title: Designing and implementing telemonitoring for early detection of deterioration in chronic disease: defining the requirements.
abstract: Patients with chronic disease may suffer frequent acute deteriorations and associated increased risk of hospitalisation. Earlier detection of these could enable successful intervention, improving patients' well-being and reducing costs; however, current telemonitoring systems do not achieve this effectively. We conducted a qualitative study using stakeholder interviews to define current standards of care and user requirements for improved early detection telemonitoring. We determined that early detection is not a concept that has informed technology or service design and that telemonitoring is driven by the available technology rather than by users' needs. We have described a set of requirements questions to inform the design and implementation of telemonitoring systems and suggested the research needed to develop successful early detection telemonitoring. User-centred design and genuine interdisciplinary approaches are needed to create solutions that are fit for purpose, sustainable and address the real needs of patients, clinicians and healthcare organisations.
authors.affiliation: Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK. peirces@cardiff.ac.uk
authors.forename: Susan C
authors.initials: SC
authors.lastname: Peirce
authors.forename: Alex R
authors.initials: AR
authors.lastname: Hardisty
authors.forename: Alun D
authors.initials: AD
authors.lastname: Preece
authors.forename: Glyn
authors.initials: G
authors.lastname: Elwyn
mesh_terms: D002908:Chronic Disease / Q000523:psychology; D018450:Disease Progression; D042241:Early Diagnosis; D006282:Health Personnel; D006801:Humans; D033183:Interdisciplinary Communication; D007407:Interviews as Topic; D018670:Monitoring, Ambulatory / Q000379:methods*; D010342:Patient Acceptance of Health Care; D018802:Patient-Centered Care; D010817:Physician-Patient Relations; D019114:Remote Consultation / Q000379:methods / Q000592:standards; D017216:Telemedicine / Q000379:methods* / Q000592:standards; D006113:United Kingdom