Unpacking telemonitoring work: Workload and telephone calls to patients in implanted cardiac device care

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Standard

Unpacking telemonitoring work : Workload and telephone calls to patients in implanted cardiac device care. / Andersen, Tariq Osman; Nielsen, Karen Dam; Moll, J.; Svendsen, Jesper Hastrup.

I: International Journal of Medical Informatics, Bind 129, 2019, s. 381-387.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Andersen, TO, Nielsen, KD, Moll, J & Svendsen, JH 2019, 'Unpacking telemonitoring work: Workload and telephone calls to patients in implanted cardiac device care', International Journal of Medical Informatics, bind 129, s. 381-387. https://doi.org/10.1016/j.ijmedinf.2019.06.021

APA

Andersen, T. O., Nielsen, K. D., Moll, J., & Svendsen, J. H. (2019). Unpacking telemonitoring work: Workload and telephone calls to patients in implanted cardiac device care. International Journal of Medical Informatics, 129, 381-387. https://doi.org/10.1016/j.ijmedinf.2019.06.021

Vancouver

Andersen TO, Nielsen KD, Moll J, Svendsen JH. Unpacking telemonitoring work: Workload and telephone calls to patients in implanted cardiac device care. International Journal of Medical Informatics. 2019;129:381-387. https://doi.org/10.1016/j.ijmedinf.2019.06.021

Author

Andersen, Tariq Osman ; Nielsen, Karen Dam ; Moll, J. ; Svendsen, Jesper Hastrup. / Unpacking telemonitoring work : Workload and telephone calls to patients in implanted cardiac device care. I: International Journal of Medical Informatics. 2019 ; Bind 129. s. 381-387.

Bibtex

@article{0928d413c9ad43babbb39e41bc92e95d,
title = "Unpacking telemonitoring work: Workload and telephone calls to patients in implanted cardiac device care",
abstract = "Objective: Telemonitoring of cardiac implantable electronic devices (CIEDs) has many advantages. However, telemonitoring involves clinical work that is often overlooked or considered a burden, such as the work performed during telephone contact with patients. The objective of this study was to scrutinize telephone calls to and from patients to understand the clinical workload in CIED remote monitoring. The focus was on time spent, type of work, and the content of telephone contact with patients. Methods: A combined quantitative and qualitative observational study was conducted at a large CIED remote monitoring center. The unit {\textquoteleft}encounter{\textquoteright} was used to describe either a telephone call between patient and clinician and/or a complete review of a CIED data transmission. The time spent on different encounters was measured, the telephone call content was identified and described, and the different types of clinical work were described. Results: A total of 260 encounters were analyzed. Encounters that involved patient telephone contact were more time consuming. Telephone calls were mostly about the home monitoring box, CIED transmission data, and symptoms. In most telephone calls, two or more topics appeared. Five types of clinical work were performed: inclusion work, coordination work, diagnostic work, education work, and comfort work. Inclusion work and diagnostic work were the dominant types. Discussion: Patient telephone contact in CIED telemonitoring is typically described as a “burden”. This study unpacks the contents and functions of telephone calls between patients and clinicians and suggests that the function of telephone contact should be recognized as integral, rather than burdensome, to the clinical work in CIED telemonitoring.",
keywords = "Cardiac implantable electronic device, Patient-Clinician collaboration, Remote monitoring work, Telecare, Telemonitoring, Telephone communication, Workload",
author = "Andersen, {Tariq Osman} and Nielsen, {Karen Dam} and J. Moll and Svendsen, {Jesper Hastrup}",
year = "2019",
doi = "10.1016/j.ijmedinf.2019.06.021",
language = "English",
volume = "129",
pages = "381--387",
journal = "International Journal of Medical Informatics",
issn = "1386-5056",
publisher = "Elsevier Ireland Ltd",

}

RIS

TY - JOUR

T1 - Unpacking telemonitoring work

T2 - Workload and telephone calls to patients in implanted cardiac device care

AU - Andersen, Tariq Osman

AU - Nielsen, Karen Dam

AU - Moll, J.

AU - Svendsen, Jesper Hastrup

PY - 2019

Y1 - 2019

N2 - Objective: Telemonitoring of cardiac implantable electronic devices (CIEDs) has many advantages. However, telemonitoring involves clinical work that is often overlooked or considered a burden, such as the work performed during telephone contact with patients. The objective of this study was to scrutinize telephone calls to and from patients to understand the clinical workload in CIED remote monitoring. The focus was on time spent, type of work, and the content of telephone contact with patients. Methods: A combined quantitative and qualitative observational study was conducted at a large CIED remote monitoring center. The unit ‘encounter’ was used to describe either a telephone call between patient and clinician and/or a complete review of a CIED data transmission. The time spent on different encounters was measured, the telephone call content was identified and described, and the different types of clinical work were described. Results: A total of 260 encounters were analyzed. Encounters that involved patient telephone contact were more time consuming. Telephone calls were mostly about the home monitoring box, CIED transmission data, and symptoms. In most telephone calls, two or more topics appeared. Five types of clinical work were performed: inclusion work, coordination work, diagnostic work, education work, and comfort work. Inclusion work and diagnostic work were the dominant types. Discussion: Patient telephone contact in CIED telemonitoring is typically described as a “burden”. This study unpacks the contents and functions of telephone calls between patients and clinicians and suggests that the function of telephone contact should be recognized as integral, rather than burdensome, to the clinical work in CIED telemonitoring.

AB - Objective: Telemonitoring of cardiac implantable electronic devices (CIEDs) has many advantages. However, telemonitoring involves clinical work that is often overlooked or considered a burden, such as the work performed during telephone contact with patients. The objective of this study was to scrutinize telephone calls to and from patients to understand the clinical workload in CIED remote monitoring. The focus was on time spent, type of work, and the content of telephone contact with patients. Methods: A combined quantitative and qualitative observational study was conducted at a large CIED remote monitoring center. The unit ‘encounter’ was used to describe either a telephone call between patient and clinician and/or a complete review of a CIED data transmission. The time spent on different encounters was measured, the telephone call content was identified and described, and the different types of clinical work were described. Results: A total of 260 encounters were analyzed. Encounters that involved patient telephone contact were more time consuming. Telephone calls were mostly about the home monitoring box, CIED transmission data, and symptoms. In most telephone calls, two or more topics appeared. Five types of clinical work were performed: inclusion work, coordination work, diagnostic work, education work, and comfort work. Inclusion work and diagnostic work were the dominant types. Discussion: Patient telephone contact in CIED telemonitoring is typically described as a “burden”. This study unpacks the contents and functions of telephone calls between patients and clinicians and suggests that the function of telephone contact should be recognized as integral, rather than burdensome, to the clinical work in CIED telemonitoring.

KW - Cardiac implantable electronic device

KW - Patient-Clinician collaboration

KW - Remote monitoring work

KW - Telecare

KW - Telemonitoring

KW - Telephone communication

KW - Workload

UR - http://www.scopus.com/inward/record.url?scp=85069640409&partnerID=8YFLogxK

U2 - 10.1016/j.ijmedinf.2019.06.021

DO - 10.1016/j.ijmedinf.2019.06.021

M3 - Journal article

C2 - 31445281

AN - SCOPUS:85069640409

VL - 129

SP - 381

EP - 387

JO - International Journal of Medical Informatics

JF - International Journal of Medical Informatics

SN - 1386-5056

ER -

ID: 227044800