Advocacy of home telehealth care among consumers with chronic conditions

Ju Fen Lu, Mei Ju Chi, Ching-Min Chen

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Aims and objectives: To describe use of home telehealth care as an alternative for chronic disease management from users' perspective. Background: As the population ages, telehealth is increasingly being used to tackle problems related to the fast growing ageing population. Home telehealth care therefore poses challenges and offers opportunities for patients and healthcare providers. Design: A qualitative approach was adopted with a purposeful sample of 20 patients residing in Taiwan. Method: Patients who had received the service for three months and were willing to share their experiences were recruited. Data were collected by face-to-face interviews with semi-structured interview guideline (n = 8) and a focus group discussion (n = 12) in 2010. A qualitative content analysis was used. Results: Four key themes were identified: perceived support and security, enhanced disease self-management, concerned with using the devices and worries about the cost by patients. Most users favoured using the service to control their chronic conditions because of its convenience and accessibility, and their condition could be measured daily to enhance their sense of security. Users could determine and understand changes in their condition and improve medical regimen compliance, and they were empowered to revise their lifestyles for better disease self-management. However, users were concerned about the utility of the service, because they were unfamiliar with the operating procedures and doubted its quality. As the service is still in stage of pilot testing, users worried about possible cost and reimbursement policy changes in the future. Conclusion: Most users perceived telehealth care was a convenient and useful model for healthcare-delivery. It increased the availability of health care and improved the self-care ability of patients. Relevance to clinical practice: To advocate for home telehealth care, nurses must play an active role in providing consumers with proper training and support for any problems when adopting the system to foster patients' willingness to use this service.

Original languageEnglish
Pages (from-to)811-819
Number of pages9
JournalJournal of Clinical Nursing
Volume23
Issue number5-6
DOIs
Publication statusPublished - 2014

Fingerprint

Telemedicine
Home Care Services
Self Care
Disease Management
Interviews
Delivery of Health Care
Costs and Cost Analysis
Training Support
Aptitude
Focus Groups
Taiwan
Health Personnel
Population
Compliance
Life Style
Chronic Disease
Nurses
Guidelines
Equipment and Supplies

Keywords

  • Chronic disease
  • Experience
  • Home telehealth care
  • Telenursing

ASJC Scopus subject areas

  • Nursing(all)
  • Medicine(all)

Cite this

Advocacy of home telehealth care among consumers with chronic conditions. / Lu, Ju Fen; Chi, Mei Ju; Chen, Ching-Min.

In: Journal of Clinical Nursing, Vol. 23, No. 5-6, 2014, p. 811-819.

Research output: Contribution to journalArticle

Lu, Ju Fen ; Chi, Mei Ju ; Chen, Ching-Min. / Advocacy of home telehealth care among consumers with chronic conditions. In: Journal of Clinical Nursing. 2014 ; Vol. 23, No. 5-6. pp. 811-819.
@article{970891dd9412431fbd1f3b9c1dcda88b,
title = "Advocacy of home telehealth care among consumers with chronic conditions",
abstract = "Aims and objectives: To describe use of home telehealth care as an alternative for chronic disease management from users' perspective. Background: As the population ages, telehealth is increasingly being used to tackle problems related to the fast growing ageing population. Home telehealth care therefore poses challenges and offers opportunities for patients and healthcare providers. Design: A qualitative approach was adopted with a purposeful sample of 20 patients residing in Taiwan. Method: Patients who had received the service for three months and were willing to share their experiences were recruited. Data were collected by face-to-face interviews with semi-structured interview guideline (n = 8) and a focus group discussion (n = 12) in 2010. A qualitative content analysis was used. Results: Four key themes were identified: perceived support and security, enhanced disease self-management, concerned with using the devices and worries about the cost by patients. Most users favoured using the service to control their chronic conditions because of its convenience and accessibility, and their condition could be measured daily to enhance their sense of security. Users could determine and understand changes in their condition and improve medical regimen compliance, and they were empowered to revise their lifestyles for better disease self-management. However, users were concerned about the utility of the service, because they were unfamiliar with the operating procedures and doubted its quality. As the service is still in stage of pilot testing, users worried about possible cost and reimbursement policy changes in the future. Conclusion: Most users perceived telehealth care was a convenient and useful model for healthcare-delivery. It increased the availability of health care and improved the self-care ability of patients. Relevance to clinical practice: To advocate for home telehealth care, nurses must play an active role in providing consumers with proper training and support for any problems when adopting the system to foster patients' willingness to use this service.",
keywords = "Chronic disease, Experience, Home telehealth care, Telenursing",
author = "Lu, {Ju Fen} and Chi, {Mei Ju} and Ching-Min Chen",
year = "2014",
doi = "10.1111/jocn.12156",
language = "English",
volume = "23",
pages = "811--819",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",
publisher = "Wiley-Blackwell",
number = "5-6",

