Title
A qualitative study of the key factors in implementing telemedical monitoring of diabetic foot ulcer patients
Abstract
•The most significant change was the new kind of communication between the visiting nurses and the outpatient clinical staff. This lead to direct communication between wound specialists (i.e., physicians) and visiting nurses as opposed to communication between general practitioners and visiting nurses.•Some concerns were raised as to whether the telemedical approach could reduce the hands-on skills and the multidisciplinary approach in the specialized wound healing centers.•The technology did not lead to any noteworthy difficulties. However, some practical education was needed in order to provide images of a sufficient clinical quality, and not all types of smartphones worked equally well for this purpose. The visiting nurses stated that most of the difficulties were due to image quality and poor light conditions in the patient’s home.•Participants were offered training in the use of telemedical equipment. This did not only lead to confidence in use but, due to the mixture of participants including municipalities and the outpatient clinics, it enhanced collaboration and confidence across sectors.•Participants experienced challenge during holidays or sick leaves. The number of visiting nurses trained in wound care and telemedicine in each municipality was limited, and thus in case of these situations no other visiting nurse could conduct the telemedical consultation.
Year
DOI
Venue
2015
10.1016/j.ijmedinf.2015.05.012
International Journal of Medical Informatics
Keywords
Field
DocType
Telemedicine,Qualitative analysis,Organization,Diabetes care,Diabetes,Wound,MAST,Evaluation
Telemedicine,Health care,Nursing,Research question,Multidisciplinary approach,Randomized controlled trial,Qualitative research,Medicine,Organizational analysis,Focus group
Journal
Volume
Issue
ISSN
84
10
1386-5056
Citations 
PageRank 
References 
2
0.64
0
Authors
6
Name
Order
Citations
PageRank
B. S. B. Rasmussen120.97
L. K. Jensen220.97
J. Froekjaer320.64
Kristian Kidholm431.34
Finn Kensing556967.49
Knud Bonnet Yderstraede620.97