Leveraging User Experience to Improve Video Consultations in a Cardiology Practice During the COVID-19 Pandemic: Initial Insights

Vandekerckhove, Pieter; Vandekerckhove, Yves; Tavernier, René; Jaegher, Kelly De; Mul, Marleen de

doi:10.2196/19771

Cited by 43 publications

(31 citation statements)

References 20 publications

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“…The lockdown due to the COVID-19 pandemic has challenged the follow-up of cardiovascular patients and healthcare systems globally, and has highlighted a need for remote delivering of care, with high income countries' expert opinion of using technology to support access to care [45] and the urgent need for video consultations [46]. Our participants' opinions of video consultation is reported in other studies to reduce the burdens carried by HF patients, burdens like spending too much time attending appointments [47] and experiencing distressing symptoms, such as lacking energy [27,41].…”

Section: Discussionmentioning

confidence: 99%

Tools to Support Self-Care Monitoring at Home: Perspectives of Patients with Heart Failure

Aamodt

Strömberg

Hellesø

et al. 2020

IJERPH

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Self-care monitoring at home can be a challenge for patients with heart failure (HF). Tools that leverage information and communication technology (ICT), comprise medical devices, or have written material may support their efforts at home. The aim of this study was to describe HF patients’ experiences and their prioritization of tools that support, or could support, self-care monitoring at home. A descriptive qualitative design employing semi-structured interviews was used with HF patients living at home and attending an HF outpatient clinic in Norway. We used a deductive analysis approach, using the concept of self-care monitoring with ICT tools, paper-based tools, medical devices, and tools to consult with healthcare professionals (HCPs) as the categorization matrix. Nineteen HF patients with a mean age of 64 years participated. ICT tools are used by individual participants to identify changes in their HF symptoms, but are not available by healthcare services. Paper-based tools, medical devices, and face-to-face consultation with healthcare professionals are traditional tools that are available and used by individual participants. HF patients use traditional and ICT tools to support recognizing, identifying, and responding to HF symptoms at home, suggesting that they could be used if they are available and supplemented by in-person consultation with HCPs.

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Section: Discussionmentioning

confidence: 99%

Tools to Support Self-Care Monitoring at Home: Perspectives of Patients with Heart Failure

Aamodt

Strömberg

Hellesø

et al. 2020

IJERPH

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“…In the era of the Internet of Things (IoT), a software based telehealth system is not a new concept. In certain instances, video cameras or other acquisition panels are required as additional equipment in telehealth software [ 39 , 40 ]. During the COVID-19 pandemic, such type of telehealth system can play a significant role in faster treatment [ 41 ].…”

Section: Telehealth Systemsmentioning

confidence: 99%

Scalable Telehealth Services to Combat Novel Coronavirus (COVID-19) Pandemic

et al. 2021

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“…Specifically, health care systems have been faced with a significant challenge whereby in-person visits, surgeries, and treatments once considered essential have either been cancelled or postponed to reduce the likelihood of virus transmission [ 2 , 3 ]. With the implementation of these public health measures, patients with chronic conditions relying on traditional models of clinic-based care are now at higher risk of health deterioration [ 4 , 5 ]. These patients have been reported to face a higher risk of severe illness when infected with COVID-19.…”

Section: Introductionmentioning

confidence: 99%

“…These patients have been reported to face a higher risk of severe illness when infected with COVID-19. Thus, maintaining patient health status in the context of the current health care reconfigurations represents a significant challenge [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Since the pandemic started, large organizations such as the Canadian Cardiovascular Society and the Heart Failure Society of America have recommended transitions to virtual modes of care to meet the needs of patients during the pandemic [ 4 , 5 ]. In New York City, where high transmission of COVID-19 has been reported, telemonitoring was found to be an important component of the medical response to the pandemic because it reduced the demand on strained health care staff and enabled the meeting of patient needs at home [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Expanding Telemonitoring in a Virtual World: A Case Study of the Expansion of a Heart Failure Telemonitoring Program During the COVID-19 Pandemic

Wali¹,

Guessi²,

Shah³

et al. 2021

J Med Internet Res

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Background To minimize the spread and risk of a COVID-19 outbreak, societal norms have been challenged with respect to how essential services are delivered. With pressures to reduce the number of in-person ambulatory visits, innovative models of telemonitoring have been used during the pandemic as a necessary alternative to support access to care for patients with chronic conditions. The pandemic has led health care organizations to consider the adoption of telemonitoring interventions for the first time, while others have seen existing programs rapidly expand. Objective At the Toronto General Hospital in Ontario, Canada, the rapid expansion of a telemonitoring program began on March 9, 2020, in response to COVID-19. The objective of this study was to understand the experiences related to the expanded role of a telemonitoring program under the changing conditions of the pandemic. Methods A single-case qualitative study was conducted with 3 embedded units of analysis. Semistructured interviews probed the experiences of patients, clinicians, and program staff from the Medly telemonitoring program at a heart function clinic in Toronto, Canada. Data were analyzed using inductive thematic analysis as well as Eakin and Gladstone’s value-adding approach to enhance the analytic interpretation of the study findings. Results A total of 29 participants were interviewed, including patients (n=16), clinicians (n=9), and operational staff (n=4). Four themes were identified: (1) providing care continuity through telemonitoring; (2) adapting telemonitoring operations for a more virtual health care system; (3) confronting virtual workflow challenges; and (4) fostering a meaningful patient-provider relationship. Beyond supporting virtual visits, the program’s ability to provide a more comprehensive picture of the patient’s health was valued. However, issues relating to the lack of system integration and alert-driven interactions jeopardized the perceived sustainability of the program. Conclusions With the reduction of in-person visits during the pandemic, virtual services such as telemonitoring have demonstrated significant value. Based on our study findings, we offer recommendations to proactively adapt and scale telemonitoring programs under the changing conditions of an increasingly virtual health care system. These include revisiting the scope and expectations of telemedicine interventions, streamlining virtual patient onboarding processes, and personalizing the collection of patient information to build a stronger virtual relationship and a more holistic assessment of patient well-being.

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Leveraging User Experience to Improve Video Consultations in a Cardiology Practice During the COVID-19 Pandemic: Initial Insights

Cited by 43 publications

References 20 publications

Tools to Support Self-Care Monitoring at Home: Perspectives of Patients with Heart Failure

Tools to Support Self-Care Monitoring at Home: Perspectives of Patients with Heart Failure

Scalable Telehealth Services to Combat Novel Coronavirus (COVID-19) Pandemic

Expanding Telemonitoring in a Virtual World: A Case Study of the Expansion of a Heart Failure Telemonitoring Program During the COVID-19 Pandemic

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