University of Toronto, Canada.
Health Informatics J. 2019 Dec;25(4):1188-1200. doi: 10.1177/1460458217749882. Epub 2018 Jan 10.
People with multiple chronic conditions often struggle with managing their health. The purpose of this research was to identify specific challenges of patients with multiple chronic conditions and to use the findings to form design principles for a telemonitoring system tailored for these patients. Semi-structured interviews with 15 patients with multiple chronic conditions and 10 clinicians were conducted to gain an understanding of their needs and preferences for a smartphone-based telemonitoring system. The interviews were analyzed using a conventional content analysis technique, resulting in six themes. Design principles developed from the themes included that the system must be modular to accommodate various combinations of conditions, reinforce a routine, consolidate record keeping, as well as provide actionable feedback to the patients. Designing an application for multiple chronic conditions is complex due to variability in patient conditions, and therefore, design principles developed in this study can help with future innovations aimed to help manage this population.
患有多种慢性疾病的人常常难以管理自己的健康。本研究旨在确定患有多种慢性疾病患者的具体挑战，并利用研究结果为专门为这些患者设计的远程监护系统形成设计原则。对 15 名患有多种慢性疾病的患者和 10 名临床医生进行了半结构化访谈，以了解他们对基于智能手机的远程监护系统的需求和偏好。使用常规内容分析技术对访谈进行了分析，得出了六个主题。从主题中得出的设计原则包括系统必须具有模块化，以适应各种疾病组合，强化日常生活规律，整合记录保存，并为患者提供可操作的反馈。由于患者病情的差异，为多种慢性疾病设计应用程序非常复杂，因此，本研究中制定的设计原则有助于未来创新，旨在帮助管理这一人群。
