | AT eviwillemse dotelemonitoringprojectsofheartfailurefitthechroniccaremodel AT jefadriaenssens dotelemonitoringprojectsofheartfailurefitthechroniccaremodel AT tinnedilles dotelemonitoringprojectsofheartfailurefitthechroniccaremodel AT royremmen dotelemonitoringprojectsofheartfailurefitthechroniccaremodel |