Improving safety and efficiency in care: multi-stakeholders’ perceptions associated with a peritoneal dialysis virtual care solution
Lianne Jeffs,1–3 Trevor Jamieson,4,5 Marianne Saragosa,5 Geetha Mukerji,3,5,6 Arsh K Jain,7 Rachel Man,7 Laura Desveaux,3,5 James Shaw,3,5 Payal Agarwal,5,8 Jennifer M Hensel,5,9 Maria Maione,10 Megan Nguyen,5 Nike Onabajo,5 R Sacha Bhatia3,5,11 1Sinai Health System, Tor...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2018-12-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/improving-safety-and-efficiency-in-care-multi-stakeholders-perceptions-peer-reviewed-article-PPA |
| _version_ | 1819083020717522944 |
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| author | Jeffs L Jamieson T Saragosa M Mukerji G Jain AK Man R Desveaux L Shaw J Agarwal P Hensel JM Maione M Nguyen M Onabajo N Bhatia RS |
| author_facet | Jeffs L Jamieson T Saragosa M Mukerji G Jain AK Man R Desveaux L Shaw J Agarwal P Hensel JM Maione M Nguyen M Onabajo N Bhatia RS |
| author_sort | Jeffs L |
| collection | DOAJ |
| description | Lianne Jeffs,1–3 Trevor Jamieson,4,5 Marianne Saragosa,5 Geetha Mukerji,3,5,6 Arsh K Jain,7 Rachel Man,7 Laura Desveaux,3,5 James Shaw,3,5 Payal Agarwal,5,8 Jennifer M Hensel,5,9 Maria Maione,10 Megan Nguyen,5 Nike Onabajo,5 R Sacha Bhatia3,5,11 1Sinai Health System, Toronto, ON M5G 1X5, Canada; 2Li Ka Shing Knowledge Institute, St Michael’s Hospital, Toronto, ON M5G 1WB, Canada; 3Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5S 1B2, Canada; 4Department of Medicine, University of Toronto, Division of General Internal Medicine, St Michael’s Hospital, Women’s College Hospital, Toronto, ON M5G 1WB, Canada; 5Institute for Health System Solutions and Virtual Care (WIHV), Women’s College Hospital, Toronto, ON M5S 1B2, Canada; 6Women’s College Hospital, Toronto, ON M5S 1B2, Canada; 7London Health Sciences Centre, London, ON N6A 5W9, Canada; 8Department of Family and Community Medicine, Women’s College Hospital, University of Toronto, Toronto, ON M5S 1B2, Canada; 9Department of Psychiatry, University of Toronto, Women’s College Hospital, Women’s College Research Institute, Women’s College Hospital, Toronto, ON M5S 1B2, Canada; 10St Michael’s Hospital, Toronto, ON M5G 1WB, Canada; 11University Health Network, Toronto, ON M5S 1B2, Canada Background: Although there is a growing body of literature on the outcomes and impacts of remote home management with peritoneal dialysis (PD) patients, less is understood how this virtual care solution impacts the quality and efficiency of the healthcare system care. In this context, a study was undertaken to understand the perceptions of patients and their caregivers, healthcare providers, health system decision makers, and vendors associated with a remote monitoring and tracking solution aimed at enhancing the outcomes and experiences of chronic kidney disease (CKD) patients receiving PD at home. Methods: A qualitative design using semi-structured interviews with 25 stakeholders was used in this study. Narrative data were analyzed by a thematic analysis approach. Results: The following two themes emerged from the data: (1) leveraging data to monitor and intervene to keep patients safe and (2) increasing efficiencies and having control over supplies. Discussion: Our study findings elucidated the ability of patients (and in some cases, caregivers) to monitor and trend their data and order and track directly on-line their dialysis supplies were key to their active participation in managing their CKD and keeping them safe at home. Their active participation and functionality of the virtual care solution also led to enhanced efficiencies (eg, process faster, easier, convenient, time savings) for both patients and healthcare providers. Conclusion: The virtual care solution showed promising signs of a patient-centric approach and may serve as a blueprint for other virtual care solutions for chronic disease management. Keywords: peritoneal dialysis, chronic kidney disease, virtual care, qualitative research, patient centric care |
| first_indexed | 2024-12-21T20:25:56Z |
| format | Article |
| id | doaj.art-efa89e25f65d404783cec58e46edd362 |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-21T20:25:56Z |
