Telemonitoring for acute diseases in general practice as exemplified by COVID-19—a qualitative interview study

Hausärztliches Telemonitoring bei akuten Erkrankungen am Beispiel von COVID-19 – qualitative Interviewstudie
Chabiera P.J. Holtz S. Köhler S.M. Deutsch K. Oftring Z.S. Lawin D. Vogelmeier C.F. Dauletbayev N. Niekrenz L. Dreher M. Gloeckl R. Koczulla R. Rohde G. Gerlach F.M. Kuhn S. Müller B.S.
December 2024 Springer Medizin

Zeitschrift fur Allgemeinmedizin
2024 #100 Issue 8 438 - 445 pp.

Background: Telemonitoring was used worldwide in COVID-19 patient care during the pandemic. In the COVID-19@Home project, a telemonitoring concept was developed and implemented for the general practice setting. Objective: This article will present experiences with, barriers to, and facilitating factors for the implementation of the telemonitoring concept from the perspective of general practitioners (GPs). Materials and methods: On the side of the patients, an app with up to five digital devices was used to measure vital signs. The practices received access to a web portal to view the readings and symptoms as well as connection to a support structure. The participating GPs were invited to semi-structured interviews, which were then analyzed according to qualitative content analysis. Results: Eight practices with 51 patients participated, and seven of the eight physician participants agreed to an interview. Telemonitoring was perceived as an added value especially if it reduced the workload or the own uncertainty in contact with high-risk patients. Additional tasks through telemonitoring were mostly performed by GPs outside of consultation hours. The measured values were checked at least daily. Data quality and reliability were predominantly described as good, but opinions on the number of measuring devices diverged. Conclusion: Acceptance of telemonitoring for acute diseases by GPs can only be expected if the concept is successfully integrated into the daily work routine and if target group-specific accompanying support structures are available. To optimize the value-to-effort ratio, future studies should define clear inclusion criteria for patient groups that will benefit from telemedical support as well as the composition of measuring instruments.

Implementation science , Outpatient monitoring , Primary health care , Proof of concept study , Qualitative research

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Institut für Allgemeinmedizin, Goethe-Universität Frankfurt, Frankfurt am Main, Germany
Institut für Rechtsmedizin, Universitätsklinikum, Goethe-Universität Frankfurt, Frankfurt am Main, Germany
Institut für Erziehungswissenschaft, Johannes Gutenberg-Universität Mainz, Mainz, Germany
Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Gießen und Marburg, Marburg, Germany
AG 4 Digitale Medizin, Universität Bielefeld, Bielefeld, Germany
Klinik für Innere Medizin mit Schwerpunkt Pneumologie, Philipps-Universität Marburg, Marburg, Germany
Deutsches Zentrum für Lungenforschung (DZL), Universities of Giessen and Marburg Lung Center, Marburg, Germany
Department of Pediatrics, McGill University, Montreal, Canada
al-Farabi Kazakh National University, Almaty, Kazakhstan
Klinik für Pneumologie und Internistische Intensivmedizin, Uniklinik RWTH Aachen, Aachen, Germany
Institut für Digitale Medizin, Universitätsklinikum Gießen-Marburg, Marburg, Germany
Forschungsinstitut für Pneumologische Rehabilitation, Schön Klinik Berchtesgadener Land, Schönau am Königssee, Germany
Fachzentrum für Pneumologie, Schön Klinik Berchtesgadener Land, Schönau am Königssee, Germany
Schwerpunkt Pneumologie und Allergologie der Medizinischen Klinik I, Universitätsklinikum, Goethe-Universität Frankfurt, Frankfurt am Main, Germany
Institut für Allgemeinmedizin, Universitätsklinikum Köln, Köln, Germany

Institut für Allgemeinmedizin
Institut für Rechtsmedizin
Institut für Erziehungswissenschaft
Klinik für Kinder- und Jugendmedizin
AG 4 Digitale Medizin
Klinik für Innere Medizin mit Schwerpunkt Pneumologie
Deutsches Zentrum für Lungenforschung (DZL)
Department of Pediatrics
al-Farabi Kazakh National University
Klinik für Pneumologie und Internistische Intensivmedizin
Institut für Digitale Medizin
Forschungsinstitut für Pneumologische Rehabilitation
Fachzentrum für Pneumologie
Schwerpunkt Pneumologie und Allergologie der Medizinischen Klinik I
Institut für Allgemeinmedizin

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