Boyne Josiane J J, Vrijhoef Hubertus J M
Department of Health Services Research, Maastricht University Medical Center, Duboisdomein 30, 6229 GT, Maastricht, The Netherlands.
Curr Heart Fail Rep. 2013 Sep;10(3):254-61. doi: 10.1007/s11897-013-0140-1.
The increasing prevalence of chronic diseases, such as heart failure, presents a substantial challenge to healthcare systems. Telemonitoring is believed to be a useful instrument in the delivery of heart failure care. However, a widespread use of telemonitoring is currently failing for various reasons. This article provides an overview of the barriers for the implementation of telemonitoring in heart failure patients from the perspectives of its users: patients, healthcare professionals and healthcare organisations. In doing so, identified barriers are grouped according to the perceived attributes of innovation by Rogers. Recommendations are provided as to how research can improve the implementation of telemonitoring in heart failure.
诸如心力衰竭等慢性病的患病率不断上升,给医疗保健系统带来了巨大挑战。远程监测被认为是提供心力衰竭护理的一种有用手段。然而,由于各种原因,目前远程监测的广泛应用并不成功。本文从远程监测的使用者(即患者、医疗保健专业人员和医疗保健机构)的角度,概述了在心力衰竭患者中实施远程监测的障碍。在此过程中,根据罗杰斯对创新的感知属性,将识别出的障碍进行了分类。针对研究如何改善心力衰竭远程监测的实施提出了建议。