Background: Telemonitoring could offer solutions to the mounting challenges for health care and could improve patient self-management. Studies have addressed the benefits and challenges of telemonitoring for certain patient groups. Objective: This paper will examine the nationwide uptake of telemonitoring in chronic care in the Netherlands from 2014 to 2019 by means of an annual representative survey among patients and health care professionals. Methods: Between 2014 and 2019, approximately 2900 patients with chronic diseases, 700 nurses, and 500 general practitioners (GPs) and medical specialists received a questionnaire. About 30 questions addressed topics about the use of eHealth and experiences with it, including data about telemonitoring. Results: Between 2014 and 2019, the use of telemonitoring remained stable for all groups except medical specialists. In medical specialist departments, the use of telemonitoring increased from 11.2% (18/161) in 2014 to 19.6% (36/184) in 2019 (χ24=12.3; P=.02). In 2019, telemonitoring was used by 5.8% (28/485) of people with chronic disease. This was 18.2% (41/225) in GP organizations and 40.4% (44/109), 38.0% (78/205), and 8.9% (29/325) in the organizations of nurses working in primary, secondary, and elderly care, respectively. Up to 10% of the targeted patient group such as diabetics were regarded by health care professionals as suitable for using telemonitoring. The main benefits mentioned by the patients were “comfort” (421/1043, 40.4%) and “living at home for longer/more comfortably” (334/1047, 31.9%). Health care professionals added “improvement of self-management” (63/176, 35.8% to 57/71, 80.3%), “better understanding of the patient’s condition” (47/176, 26.7% to 42/71, 59.2%), “reduction of workload” (53/134, 39.6% of nurses in elderly care), “better tailoring of care plan to the patient’s situation” (95/225, 42.2% of GPs), and “saves time for patients/caregivers” (61/176, 34.7% of medical specialists). Disadvantages mentioned by professionals were that “it takes time to monitor data” (13/130, 10% to 108/225, 48.0%), “it takes time to follow up alerts” (15/130, 11.5% to 117/225, 52.0%), and “it is difficult to estimate which patients can work with telemonitoring” (22/113, 19.5% to 94/225, 41.8%). Conclusions: The uptake of telemonitoring in Dutch chronic care remained stable during 2014-2019 but increased among medical specialists. According to both patients and professionals, telemonitoring improves the quality of life and quality of care. Skills for suitably including eligible patients and for allocating the tasks of data monitoring and follow-up care within the team would help to further increase the use of telemonitoring.

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中文翻译：

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2014 年至 2019 年远程监护在慢性病护理中的采用和使用：荷兰患者和卫生保健专业人员的全国调查

背景：远程监护可以为日益严峻的医疗保健挑战提供解决方案，并可以改善患者的自我管理。研究已经解决了远程监控对某些患者群体的好处和挑战。目标：本文将通过对患者和医疗保健专业人员的年度代表性调查，检查 2014 年至 2019 年荷兰全国范围内慢性病护理中远程监测的采用情况。方法：2014 年至 2019 年间，大约 2900 名慢性病患者、700 名护士和 500 名全科医生 (GP) 和医学专家收到了一份问卷。大约 30 个问题涉及有关电子医疗保健的使用及其经验的主题，包括有关远程监控的数据。结果：2014 年至 2019 年期间，除医学专家外，所有群体的远程监护使用情况保持稳定。在专科科室中，远程监护的使用率从 2014 年的 11.2%（18/161）增加到 2019 年的 19.6%（36/184）（χ24=12.3；P=.02）。2019 年，5.8% (28/485) 的慢性病患者使用远程监控。这在全科医生组织中为 18.2% (41/225)，在小学、中学和老年护士组织中为 40.4% (44/109)、38.0% (78/205) 和 8.9% (29/325)照顾，分别。多达 10% 的目标患者群体（例如糖尿病患者）被医疗保健专业人员认为适合使用远程监控。患者提到的主要益处是“舒适”（421/1043，40.4%）和“在家生活更长时间/更舒适”（334/1047，31.9%）。医疗保健专业人员添加了“自我管理的改善”（63/176，35.8% 至 57/71，80.3%），“更好地了解患者的病情”（47/176，26.7% 至 42/71，59.2%） 、“减少工作量”（53/134，39.6% 的老年护理护士）、“更好地根据患者情况量身定制护理计划”（95/225，42.2% 的全科医生）和“为患者/护理人员节省时间”（61/176，34.7% 的医学专家）。专业人士提到的缺点是“监控数据需要时间”（13/130，10% 到 108/225，48.0%），“跟进警报需要时间”（15/130，11.5% 到 117/225 , 52.0%)，以及“很难估计哪些患者可以使用远程监护”（22/113，19.5% 到 94/225，41.8%）。结论：在 2014-2019 年期间，荷兰慢性病护理中远程监护的采用保持稳定，但在医学专家中有所增加。患者和专业人士都认为，远程监控提高了生活质量和护理质量。适当地包括符合条件的患者以及在团队内分配数据监控和后续护理任务的技能将有助于进一步增加远程监控的使用。

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