}

TY - JOUR

T1 - Advocacy of home telehealth care among consumers with chronic conditions

AU - Lu, Ju Fen

AU - Chi, Mei Ju

AU - Chen, Ching-Min

PY - 2014

Y1 - 2014

N2 - Aims and objectives: To describe use of home telehealth care as an alternative for chronic disease management from users' perspective. Background: As the population ages, telehealth is increasingly being used to tackle problems related to the fast growing ageing population. Home telehealth care therefore poses challenges and offers opportunities for patients and healthcare providers. Design: A qualitative approach was adopted with a purposeful sample of 20 patients residing in Taiwan. Method: Patients who had received the service for three months and were willing to share their experiences were recruited. Data were collected by face-to-face interviews with semi-structured interview guideline (n = 8) and a focus group discussion (n = 12) in 2010. A qualitative content analysis was used. Results: Four key themes were identified: perceived support and security, enhanced disease self-management, concerned with using the devices and worries about the cost by patients. Most users favoured using the service to control their chronic conditions because of its convenience and accessibility, and their condition could be measured daily to enhance their sense of security. Users could determine and understand changes in their condition and improve medical regimen compliance, and they were empowered to revise their lifestyles for better disease self-management. However, users were concerned about the utility of the service, because they were unfamiliar with the operating procedures and doubted its quality. As the service is still in stage of pilot testing, users worried about possible cost and reimbursement policy changes in the future. Conclusion: Most users perceived telehealth care was a convenient and useful model for healthcare-delivery. It increased the availability of health care and improved the self-care ability of patients. Relevance to clinical practice: To advocate for home telehealth care, nurses must play an active role in providing consumers with proper training and support for any problems when adopting the system to foster patients' willingness to use this service.

AB - Aims and objectives: To describe use of home telehealth care as an alternative for chronic disease management from users' perspective. Background: As the population ages, telehealth is increasingly being used to tackle problems related to the fast growing ageing population. Home telehealth care therefore poses challenges and offers opportunities for patients and healthcare providers. Design: A qualitative approach was adopted with a purposeful sample of 20 patients residing in Taiwan. Method: Patients who had received the service for three months and were willing to share their experiences were recruited. Data were collected by face-to-face interviews with semi-structured interview guideline (n = 8) and a focus group discussion (n = 12) in 2010. A qualitative content analysis was used. Results: Four key themes were identified: perceived support and security, enhanced disease self-management, concerned with using the devices and worries about the cost by patients. Most users favoured using the service to control their chronic conditions because of its convenience and accessibility, and their condition could be measured daily to enhance their sense of security. Users could determine and understand changes in their condition and improve medical regimen compliance, and they were empowered to revise their lifestyles for better disease self-management. However, users were concerned about the utility of the service, because they were unfamiliar with the operating procedures and doubted its quality. As the service is still in stage of pilot testing, users worried about possible cost and reimbursement policy changes in the future. Conclusion: Most users perceived telehealth care was a convenient and useful model for healthcare-delivery. It increased the availability of health care and improved the self-care ability of patients. Relevance to clinical practice: To advocate for home telehealth care, nurses must play an active role in providing consumers with proper training and support for any problems when adopting the system to foster patients' willingness to use this service.

KW - Chronic disease

KW - Experience

KW - Home telehealth care

KW - Telenursing

UR - http://www.scopus.com/inward/record.url?scp=84894265963&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84894265963&partnerID=8YFLogxK

U2 - 10.1111/jocn.12156

DO - 10.1111/jocn.12156

M3 - Article

C2 - 23796027

AN - SCOPUS:84894265963

VL - 23

SP - 811

EP - 819

JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

IS - 5-6

ER -