Remote Monitoring of Chronic Critically Ill Patients after Hospital Discharge: A Systematic Review

Intention to use telemonitoring for chronic illness management and its associated factors among nurses and physicians at public hospitals in Bahir Dar, northwest Ethiopia: using a modified UTAUT2 model

Background

Patients with chronic illnesses need to take care of themselves and seek ongoing medical attention. By using technology, telemonitoring can minimize hospitalization and care costs, while increasing professional productivity, providing constant medical attention and enhancing patient self-care management. Despite all these advantages, nothing is known regarding the intentions of Ethiopian professionals and nurses to adopt telemonitoring technologies. Therefore, the purpose of this study is to evaluate the telemonitoring intention of Ethiopian professionals and nurses, as well as the factors related to it.

Methods

A total of 781 randomly chosen nurses and physicians who worked at public hospitals in Bahir Dar City, northwest Ethiopia, participated in a cross-sectional survey. To give everyone an opportunity, the sample size was distributed equitably among the hospitals and the profession according to staffing numbers. The sample was obtained using a simple random sampling technique. Data were gathered by skilled data collectors utilizing a self-administered questionnaire. For additional cleaning and descriptive statistical analysis, the data were imported into EpiData version 4.6 and exported to Statistical Package for Social Science version 25. Analysis of Moment Structure version 23 structural equation modeling was used to ascertain the degree of the association between the variables.

Result

The response rate was 732/781 (93.7%), with 55.7% (408/732) of the participants being men and two-thirds (67.6%, 495/732) being nurses. About 55.9% [95% confidence interval (CI): 52.3-59.6] of respondents intended to use telemonitoring. The desire to employ telemonitoring is positively impacted by performance expectancy (β = 0.375, 95% CI: 0.258-0.494), effort expectancy (β = 0.158, 95% CI: 0.058-0.252), facilitating condition (β = 0.255, 95% CI: 0.144-0.368), and habit (β = 0.147, 95% CI: 0.059-0.233). Age and gender positively affected the link between effort expectancy and intention to employ telemonitoring. It was discovered that being young and male has a beneficial relationship impact. Age positively moderated the association between the intention to use telemonitoring and the facilitating conditions, and adults were strongly linked with the relationship.

Conclusion

In Bahir Dar City public hospitals, over half of the doctors and nurses have the intention to use telemonitoring. Predictive indicators of intention to utilize telemonitoring that were statistically significant were performance expectancy, effort expectancy, facilitating condition, and habit.

Reply to Farahani, P.; Wahid, L. Comment on "Viderman et al. Remote Monitoring of Chronic Critically Ill Patients after Hospital Discharge: A Systematic Review. J. Clin. Med. 2022, 11, 1010"

Thank you very much for taking the time to read this systematic review and for sharing your thoughts [...].

Comment on Viderman et al. Remote Monitoring of Chronic Critically Ill Patients after Hospital Discharge: A Systematic Review. J. Clin. Med. 2022, 11, 1010

Viderman et al. undertook this systematic review with the intent of providing evidence on the potential application of remote monitoring in chronic critically ill patients post-hospital discharge [...].

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