Improving safety and efficiency in care: multi-stakeholders’ perceptions associated with a peritoneal dialysis virtual care solution
Open accessAbstract
BACKGROUND: Although there is a growing body of literature on the outcomes and impacts of remote home management with peritoneal dialysis (PD) patients, less is understood how this virtual care solution impacts the quality and efficiency of the healthcare system care. In this context, a study was undertaken to understand the perceptions of patients and their caregivers, healthcare providers, health system decision makers, and vendors associated with a remote monitoring and tracking solution aimed at enhancing the outcomes and experiences of chronic kidney disease (CKD) patients receiving PD at home. METHODS: A qualitative design using semi-structured interviews with 25 stakeholders was used in this study. Narrative data were analyzed by a thematic analysis approach. RESULTS: The following two themes emerged from the data: (1) leveraging data to monitor and intervene to keep patients safe and (2) increasing efficiencies and having control over supplies. DISCUSSION: Our study findings elucidated the ability of patients (and in some cases, caregivers) to monitor and trend their data and order and track directly on-line their dialysis supplies were key to their active participation in managing their CKD and keeping them safe at home. Their active participation and functionality of the virtual care solution also led to enhanced efficiencies (eg, process faster, easier, convenient, time savings) for both patients and healthcare providers. CONCLUSION: The virtual care solution showed promising signs of a patient-centric approach and may serve as a blueprint for other virtual care solutions for chronic disease management.
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Numerous studies have highlighted the benefits of remote patient monitoring between clinic visits in detecting health deterioration earlier and enabling prompt intervention, particularly for individuals with chronic conditions.
“Numerous studies have highlighted the benefits of remote patient monitoring between clinic visits in detecting health deterioration earlier and enabling prompt intervention, particularly for individuals with chronic conditions [44–50].”
From Caregiver experiences of an integrative patient-centered digital health application for pediatric type 1 diabetes care: Findings from a pilot clinical trial (2025) · cites this paper as [50]
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Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414 · see citing works
Chronic kidney disease: global dimension and perspectives
Jha, V., Garcia-Garcia, G., Iseki, K., Li, Z., Naicker, S., Plattner, B., Saran, R., Wang, A. Y.-M., & Yang, C.-W. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60687-x · Cited by 4,383 · see citing works
Global Trends in Rates of Peritoneal Dialysis
Jain, A. K., Blake, P. G., Cordy, P. E., et al. (2012) · Journal of the American Society of Nephrology · doi:10.1681/asn.2011060607 · Cited by 541 · see citing works
Self-citation<i>mHealth Consumer Apps</i> : The Case for User-Centered Design
McCurdie, T., Taneva, S., Casselman, M., Yeung, M., McDaniel, C., Ho, W., & Cafazzo, J. (2012) · Biomedical Instrumentation & Technology · doi:10.2345/0899-8205-46.s2.49 · Cited by 478 · see citing works
Reducing the costs of chronic kidney disease while delivering quality health care: a call to action
on behalf of the European Kidney Health Alliance, Vanholder, R. C., Annemans, L., Brown, E. A., Gansevoort, R. T., Gout-Zwart, J. J., Lameire, N. H., Morton, R. L., Oberbauer, R. W., Postma, M. J., et al. (2017) · Nature Reviews Nephrology · doi:10.1038/nrneph.2017.63 · Cited by 373 · see citing works
Patient Ratings of Dialysis Care With Peritoneal Dialysis vs Hemodialysis
Rubin, H. R. (2004) · JAMA · doi:10.1001/jama.291.6.697 · Cited by 315 · see citing works
McAllister, M., Dunn, G., Payne, K., Davies, L. M., & Todd, C. J. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-157 · Cited by 280 · see citing works
Chaudhary, K. R., Sangha, H. S., & Khanna, R. (2010) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.07920910 · Cited by 228 · see citing works
Evaluating Patient Empowerment in Association With eHealth Technology: Scoping Review
Risling, T., Martinez, J., Young, J., & Thorp-Froslie, N. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7809 · Cited by 191 · see citing works
Virtual Visits and Patient-Centered Care: Results of a Patient Survey and Observational Study
McGrail, K. M., Ahuja, M. A., & Leaver, C. A. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7374 · Cited by 177 · see citing works
Shaw, J., Jamieson, T., Agarwal, P., Griffin, B., Wong, I., & Bhatia, R. S. (2017) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x17730444 · Cited by 177 · see citing works
Self-citationeReferral — A New Model for Integrated Care
Chen, A. H., Murphy, E. J., & Yee, H. F. (2013) · New England Journal of Medicine · doi:10.1056/nejmp1215594 · Cited by 173 · see citing works