| publishDate | 2018-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-efa89e25f65d404783cec58e46edd3622022-12-21T18:51:23ZengDove Medical PressPatient Preference and Adherence1177-889X2018-12-01Volume 122623262942954Improving safety and efficiency in care: multi-stakeholders’ perceptions associated with a peritoneal dialysis virtual care solutionJeffs LJamieson TSaragosa MMukerji GJain AKMan RDesveaux LShaw JAgarwal PHensel JMMaione MNguyen MOnabajo NBhatia RSLianne Jeffs,1–3 Trevor Jamieson,4,5 Marianne Saragosa,5 Geetha Mukerji,3,5,6 Arsh K Jain,7 Rachel Man,7 Laura Desveaux,3,5 James Shaw,3,5 Payal Agarwal,5,8 Jennifer M Hensel,5,9 Maria Maione,10 Megan Nguyen,5 Nike Onabajo,5 R Sacha Bhatia3,5,11 1Sinai Health System, Toronto, ON M5G 1X5, Canada; 2Li Ka Shing Knowledge Institute, St Michael’s Hospital, Toronto, ON M5G 1WB, Canada; 3Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5S 1B2, Canada; 4Department of Medicine, University of Toronto, Division of General Internal Medicine, St Michael’s Hospital, Women’s College Hospital, Toronto, ON M5G 1WB, Canada; 5Institute for Health System Solutions and Virtual Care (WIHV), Women’s College Hospital, Toronto, ON M5S 1B2, Canada; 6Women’s College Hospital, Toronto, ON M5S 1B2, Canada; 7London Health Sciences Centre, London, ON N6A 5W9, Canada; 8Department of Family and Community Medicine, Women’s College Hospital, University of Toronto, Toronto, ON M5S 1B2, Canada; 9Department of Psychiatry, University of Toronto, Women’s College Hospital, Women’s College Research Institute, Women’s College Hospital, Toronto, ON M5S 1B2, Canada; 10St Michael’s Hospital, Toronto, ON M5G 1WB, Canada; 11University Health Network, Toronto, ON M5S 1B2, Canada Background: Although there is a growing body of literature on the outcomes and impacts of remote home management with peritoneal dialysis (PD) patients, less is understood how this virtual care solution impacts the quality and efficiency of the healthcare system care. In this context, a study was undertaken to understand the perceptions of patients and their caregivers, healthcare providers, health system decision makers, and vendors associated with a remote monitoring and tracking solution aimed at enhancing the outcomes and experiences of chronic kidney disease (CKD) patients receiving PD at home. Methods: A qualitative design using semi-structured interviews with 25 stakeholders was used in this study. Narrative data were analyzed by a thematic analysis approach. Results: The following two themes emerged from the data: (1) leveraging data to monitor and intervene to keep patients safe and (2) increasing efficiencies and having control over supplies. Discussion: Our study findings elucidated the ability of patients (and in some cases, caregivers) to monitor and trend their data and order and track directly on-line their dialysis supplies were key to their active participation in managing their CKD and keeping them safe at home. Their active participation and functionality of the virtual care solution also led to enhanced efficiencies (eg, process faster, easier, convenient, time savings) for both patients and healthcare providers. Conclusion: The virtual care solution showed promising signs of a patient-centric approach and may serve as a blueprint for other virtual care solutions for chronic disease management. Keywords: peritoneal dialysis, chronic kidney disease, virtual care, qualitative research, patient centric carehttps://www.dovepress.com/improving-safety-and-efficiency-in-care-multi-stakeholders-perceptions-peer-reviewed-article-PPAperitoneal dialysischronic kidney diseasevirtual carequalitative researchpatient centric care |
| spellingShingle | Jeffs L Jamieson T Saragosa M Mukerji G Jain AK Man R Desveaux L Shaw J Agarwal P Hensel JM Maione M Nguyen M Onabajo N Bhatia RS Improving safety and efficiency in care: multi-stakeholders’ perceptions associated with a peritoneal dialysis virtual care solution Patient Preference and Adherence peritoneal dialysis chronic kidney disease virtual care qualitative research patient centric care |
| title | Improving safety and efficiency in care: multi-stakeholders’ perceptions associated with a peritoneal dialysis virtual care solution |
| title_full | Improving safety and efficiency in care: multi-stakeholders’ perceptions associated with a peritoneal dialysis virtual care solution |
| title_fullStr | Improving safety and efficiency in care: multi-stakeholders’ perceptions associated with a peritoneal dialysis virtual care solution |
| title_full_unstemmed | Improving safety and efficiency in care: multi-stakeholders’ perceptions associated with a peritoneal dialysis virtual care solution |
| title_short | Improving safety and efficiency in care: multi-stakeholders’ perceptions associated with a peritoneal dialysis virtual care solution |
| title_sort | improving safety and efficiency in care multi stakeholders rsquo perceptions associated with a peritoneal dialysis virtual care solution |
| topic | peritoneal dialysis chronic kidney disease virtual care qualitative research patient centric care |
| url | https://www.dovepress.com/improving-safety-and-efficiency-in-care-multi-stakeholders-perceptions-peer-reviewed-article-PPA |
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