Abdullah Adina, Liew Su May, Hanafi Nik Sherina, Ng Chirk Jenn, Lai Pauline Siew Mei, Chia Yook Chin, Loo Chu Kiong
Department of Primary Care Medicine, Faculty of Medicine, University Malaya Primary Care Research Group, University of Malaya, Kuala Lumpur, Malaysia.
Department of Artificial Intelligence, Faculty of Computer Science and Information Technology, University of Malaya, Kuala Lumpur, Malaysia.
Patient Prefer Adherence. 2016 Jan 27;10:99-106. doi: 10.2147/PPA.S94687. eCollection 2016.
Telemonitoring of home blood pressure (BP) is found to have a positive effect on BP control. Delivering a BP telemonitoring service in primary care offers primary care physicians an innovative approach toward management of their patients with hypertension. However, little is known about patients' acceptance of such service in routine clinical care.
This study aimed to explore patients' acceptance of a BP telemonitoring service delivered in primary care based on the technology acceptance model (TAM).
A qualitative study design was used. Primary care patients with uncontrolled office BP who fulfilled the inclusion criteria were enrolled into a BP telemonitoring service offered between the period August 2012 and September 2012. This service was delivered at an urban primary care clinic in Kuala Lumpur, Malaysia. Twenty patients used the BP telemonitoring service. Of these, 17 patients consented to share their views and experiences through five in-depth interviews and two focus group discussions. An interview guide was developed based on the TAM. The interviews were audio-recorded and transcribed verbatim. Thematic analysis was used for analysis.
Patients found the BP telemonitoring service easy to use but struggled with the perceived usefulness of doing so. They expressed confusion in making sense of the monitored home BP readings. They often thought about the implications of these readings to their hypertension management and overall health. Patients wanted more feedback from their doctors and suggested improvement to the BP telemonitoring functionalities to improve interactions. Patients cited being involved in research as the main reason for their intention to use the service. They felt that patients with limited experience with the internet and information technology, who worked out of town, or who had an outdoor hobby would not be able to benefit from such a service.
Patients found BP telemonitoring service in primary care easy to use but needed help to interpret the meanings of monitored BP readings. Implementations of BP telemonitoring service must tackle these issues to maximize the patients' acceptance of a BP telemonitoring service.
家庭血压远程监测被发现对血压控制有积极作用。在基层医疗中提供血压远程监测服务为基层医疗医生管理高血压患者提供了一种创新方法。然而，对于患者在常规临床护理中对此类服务的接受情况知之甚少。
本研究旨在基于技术接受模型（TAM）探讨患者对基层医疗中提供的血压远程监测服务的接受情况。
采用定性研究设计。符合纳入标准的基层医疗患者，其诊室血压未得到控制，于2012年8月至2012年9月期间被纳入一项血压远程监测服务。该服务在马来西亚吉隆坡的一家城市基层医疗诊所提供。20名患者使用了血压远程监测服务。其中，17名患者同意通过五次深入访谈和两次焦点小组讨论分享他们的观点和经历。基于TAM制定了一份访谈指南。访谈进行了录音并逐字转录。采用主题分析法进行分析。
患者发现血压远程监测服务易于使用，但对这样做的感知有用性存在困惑。他们在理解监测到的家庭血压读数方面表示困惑。他们经常思考这些读数对其高血压管理和整体健康的影响。患者希望从医生那里得到更多反馈，并建议改进血压远程监测功能以改善互动。患者将参与研究作为他们使用该服务的主要原因。他们认为，那些互联网和信息技术经验有限、在城外工作或有户外爱好的患者无法从这样的服务中受益。
患者发现基层医疗中的血压远程监测服务易于使用，但需要帮助来解读监测到的血压读数的含义。血压远程监测服务的实施必须解决这些问题，以最大限度地提高患者对血压远程监测服务的接受度。
