Upscaling telemonitoring in Dutch University Medical Centres: A baseline measurement

Citrien 2 Project Leaders/Steering Group

doi:https://doi.org/10.1016/j.ijmedinf.2023.105085

Upscaling telemonitoring in Dutch University Medical Centres: A baseline measurement

Citrien 2 Project Leaders/Steering Group

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Introduction and objective: The Dutch university medical centres (UMC's) are on the forefront when it comes to validation, implementation and research of telemonitoring. To aid the UMC's in their effort, the Dutch Government has supported the UMC's by fostering the ‘Citrien eHealth program’. This program aims at nationwide implementation and upscaling of telemonitoring via a collaborative network. To quantify the success of this program, this study aims to provide insights into the current adoption of telemonitoring by health care professionals (HCP) within Dutch UMC's. Methods: Based on the evaluation framework as adapted from the Normalization Process Theory (NPT) a cross-sectional study was conducted in all Dutch UMC's. Thirty healthcare professionals (HCPs) per UMC were invited to complete the 23-item Normalization MeAsure Development (NoMAD) questionnaire, a tool to assess the degree of normalisation of telemonitoring. Results: The over-all response rate was 52.4% (124/240). Over 80% of respondents agreed or strongly agreed that they understand how telemonitoring affects the nature of their work, with a mean score of 1.49 (N = 117, SD 0.74). HCPs reported to believe telemonitoring will become a normal part of their work in the near future (N = 124, mean = 8.67, SD = 1.38). Using the Wilcoxon signed-rank test, the difference between current practise and future use of telemonitoring predicts to be statistically significant (Z = − 7.505, p ≤ 0.001). Mean scores for appropriate training and sufficient resources are relatively low (2.39 and 2.70 respectively), indicating a barrier for collective action. Conclusion: This is the first study to assess the implementation of telemonitoring as standard practise across Dutch UMCs. The HCPs in this study are the frontrunners, believing that telemonitoring will become standard practise in the future despite the fact that it is currently not. Based on the results of this study, both educational and implementation strategies including practical skills training are highly recommended in order to scale up telemonitoring widely.

Original language	English
Article number	105085
Pages (from-to)	105085
Journal	International Journal of Medical Informatics
Volume	175
Early online date	23 Apr 2023
DOIs	https://doi.org/10.1016/j.ijmedinf.2023.105085
Publication status	Published - 1 Jul 2023

Keywords

Baseline
Implementation
Normalisation Process Theory
Telemonitoring

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@article{d8d48cfff6744247baebf197baf250a7,

title = "Upscaling telemonitoring in Dutch University Medical Centres: A baseline measurement",

abstract = "Introduction and objective: The Dutch university medical centres (UMC's) are on the forefront when it comes to validation, implementation and research of telemonitoring. To aid the UMC's in their effort, the Dutch Government has supported the UMC's by fostering the {\textquoteleft}Citrien eHealth program{\textquoteright}. This program aims at nationwide implementation and upscaling of telemonitoring via a collaborative network. To quantify the success of this program, this study aims to provide insights into the current adoption of telemonitoring by health care professionals (HCP) within Dutch UMC's. Methods: Based on the evaluation framework as adapted from the Normalization Process Theory (NPT) a cross-sectional study was conducted in all Dutch UMC's. Thirty healthcare professionals (HCPs) per UMC were invited to complete the 23-item Normalization MeAsure Development (NoMAD) questionnaire, a tool to assess the degree of normalisation of telemonitoring. Results: The over-all response rate was 52.4% (124/240). Over 80% of respondents agreed or strongly agreed that they understand how telemonitoring affects the nature of their work, with a mean score of 1.49 (N = 117, SD 0.74). HCPs reported to believe telemonitoring will become a normal part of their work in the near future (N = 124, mean = 8.67, SD = 1.38). Using the Wilcoxon signed-rank test, the difference between current practise and future use of telemonitoring predicts to be statistically significant (Z = − 7.505, p ≤ 0.001). Mean scores for appropriate training and sufficient resources are relatively low (2.39 and 2.70 respectively), indicating a barrier for collective action. Conclusion: This is the first study to assess the implementation of telemonitoring as standard practise across Dutch UMCs. The HCPs in this study are the frontrunners, believing that telemonitoring will become standard practise in the future despite the fact that it is currently not. Based on the results of this study, both educational and implementation strategies including practical skills training are highly recommended in order to scale up telemonitoring widely.",

keywords = "Baseline, Implementation, Normalisation Process Theory, Telemonitoring",

author = "Gijsbers, {H. J. H.} and J. Kleiss and Nurmohamed, {S. A.} and {van de Belt}, {T. H.} and Schijven, {M. P.} and {Citrien 2 Project Leaders/Steering Group} and Bekker, {M. N.} and Buijs, {M. A.} and E. Buskens and Chavannes, {N. H.} and {van Dam}, D. and {van Eldik}, N. and Goossens, {J. M.} and M. Janssen and Kasteleyn, {M. J.} and Kool, {R. B.} and T. Lachkar and Lahr, {M. M. H.} and H. Martens and Metting, {E. I.} and Silven, {A. V.} and M. Snoeren and {van der Steen}, {M. K. J.} and {Verdonck - de Leeuw}, {I. M.} and {Venema Taat}, N. and Visser, {J. J.} and Willems, {S. H.} and {van Zwieten}, V.",

note = "Publisher Copyright: {\textcopyright} 2023 The Authors",

year = "2023",

month = jul,

day = "1",

doi = "https://doi.org/10.1016/j.ijmedinf.2023.105085",

language = "English",

volume = "175",

pages = "105085",

journal = "International Journal of Medical Informatics",

issn = "1386-5056",

publisher = "Elsevier Ireland Ltd",

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TY - JOUR

T1 - Upscaling telemonitoring in Dutch University Medical Centres

T2 - A baseline measurement

AU - Gijsbers, H. J. H.

