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

Description:
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.

How to cite:

Peirce SC, Hardisty AR, Preece AD, Elwyn G. Designing and implementing telemonitoring for early detection of deterioration in chronic disease: Defining the requirements. Health Informatics Journal. 2011; 17(3): 173-190. Available at: http://jhi.sagepub.com/content/17/3/173.long

They 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. They 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.

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