Upscaling telemonitoring in Dutch University Medical Centres: A baseline measurement (2023)

Citrien 2 Project Leaders/Steering Group (2023). Upscaling telemonitoring in Dutch University Medical Centres: A baseline measurement. International Journal of Medical Informatics, 175, [105085]. https://doi.org/10.1016/j.ijmedinf.2023.105085

Citrien 2 Project Leaders/Steering Group. / Upscaling telemonitoring in Dutch University Medical Centres : A baseline measurement. In: International Journal of Medical Informatics. 2023 ; Vol. 175.

@article{55169979114b4412855eca9993d51bc7,

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.",

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.",

year = "2023",

month = jul,

day = "1",

doi = "10.1016/j.ijmedinf.2023.105085",

language = "English",

volume = "175",

journal = "International Journal of Medical Informatics",

issn = "1386-5056",

publisher = "Elsevier Ireland Ltd",

}

Citrien 2 Project Leaders/Steering Group 2023, 'Upscaling telemonitoring in Dutch University Medical Centres: A baseline measurement', International Journal of Medical Informatics, vol. 175, 105085. 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.

In: International Journal of Medical Informatics, Vol. 175, 105085, 01.07.2023.

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

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.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85157970051&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/37146371

U2 - 10.1016/j.ijmedinf.2023.105085

DO - 10.1016/j.ijmedinf.2023.105085

M3 - Article

C2 - 37146371

SN - 1386-5056

VL - 175

JO - International Journal of Medical Informatics

JF - International Journal of Medical Informatics

M1 - 105085

ER -

Citrien 2 Project Leaders/Steering Group. Upscaling telemonitoring in Dutch University Medical Centres: A baseline measurement. International Journal of Medical Informatics. 2023 Jul 1;175:105085. doi: 10.1016/j.ijmedinf.2023.105085