AU - Kleiss, J.

AU - Nurmohamed, S. A.

AU - van de Belt, T. H.

AU - Schijven, M. P.

AU - Citrien 2 Project Leaders/Steering Group

AU - Bekker, M. N.

AU - Buijs, M. A.

AU - Buskens, E.

AU - Chavannes, N. H.

AU - van Dam, D.

AU - van Eldik, N.

AU - Goossens, J. M.

AU - Janssen, M.

AU - Kasteleyn, M. J.

AU - Kool, R. B.

AU - Lachkar, T.

AU - Lahr, M. M. H.

AU - Martens, H.

AU - Metting, E. I.

AU - Silven, A. V.

AU - Snoeren, M.

AU - van der Steen, M. K. J.

AU - Verdonck - de Leeuw, I. M.

AU - Venema Taat, N.

AU - Visser, J. J.

AU - Willems, S. H.

AU - van Zwieten, V.

PY - 2023/7/1

Y1 - 2023/7/1

N2 - Introduction and objective: The Dutch university medical centres (UMC's) are on the forefront when it comes to validation, implementation and research of telemonitoring. To aid the UMC's in their effort, the Dutch Government has supported the UMC's by fostering the ‘Citrien eHealth program’. This program aims at nationwide implementation and upscaling of telemonitoring via a collaborative network. To quantify the success of this program, this study aims to provide insights into the current adoption of telemonitoring by health care professionals (HCP) within Dutch UMC's. Methods: Based on the evaluation framework as adapted from the Normalization Process Theory (NPT) a cross-sectional study was conducted in all Dutch UMC's. Thirty healthcare professionals (HCPs) per UMC were invited to complete the 23-item Normalization MeAsure Development (NoMAD) questionnaire, a tool to assess the degree of normalisation of telemonitoring. Results: The over-all response rate was 52.4% (124/240). Over 80% of respondents agreed or strongly agreed that they understand how telemonitoring affects the nature of their work, with a mean score of 1.49 (N = 117, SD 0.74). HCPs reported to believe telemonitoring will become a normal part of their work in the near future (N = 124, mean = 8.67, SD = 1.38). Using the Wilcoxon signed-rank test, the difference between current practise and future use of telemonitoring predicts to be statistically significant (Z = − 7.505, p ≤ 0.001). Mean scores for appropriate training and sufficient resources are relatively low (2.39 and 2.70 respectively), indicating a barrier for collective action. Conclusion: This is the first study to assess the implementation of telemonitoring as standard practise across Dutch UMCs. The HCPs in this study are the frontrunners, believing that telemonitoring will become standard practise in the future despite the fact that it is currently not. Based on the results of this study, both educational and implementation strategies including practical skills training are highly recommended in order to scale up telemonitoring widely.

AB - Introduction and objective: The Dutch university medical centres (UMC's) are on the forefront when it comes to validation, implementation and research of telemonitoring. To aid the UMC's in their effort, the Dutch Government has supported the UMC's by fostering the ‘Citrien eHealth program’. This program aims at nationwide implementation and upscaling of telemonitoring via a collaborative network. To quantify the success of this program, this study aims to provide insights into the current adoption of telemonitoring by health care professionals (HCP) within Dutch UMC's. Methods: Based on the evaluation framework as adapted from the Normalization Process Theory (NPT) a cross-sectional study was conducted in all Dutch UMC's. Thirty healthcare professionals (HCPs) per UMC were invited to complete the 23-item Normalization MeAsure Development (NoMAD) questionnaire, a tool to assess the degree of normalisation of telemonitoring. Results: The over-all response rate was 52.4% (124/240). Over 80% of respondents agreed or strongly agreed that they understand how telemonitoring affects the nature of their work, with a mean score of 1.49 (N = 117, SD 0.74). HCPs reported to believe telemonitoring will become a normal part of their work in the near future (N = 124, mean = 8.67, SD = 1.38). Using the Wilcoxon signed-rank test, the difference between current practise and future use of telemonitoring predicts to be statistically significant (Z = − 7.505, p ≤ 0.001). Mean scores for appropriate training and sufficient resources are relatively low (2.39 and 2.70 respectively), indicating a barrier for collective action. Conclusion: This is the first study to assess the implementation of telemonitoring as standard practise across Dutch UMCs. The HCPs in this study are the frontrunners, believing that telemonitoring will become standard practise in the future despite the fact that it is currently not. Based on the results of this study, both educational and implementation strategies including practical skills training are highly recommended in order to scale up telemonitoring widely.

KW - Baseline

KW - Implementation

KW - Normalisation Process Theory

KW - Telemonitoring

UR - http://www.scopus.com/inward/record.url?scp=85157970051&partnerID=8YFLogxK

U2 - https://doi.org/10.1016/j.ijmedinf.2023.105085

DO - https://doi.org/10.1016/j.ijmedinf.2023.105085

M3 - Article

C2 - 37146371

SN - 1386-5056

VL - 175

SP - 105085

JO - International Journal of Medical Informatics

JF - International Journal of Medical Informatics

M1 - 105085

ER -

Upscaling telemonitoring in Dutch University Medical Centres: A baseline measurement

Abstract

Keywords

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