The Ideal Profile of the Telemedicine User– Experience From Portugal
Over the last few years, all over the world, telemedicine has been gaining momentum, and became more accepted by both health workers and patients as an essential tool in medicine. There have been a considerable number of studies whose results show the benefits of telemedicine programmes, not only in cost reduction and decreasing the number of exacerbations and hospital admissions, but also in improving health outcomes, with the patients having a better understanding of their illness and how they can manage it. This study is based on a tele monitoring programme being carried out in the village of Sabugueiro in Portugal. This village is one the first “Smart mountain villages” in the world, and besides having the concept of Internet of Things” applied to its infrastructure, it also has a tele-monitoring component, where blood pressure, blood glucose levels and weight of part of the population are monitored, in both healthy and unhealthy individuals. Abnormal changes of these parameters are very prevalent in our society, being responsible for a great deal of the national health system expenditure and being an important risk factor for cardiovascular events, the number one cause of death in Portugal. Therefore, their correct management is of vital importance in order to reduce costs, morbidity and mortality related to these events. However, this programmes results fell short of what was desired, with low compliance by the patients, who did not make the recommended number of measurements. The main goal of this study was to understand what can improve the compliance of a telemonitoring patient, what they find the most difficult to cope with, and when this kind of programme is useful.
Saddik B, Al-Dulaijan N. Diabetic patients’ willingness to use tele-technology to manage their disease – A descriptive study. Online J Public Health Informat. 2015;7(2):e214. doi:10.5210/ojphi.v7i2.6011.
Wild SH, Hanley J, Lewis SC, et al. Supported telemonitoring and glycemic control in people with type 2 diabetes: the telescot diabetes pragmatic multicenter randomized controlled trial. PLoS Medicine 2016;13(7):e1002098.
Omboni S, Guarda A. Impact of home blood pressure telemonitoring and blood pressure control: a meta-analysis of randomized controlled studies. Am J Hypertens 2011;24:989–998.
Grupo de trabalho de telemedicina, Telerastreios dermatológicos serão realidade até final de 2013. Available at: http://spms.min- saude.pt/2013/07/telerrastreios-dermatologicos- serao-realidade-ate-ao-final-de-2013/ accessed 7 December 2016.
Heinzelmann PJ, Lugn NE, Kvedar JC.
Telemedicine in the future. J Telemed Telecare 2005;11(8):384–390.
Craig J, Patterson V. Introduction to the practice of telemedicine. J Telemed Telecare 2005;11(1):3–9.
Al Shorbaji N. e-Health in the Eastern Mediterranean region: A decade of challenges and achievements. East Mediterr Health J 2008;14(Supp.):S157–S173.
Stanberry B. Legal and ethical aspects of telemedicine. J Telemed Telecare 2006;12(4):166–175.
Martinez R [North Highland]. Internet of Things Impact on Healthcare (12 October 2015). Available at: https://www.youtube.com/watch?v=No9g10zc7tw accessed 6 March 2017.
Ahn T, Ryu S, Han I. The impact of web quality and playfulness on user acceptance of online retailing. Inform Manage 2007;44:263–275.
Davis FD. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q J 1989;3(3):319-340.
Abdullah A, Liew SM, Hanafi NS, et al. What Influences Patients’ Acceptance of a Blood Pressure Telemonitoring Service in Primary Care? A Qualitative Study. Patient Prefer Adherence 2016;10:99–106.
Hanley J, Ure J, Pagliari C, Sheikh A, McKinstry B. Experiences of patients and professionals participating in the HITS home blood pressure telemonitoring trial: a qualitative study. BMJ Open 2013;3(5):e002671.
Finkelstein J, Cabrera MR, Hripcsak G. Internet- Based Home Asthma Telemonitoring: Can Patients Handle the Technology? Chest J 2000;117(1):148-155.
Kerby TJ, Asche SE, Maciosek MV et al. Adherence to blood pressure telemonitoring in a cluster-randomized clinical trial. J Clin Hypertens 2012;14(10):668–674.
Copyright (c) 2017 André Pinto Saraiva, Miguel Castelo Branco Sousa, Jorge Nunes
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.