Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Unpacking telemonitoring work: Workload and telephone calls to patients in implanted cardiac device care

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Incorporating symptom data in longitudinal disease trajectories for more detailed patient stratification

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. A qualitative study of COPD-patients' experience of a telemedicine intervention

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Older patients' use of technology for a post-discharge nutritional intervention - A mixed-methods feasibility study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. MiBAlert-a new information tool to fight multidrug-resistant bacteria in the hospital setting

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. FindZebra: a search engine for rare diseases

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

OBJECTIVE: Telemonitoring of cardiac implantable electronic devices (CIEDs) has many advantages. However, telemonitoring involves clinical work that is often overlooked or considered a burden, such as the work performed during telephone contact with patients. The objective of this study was to scrutinize telephone calls to and from patients to understand the clinical workload in CIED remote monitoring. The focus was on time spent, type of work, and the content of telephone contact with patients.

METHODS: A combined quantitative and qualitative observational study was conducted at a large CIED remote monitoring center. The unit 'encounter' was used to describe either a telephone call between patient and clinician and/or a complete review of a CIED data transmission. The time spent on different encounters was measured, the telephone call content was identified and described, and the different types of clinical work were described.

RESULTS: A total of 260 encounters were analyzed. Encounters that involved patient telephone contact were more time consuming. Telephone calls were mostly about the home monitoring box, CIED transmission data, and symptoms. In most telephone calls, two or more topics appeared. Five types of clinical work were performed: inclusion work, coordination work, diagnostic work, education work, and comfort work. Inclusion work and diagnostic work were the dominant types.

DISCUSSION: Patient telephone contact in CIED telemonitoring is typically described as a "burden". This study unpacks the contents and functions of telephone calls between patients and clinicians and suggests that the function of telephone contact should be recognized as integral, rather than burdensome, to the clinical work in CIED telemonitoring.

OriginalsprogEngelsk
TidsskriftInternational Journal of Medical Informatics
Vol/bind129
Sider (fra-til)381-387
Antal sider7
ISSN1386-5056
DOI
StatusUdgivet - sep. 2019

Bibliografisk note

Copyright © 2019 The Authors. Published by Elsevier B.V. All rights reserved.

ID: 59170711