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. 2024 Apr 20;25(1):122.
doi: 10.1186/s12875-024-02355-y.

Tailoring remote patient management in cardiovascular risk management for healthcare professionals using panel management: a qualitative study

Margot Rakers  1 , Nicoline van Hattem  2 , Iris Simic  2 , Niels Chavannes  2 , Petra van Peet  2 , Tobias Bonten  2 , Rimke Vos  3 , Hendrikus van Os  2
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Tailoring remote patient management in cardiovascular risk management for healthcare professionals using panel management: a qualitative study

Margot Rakers et al. BMC Prim Care. .

Abstract

Background: While remote patient management (RPM) has the potential to assist in achieving treatment targets for cardiovascular risk factors in primary care, its effectiveness may vary among different patient subgroups. Panel management, which involves proactive care for specific patient risk groups, could offer a promising approach to tailor RPM to these groups. This study aims to (i) assess the perception of healthcare professionals and other stakeholders regarding the adoption and (ii) identify the barriers and facilitators for successfully implementing such a panel management approach.

Methods: In total, nineteen semi-structured interviews and two focus groups were conducted in the Netherlands. Three authors reviewed the audited transcripts. The Consolidated Framework for Implementation Strategies (CFIR) domains were used for the thematic analysis.

Results: A total of 24 participants (GPs, nurses, health insurers, project managers, and IT consultants) participated. Overall, a panel management approach to RPM in primary care was considered valuable by various stakeholders. Implementation barriers encompassed concerns about missing necessary risk factors for patient stratification, additional clinical and technical tasks for nurses, and reimbursement agreements. Facilitators included tailoring consultation frequency and early detection of at-risk patients, an implementation manager accountable for supervising project procedures and establishing agreements on assessing implementation metrics, and ambassador roles.

Conclusion: Panel management could enhance proactive care and accurately identify which patients could benefit most from RPM to mitigate CVD risk. For successful implementation, we recommend having clear agreements on technical support, financial infrastructure and the criteria for measuring evaluation outcomes.

Keywords: Cardiovascular disease; Panel management; Prevention and management; Proactive care; Remote patient management.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Panel Management steps in this study The Box: Our RPM intervention comprises a blood pressure monitor, scale, and activity meter for home monitoring. Consultation Preparatory Questionnaires: Digital questionnaires with standard questions related to cardiovascular checks
Fig. 2
Fig. 2
The most important barriers and facilitators for successful implementation per step in this panel management approach for RPM for cardiovascular risk factor control in primary care
See this image and copyright information in PMC

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