Abstract
BackgroundTelemonitoring services could dramatically improve the care of diabetes patients by enhancing their quality of life while decreasing healthcare expenditures. However, the potential for implementing innovative treatment options in the Austrian public and private health system is not known yet. Thus, we analyzed the readiness to use telemonitoring in diabetes care among Austrian practitioners.MethodsWe conducted an online survey among a purposive sample of Austrian practitioners (n = 41) using an adapted German version of the practitioner telehealth readiness assessment tool. We assessed three readiness domains for telemonitoring in the context of diabetes care, i.e. core readiness, engagement readiness, and structural readiness, and validated the German tool using principal components analysis.ResultsStudy subjects perceived themselves as open to innovations and also expressed optimistic attitudes towards telemonitoring in general and offering telemonitoring-based services for their patients. Participants achieved a medium average readiness level for telemonitoring (58.2, 95% CI 53.9–62.5) and were thus in a good position to use telemonitoring, although some arguments may adversely affected its use. The top three perceived benefits of telemonitoring were enhanced quality of treatment, better therapy adjustment, and reduced travel and waiting times for patients. The top three barriers were reduced personal communication, practitioner time expenditure and equally placed poor financial compensation as well as data security and privacy issues.ConclusionOur data revealed that Austrian practitioners showed a quite moderate readiness to use telemonitoring in diabetes care. To further advance telemonitoring readiness among all pillars of diabetes care in Austria, joint efforts among healthcare stakeholders are required to overcome existing financial, organizational, and technical obstacles.
Highlights
Telemonitoring services could dramatically improve the care of diabetes patients by enhancing their quality of life while decreasing healthcare expenditures
We found that the majority of study subjects were interested in offering telemonitoring services
Our data revealed that Austrian practitioners, which are important stakeholders for successfully implementing a nation-wide telehealth strategy, showed a quite moderate readiness for telemonitoring
Summary
Telemonitoring services could dramatically improve the care of diabetes patients by enhancing their quality of life while decreasing healthcare expenditures. We analyzed the readiness to use telemonitoring in diabetes care among Austrian practitioners. Telemonitoring is the delivery or support of health services by collecting data about health conditions through the use of information and communication technologies (ICT), while patients and healthcare providers, e.g. practitioners, hospitals, and nursing staff, are not present at the same place [1]. Muigg et al BMC Medical Informatics and Decision Making (2019) 19:26 patients [4,5,6,7] Disease management programs such as the landmark project “Therapy active - Diabetes Under Control” already implemented in 2007 in Austria have been shown to increase quality of care for registered type 2 diabetes patients by providing monitoring, state-of-the-art medical knowledge, and training [8]. In case of measures beyond predefined limit values, the system automatically notifies the competent practitioner, who initiates appropriate actions such as drug adaptation
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