ArticleDigital health
Exploring the impact of digital care delivery for patients with diabetes and hypertension: A longitudinal qualitative study.
Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Diabetes and hypertension disproportionately affect socioeconomically disadvantaged populations. Telehealth programs offer opportunities to improve access, engagement, and outcomes, yet little is known about patients' experiences or their impact on patient-reported outcomes. This study focuses on the OnCall Advanced Care (OCAC) program, a high-touch telehealth model that combines remote monitoring, nurse-led support, and 24/7 access to clinical staff. Aim: To identify the patient-reported outcomes of the OCAC program and assess whether participation improves patients' perceptions of diabetes and hypertension management over time. Design: Longitudinal, qualitative research design using semi-structured interviews. Methods: Patients diagnosed with diabetes and/or hypertension and enrolled in the program were recruited via text, letter, and/or phone. Three semi-structured interviews were conducted at around the time of enrollment, 3-4 months, and 6-9 months post-enrollment. Interviews lasted 30-70 minutes and were thematically analyzed. Results: Thirty-eight patients completed the first interview, 29 the second, and 18 the third. Five major themes emerged: Conclusion: Telehealth programs can have a positive influence on patient behavior change and health outcomes. This highlights the importance of further investigating telehealth implementation and patient-reported outcomes.
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