International Journal of Telemedicine and Applications / 2011 / Article / Tab 3

Research Article

Internet-Based Support for Cardiovascular Disease Management

Table 3

Challenges and opportunities.

PhysiciansNursesAllied healthPatients

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+

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