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A Cloud-Based Virtual Outpatient Clinic for Patient-Centered Care: Proof-of-Concept Study

BACKGROUND: Most electronic health (eHealth) interventions offered to patients serve a single purpose and lack integration with other tools or systems. This is problematic because the majority of patients experience comorbidity and chronic disease, see multiple specialists, and therefore have differ...

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Autores principales: de Jong, Jelske Marije, Ogink, Paula AM, van Bunningen, Carin GM, Driessen, Rieke JB, Engelen, Lucien JLPG, Heeren, Barend, Bredie, Sebastian JH, van de Belt, Tom H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231839/
https://www.ncbi.nlm.nih.gov/pubmed/30249584
http://dx.doi.org/10.2196/10135
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author de Jong, Jelske Marije
Ogink, Paula AM
van Bunningen, Carin GM
Driessen, Rieke JB
Engelen, Lucien JLPG
Heeren, Barend
Bredie, Sebastian JH
van de Belt, Tom H
author_facet de Jong, Jelske Marije
Ogink, Paula AM
van Bunningen, Carin GM
Driessen, Rieke JB
Engelen, Lucien JLPG
Heeren, Barend
Bredie, Sebastian JH
van de Belt, Tom H
author_sort de Jong, Jelske Marije
collection PubMed
description BACKGROUND: Most electronic health (eHealth) interventions offered to patients serve a single purpose and lack integration with other tools or systems. This is problematic because the majority of patients experience comorbidity and chronic disease, see multiple specialists, and therefore have different needs regarding access to patient data, communication with peers or providers, and self-monitoring of vital signs. A multicomponent digital health cloud service that integrates data sharing, collection, and communication could facilitate patient-centered care in combination with a hospital patient portal and care professionals. OBJECTIVE: This study aimed to assess the feasibility and functionality of a new cloud-based and multicomponent outpatient clinic, the “Virtual Outpatient Clinic” (VOC). METHODS: The VOC consists of 6 digital tools that facilitate self-monitoring (blood pressure, weight, and pain) and communication with peers and providers (chat and videoconferencing) connected to a cloud-based platform and the hospital patient portal to facilitate access to (self-collected) medical data. In this proof-of-concept study, 10 patients from both Departments of Internal Medicine and Dermatology (N=20) used all options of the VOC for 6 weeks. An eNurse offered support to participants during the study. We assessed the feasibility, usage statistics, content, adherence, and identified technical issues. Moreover, we conducted qualitative interviews with all participants by following a standard interview guide to identify user experiences, including barriers, facilitators, and potential effects. RESULTS: Most participants successfully used all options of the VOC and were positive about different tools and apps and the integral availability of their information. The adherence was 37% (7/19) for weight scale, 58% (11/19) for blood pressure monitor, and 70% (14/20) and 85% (17/20) for pain score and daily questions, respectively. The adherence for personal health record was 65% (13/20) and 60% (12/20) for the patient portal system. Qualitative data showed that performance and effort expectancy scored high among participants, indicating that using the VOC is convenient, easy, and time-saving. CONCLUSIONS: The VOC is a promising integrated Web-based technology that combines self-management, data sharing, and communication between patients and professionals. The system can be personalized by connecting various numbers of components, which could make it a relevant tool for other patient groups. Before a system, such as the VOC, can be implemented in daily practice, prospective studies focused on evaluating outcomes, costs, and patient-centeredness are needed.
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spelling pubmed-62318392018-12-03 A Cloud-Based Virtual Outpatient Clinic for Patient-Centered Care: Proof-of-Concept Study de Jong, Jelske Marije Ogink, Paula AM van Bunningen, Carin GM Driessen, Rieke JB Engelen, Lucien JLPG Heeren, Barend Bredie, Sebastian JH van de Belt, Tom H J Med Internet Res Original Paper BACKGROUND: Most electronic health (eHealth) interventions offered to patients serve a single purpose and lack integration with other tools or systems. This is problematic because the majority of patients experience comorbidity and chronic disease, see multiple specialists, and therefore have different needs regarding access to patient data, communication with peers or providers, and self-monitoring of vital signs. A multicomponent digital health cloud service that integrates data sharing, collection, and communication could facilitate patient-centered care in combination with a hospital patient portal and care professionals. OBJECTIVE: This study aimed to assess the feasibility and functionality of a new cloud-based and multicomponent outpatient clinic, the “Virtual Outpatient Clinic” (VOC). METHODS: The VOC consists of 6 digital tools that facilitate self-monitoring (blood pressure, weight, and pain) and communication with peers and providers (chat and videoconferencing) connected to a cloud-based platform and the hospital patient portal to facilitate access to (self-collected) medical data. In this proof-of-concept study, 10 patients from both Departments of Internal Medicine and Dermatology (N=20) used all options of the VOC for 6 weeks. An eNurse offered support to participants during the study. We assessed the feasibility, usage statistics, content, adherence, and identified technical issues. Moreover, we conducted qualitative interviews with all participants by following a standard interview guide to identify user experiences, including barriers, facilitators, and potential effects. RESULTS: Most participants successfully used all options of the VOC and were positive about different tools and apps and the integral availability of their information. The adherence was 37% (7/19) for weight scale, 58% (11/19) for blood pressure monitor, and 70% (14/20) and 85% (17/20) for pain score and daily questions, respectively. The adherence for personal health record was 65% (13/20) and 60% (12/20) for the patient portal system. Qualitative data showed that performance and effort expectancy scored high among participants, indicating that using the VOC is convenient, easy, and time-saving. CONCLUSIONS: The VOC is a promising integrated Web-based technology that combines self-management, data sharing, and communication between patients and professionals. The system can be personalized by connecting various numbers of components, which could make it a relevant tool for other patient groups. Before a system, such as the VOC, can be implemented in daily practice, prospective studies focused on evaluating outcomes, costs, and patient-centeredness are needed. JMIR Publications 2018-09-24 /pmc/articles/PMC6231839/ /pubmed/30249584 http://dx.doi.org/10.2196/10135 Text en ©Jelske Marije de Jong, Paula AM Ogink, Carin GM van Bunningen, Rieke JB Driessen, Lucien JLPG Engelen, Barend Heeren, Sebastian JH Bredie, Tom H van de Belt. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 24.09.2018. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Original Paper
de Jong, Jelske Marije
Ogink, Paula AM
van Bunningen, Carin GM
Driessen, Rieke JB
Engelen, Lucien JLPG
Heeren, Barend
Bredie, Sebastian JH
van de Belt, Tom H
A Cloud-Based Virtual Outpatient Clinic for Patient-Centered Care: Proof-of-Concept Study
title A Cloud-Based Virtual Outpatient Clinic for Patient-Centered Care: Proof-of-Concept Study
title_full A Cloud-Based Virtual Outpatient Clinic for Patient-Centered Care: Proof-of-Concept Study
title_fullStr A Cloud-Based Virtual Outpatient Clinic for Patient-Centered Care: Proof-of-Concept Study
title_full_unstemmed A Cloud-Based Virtual Outpatient Clinic for Patient-Centered Care: Proof-of-Concept Study
title_short A Cloud-Based Virtual Outpatient Clinic for Patient-Centered Care: Proof-of-Concept Study
title_sort cloud-based virtual outpatient clinic for patient-centered care: proof-of-concept study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231839/
https://www.ncbi.nlm.nih.gov/pubmed/30249584
http://dx.doi.org/10.2196/10135
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