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dc.contributor.authorFitzsimmons, D.A.*
dc.contributor.authorThompson, J.*
dc.contributor.authorBentley, C.L.*
dc.contributor.authorMountain, Gail*
dc.date.accessioned2016-12-22T11:48:06Z
dc.date.available2016-12-22T11:48:06Z
dc.date.issued2016-08-22
dc.identifier.citationFitzsimmons DA, Thompson J, Bentley CL et al (2016) Comparison of patient perceptions of Telehealth-supported and specialist nursing interventions for early stage COPD: a qualitative study. BMC Health Services Research. 16:420.
dc.identifier.urihttp://hdl.handle.net/10454/11039
dc.descriptionYes
dc.description.abstractThe increasing prevalence and associated cost of treating Chronic Obstructive Pulmonary Disease (COPD) is unsustainable, and focus is needed on self-management and prevention of hospital admissions. Telehealth monitoring of patients’ vital signs allows clinicians to prioritise their workload and enables patients to take more responsibility for their health. This paper reports the results of a qualitative study embedded within a feasibility and pilot Randomised Controlled Trial (RCT) of Telehealth-supported care within a community-based COPD supported-discharge service. The aim of the study was to qualitatively explore the experiences of patients with COPD who had received either a Telehealth-supported or a specialist nursing intervention following their discharge from hospital after an admission for a COPD exacerbation. Methods: Patients were invited to either participate in semi-structured interviews or to complete a semi-structured self-administered questionnaire on completion of the intervention. Nine patients were interviewed (67 % female) and seventeen patients completed the questionnaires. In addition, three clinicians responsible for the delivery of both interventions were interviewed to obtain their perspectives on the new services. Results: Seven underlying themes emerged from the patient interviews and were further explored in the questionnaires: (1) patient demographics; (2) information received by the participants; (3) installation of the Telehealth technology; (4) Telehealth service functionality; (5) visits; (6) service withdrawal; and (7) service perceptions. Recipients of both services reported feelings of safety derived from the delivery of an integrated, community-based service. Conclusions: Although recipients of the Telehealth service received 50 % fewer home visits from the clinicians than recipients of a more traditional community-based nursing intervention, the patients were enthusiastic about the service, with some describing it as the best service they had ever received. This suggests that a Telehealth intervention is an acceptable alternative to a more traditional home nursing visit model for monitoring community-based patients with COPD following their discharge from hospital.
dc.language.isoenen
dc.rights© 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.subjectQualitative
dc.subjectPatient-centred care
dc.subjectInnovation
dc.subjectTechnology
dc.subjectTelehealth
dc.subjectCOPD
dc.titleComparison of patient perceptions of Telehealth-supported and specialist nursing interventions for early stage COPD: a qualitative study
dc.status.refereedYes
dc.date.Accepted2016-08-03
dc.typeArticle
dc.type.versionPublished version
dc.identifier.doihttps://doi.org/10.1186/s12913-016-1623-z
refterms.dateFOA2018-07-26T09:54:56Z


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