Key result
A co-designed Care Pathway was developed to shift blood pressure monitoring to at-home eHealth devices with automated data transfer and professional monitoring by general practitioner assistants.
Why the study?
eHealth services could help monitor blood pressure in at-risk patients, but their lack of organizational integration remains a major barrier to implementation.
A co-designed Care Pathway for eHealth blood pressure monitoring shifts care from reactive tertiary to secondary preventive care by integrating patient self-measurement with professional monitoring.
Answers are grounded in this paper and cite their sources.
May support eHealth BP monitoring integration in primary care; leaves open effects on control or outcomes.
BACKGROUND: Electronic health (eHealth) services could provide a solution for monitoring the blood pressure of at-risk patients while also decreasing expensive doctor visits. However, a major barrier to their implementation is the lack of integration into organizations. OBJECTIVE: Our aim was to design a Care Pathway for monitoring the blood pressure of at-risk patients, in order to increase eHealth implementation in secondary preventive care. METHODS: A qualitative design study was used in this research. Data were collected by conducting visual mapping sessions including semistructured interviews with hypertension patients and doctors. The data were transcribed and coded and thereafter mapped into a Care Pathway. results: (1) the current approach to blood pressure measuring has disadvantages, (2) risk and lifestyle factors of blood pressure measuring need to be considered, (3) there are certain influences of the at-home context on measuring blood pressure, and (4) new touchpoints between patients and health professionals need to be designed. These in-depth insights combined with the visualization of the current blood pressure process resulted in our Care Pathway design for monitoring the blood pressure of at-risk patients as secondary preventive care. CONCLUSIONS: The Care Pathway guides the implementation of eHealth devices for blood pressure self-measurement. It showcases the pathway of at-risk patients and increases their involvement in managing their blood pressure. It serves as a basis for a new service using eHealth.
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Geerse et al. (2019) studied Hypertension (n=7). Care Pathway for eHealth blood pressure monitoring vs. Current blood pressure monitoring process was evaluated on Design of a Care Pathway based on qualitative themes. A co-designed Care Pathway was developed to shift blood pressure monitoring to at-home eHealth devices with automated data transfer and professional monitoring by general practitioner assistants.
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