Internet-Based Support for Cardiovascular Disease Management

Table 3

Challenges and opportunities.

	Physicians	Nurses	Allied health	Patients
Comanagement and the role of technology: challenges
Communication between health care workers	+	+	+	N/A
Reconciliation of conflicting opinions	+	+	+	N/A
Variation in decisions/treatments	+	+	+	N/A
Team dynamics, sorting out “who’s in charge?”	+	+		N/A
Finding time to meet/time management		+	+	N/A
Geographic distances separating team members	+			N/A
Lack of physician time and buy-in		+		N/A
Comanagement and the role of technology: opportunities
Better communication between health care workers	+	+	+	N/A
Sharing patient records	+	+	+	N/A
Timely access to accurate information	+			N/A
Self-management and the role of technology: challenges
Lack of experience with the internet	+	+	+	+
Understanding the potential for such a platform	+	+	+	+
Potential for conflicting advice	+	+	+
Self-management and the role of technology: opportunities
Goal setting and tracking for patients	+	+	+	+
Accurate educational resources online for patients	+	+	+
Creating support for patient discussions and activities and peer support	+
Identification of available outpatient resources near patient’s home	+
Connecting with health professionals				+
Technology adoption: challenges
Maintenance of the privacy, security, and confidentiality of digital information	+	+	+	+
Amount of time and educational support for technology uptake/tech literacy	+	+
Infrastructure needs/lack of computers		+		+
Financial costs	+
Accuracy of information	+
Human resource needs		+
Lack of interest in using computers				+
Preference for face-to-face contact				+
Increased anxiety as a result of excess tracking				+
Technology adoption: facilitators and incentives
Provision of training		+	+
Observation of positive patient changes		+	+
Improvement in communication		+	+
Time and cost saving		+	+
Availability of high-quality resources	+
Support ease of access	+
Involvement in design and implementation	+
Patient education and resources				+
Inclusion of systems to self monitor				+
Ease of use				+