Detecting deterioration in patients with chronic disease using telemonitoring: navigating the 'trough of disillusionment'.

摘要: Objectives To examine the evidence base for telemonitoring designed patients who have chronic obstructive pulmonary disease and heart failure, to assess whether fulfils principles of monitoring is ready implementation into routine settings. Design Qualitative data collection using interviews participation in a multi-path mapping process. Participants Twenty-six purposively selected informants completed semi-structured 24 individuals with expertise relevant clinical informatics domains from academia, industry, policy provider organizations participated workshop. Results The effectiveness weak inconsistent, insufficient cost-effectiveness studies. When considered against an accepted definition monitoring, found wanting. Telemonitoring has not been able so far ensure that technologies fit life world patient organizational milieu health service delivery systems. Conclusions develop effective disease, more attention needs be given agreeing central aim early detection and, potential implementation, engaging wide range stakeholders design process, especially clinicians.