Healthcare Professionals Perspectives on Telemedicine for Patients With Chronic Diseases: A Qualitative Study.

AIM

To explore healthcare professionals' perspectives on telemedicine, specifically video consultations and digital home monitoring, in specialized care for chronic heart failure and chronic obstructive pulmonary disease. The study focused on opportunities and barriers in hospital and primary care.

METHODS

A qualitative study with semi-structured interviews within a phenomenological-hermeneutic framework. The study was conducted in Denmark, where 12 participants (eight nurses, four physicians) were interviewed between May and September 2022. Half held leadership roles. Nine worked in hospitals, and three in primary care. Data were analyzed using Braun and Clarke's thematic analysis, adhering to Consolidated Criteria for Reporting Qualitative Research guidelines.

RESULTS

Three key themes were generated through interpretive analysis: (1) balancing challenges and benefits of virtual care, (2) strengthening cross-sectoral collaboration, and (3) empowering patients through telemedicine. Video consultations were well received but required user confidence. Digital home monitoring faced skepticism, particularly regarding patient-measured data, but improved self-care and decision-making. Cultural gaps hindered cross-sectoral collaboration.

CONCLUSION

Unfamiliarity with telemedicine and cross-sectoral gaps is a key barrier, highlighting the need for training and mutual understanding. Addressing these issues is crucial for successful implementation and improved patient care.