Evaluación de la satisfacción de los pacientes crónicos con los dispositivos de telemedicina y con el resultado de la atención recibida. Programa ValCrònic
Open accessAbstract
Evaluar la satisfacción de los pacientes con el programa ValCrònic, los dispositivos de telemedicina y con el resultado de la atención recibida tras 2 años de seguimiento. Estudio observacional descriptivo basado en encuestas telefónicas. Comunidad Valenciana. En total participaron 410 pacientes que presentaban una o varias de las siguientes patologías: hipertensión, insuficiencia cardíaca, diabetes o enfermedad pulmonar obstructiva crónica. Se incluyó a 585 pacientes, de los cuales 104 abandonaron el programa (18 por fallecimiento) y 71 rehusaron participar. Se diseñó y validó una escala específica. Se consideraron los efectos techo y suelo. Se analizó la consistencia interna mediante alfa de Cronbach. Para comprobar la validez de constructo se empleó un análisis exploratorio de componentes principales con criterio de autovaloración igual a 1. Se aplicó el procedimiento de rotación Varimax. Se consideraron como pérdidas aceptables de información cargas factoriales ≥ 0,55. La escala se conformó con 7 preguntas cerradas y 1 abierta. Respondieron un total de 322 pacientes (tasa de respuesta del 78,5%). 118 (36.6%) fueron mujeres. En 48 (14,9%) casos respondió un cuidador. El valor del alfa de Cronbach fue de 0,7. ValCrònic supuso para 278 (86,3%) pacientes una ayuda para conocer mejor su enfermedad, 270 (83,9%) afirmaron hacer un uso más seguro de la medicación gracias a ValCrònic y 283 (87,9%) dijeron conocer ahora mejor su enfermedad. Para 288 (89,4%) los dispositivos fueron fáciles de manejar en casa. Solo en 12 (3,7%) casos el paciente consideró que los dispositivos de telemedicina suponían una carga de trabajo difícil de conciliar en su día a día. ValCrònic ha contribuido a la activación de los pacientes para autocuidado. To evaluate patient satisfaction with the ValCrònic program, telemedicine devices, and the results of the care received after a 2-year follow-up. Observational, descriptive study based on telephone surveys. The autonomous community of Valencia (Spain). Participants consisted of 410 patients with one or more of the following diseases: hypertension, heart failure, diabetes, or chronic obstructive pulmonary disease. A total of 585 patients were included, of whom 104 left the program (18 due to death) and 71 refused to participate. We designed and validated a specific scale. Floor and ceiling effects were considered. Internal consistency was analyzed using Cronbach's alpha. Responses were obtained from 322 patients (response rate, 78.5%). Of these, 118 (36.6%) were women. In 48 patients (14.9%), the person responding was a caregiver. Cronbach's alpha was 0.7. For 278 patients (86.3%), the ValCrònic program helped them to understand their disease better, 270 (83.9%) reported that it helped them use their medication more safely, and 283 (87.9%) reported they had better knowledge of their disease. For 288 (89.4%), the devices were easy to manage at home. Only 12 patients (3.7%) found that the devices involved a heavy workload that was difficult to incorporate into their daily lives. The ValCrònic program promotes self-care among patients.
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5 (56%) of the 9 studies demonstrated a benefit of telemonitoring on patient satisfaction when compared with a comparator.
“A total of 56% (5/9) of the studies [22,28,42,78,91] demonstrated a benefit of telemonitoring on patient satisfaction when compared with a comparator”
From Interactive Remote Patient Monitoring Devices for Managing Chronic Health Conditions: Systematic Review and Meta-analysis (2022) · cites this paper as [78]
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- Authors
- Mira-Solves, J. J., Orozco-Beltrán, D., Sánchez-Molla, M., & Sánchez García, J. J.
- Affiliations
- Conselleria de Sanitat Universal i Salut Pública (ES)
- Venue
- Atención Primaria
- Publisher
- Elsevier BV
- Published
- 2014-06
- Volume
- 46
- Pages
- 16-23
- ISSN
- 0212-6567 (ISSN-L)
- PMC
- PMC8171431
- OpenAlex
- W2075022626
- Cited by
- 31
- References
- 0
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 6 · 2015: 4
- FWCI
- 4.31
- Type
- journal article
- Language
- es
- Open access
- gold
- doi.org
- Licence
- Locations
- Atención Primaria (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- patient satisfaction, chronic disease management, hypertension, heart failure, diabetes mellitus, chronic obstructive pulmonary disease, self-care, patient activation, patient-centered care, caregiver involvement, home monitoring devices, Valencian Community, program dropout, telephone surveys, scale validation
- MeSH terms
- Chronic Disease, Female, Follow-Up Studies, Humans, Male, Surveys and Questionnaires, Patient Satisfaction, Telemedicine
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