Comparative mortality of hemodialysis and peritoneal dialysis in Canada
Murphy, S. W., Foley, R. N., Barrett, B. J., et al. (2000) · Kidney International · doi:10.1046/j.1523-1755.2000.00017.x · Cited by 153 · see citing works
Brain asymmetry, immunity, handedness
Stoyanov, Z., Decheva, L., Pashalieva, I., & Nikolova, P. (2011) · Open Medicine · doi:10.2478/s11536-011-0121-2 · Cited by 138 · see citing works
Integrating a Smartphone–Based Self–Management System into Usual Care of Advanced CKD
Ong, S. W., Jassal, S. V., Miller, J., Porter, E. C., Cafazzo, J. A., Seto, E., Thorpe, K. E., & Logan, A. G. (2016) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.10681015 · Cited by 122 · see citing works
Telehealth by an Interprofessional Team in Patients With CKD: A Randomized Controlled Trial
Ishani, A., Christopher, J., Palmer, D., Otterness, S., Clothier, B. A., Nugent, S. M., Nelson, D. B., Rosenberg, M. E., Atwood, M. A., Bangerter, A. K., et al. (2016) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2016.01.018 · Cited by 121 · see citing works
Quality of care and mortality are worse in chronic kidney disease patients living in remote areas
Rucker, D., Hemmelgarn, B. R., Lin, M., Manns, B., Klarenbach, S. W., Ayyalasomayajula, B., James, M. T., Bello, A. K., Gordon, D., Jindal, K. K., et al. (2010) · Kidney International · doi:10.1038/ki.2010.376 · Cited by 116 · see citing works
Two-year experience with telemedicine in the follow-up of patients in home peritoneal dialysis
Gallar, P., Vigil, A., Rodrı́guez, I., Ortega, O., Gutierrez, M., Hurtado, J., Oliet, A., Ortiz, M., Mon, C., Herrero, J. C., et al. (2007) · Journal of Telemedicine and Telecare · doi:10.1258/135763307781644906 · Cited by 96 · see citing works
Health Care Costs of Peritoneal Dialysis Technique Failure and Dialysis Modality Switching
Chui, B. K., Manns, B., Pannu, N., et al. (2012) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2012.07.010 · Cited by 77 · see citing works
Bello, A. K., Hemmelgarn, B. R., Lin, M., et al. (2012) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/gfs267 · Cited by 72 · see citing works
Li, J., Wang, H., Xie, H., Mei, G., Cai, W., Ye, J., Zhang, J., Ye, G., & Zhai, H. (2014) · Peritoneal Dialysis International · doi:10.3747/pdi.2012.00268 · Cited by 65 · see citing works
Remote home management for chronic kidney disease: A systematic review
He, T., Liu, X., Li, Y., Wu, Q., Liu, M., & Yuan, H. (2016) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x15626855 · Cited by 40 · see citing works
Bello, A. K., Molzahn, A. E., Girard, L., Osman, M. A., Okpechi, I. G., Glassford, J., Thompson, S., Keely, E., Liddy, C. E., Manns, B., et al. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-014784 · Cited by 40 · see citing works
Potential applications of telenephrology to enhance global kidney care
Osman, M. A., Okel, J., Okpechi, I. G., Jindal, K. K., & Bello, A. K. (2017) · BMJ Global Health · doi:10.1136/bmjgh-2017-000292 · Cited by 37 · see citing works
Gordon, E. J., Fink, J. C., & Fischer, M. J. (2012) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/gfs552 · Cited by 35 · see citing works
Jeffs, L. P., Jain, A. K., Man, R., Onabajo, N., Desveaux, L., Shaw, J., Hensel, J. M., Agarwal, P., Saragosa, M., Jamieson, T., et al. (2017) · BMC Nephrology · doi:10.1186/s12882-017-0557-y · Cited by 32 · see citing works
Self-citationThilly, N., Chanliau, J., Frimat, L., et al. (2017) · BMC Nephrology · doi:10.1186/s12882-017-0529-2 · Cited by 30 · see citing works
Griva, K., Yu, Z., Chan, S. W., Krishnasamy, T., Yamin, R. B. A., Zakaria, F. B., Wu, S. Y., Oei, E. L., & Foo, M. (2014) · Journal of Advanced Nursing · doi:10.1111/jan.12355 · Cited by 24 · see citing works
The Explosion of Virtual Nursing Care
Boston-Fleischhauer, C. (2017) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0000000000000444 · Cited by 20 · see citing works
Weiner, S. J., & Fink, J. C. (2017) · Advances in Chronic Kidney Disease · doi:10.1053/j.ackd.2016.12.004 · Cited by 15 · see citing works
Fink, J. C., Doerfler, R. M., Yoffe, M., Diamantidis, C. J., Blumenthal, J. B., Siddiqui, T., Gardner, J. F., Snitker, S., & Zhan, M. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5203 · Cited by 10 · see citing works
Homecare Telematics for Peritoneal Dialysis
Kaldoudi, E., Passadakis, P., Panagoutsos, S. A., et al. (2007) · Cited by 9 · see citing works
Peritoneal dialysis: older patients report better quality of life than younger
Brown, E. A. (2015) · Evidence-Based Nursing · doi:10.1136/eb-2014-101989 · Cited by 5 · see citing works
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- [8]Liddy C Rowan MS Afkham A Maranger J Keely E Building access to specialist care through e-consultation Open Med 2013 7 1 e1 e8 23687533 PMC3654501
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Serrano, L. P., Maita, K. C., Avila, F. R., Torres-Guzman, R. A., Garcia, J. P., Eldaly, A. S., Haider, C. R., Felton, C. L., Paulson, M. R., Maniaci, M. J., et al. (2023) · The Permanente Journal · doi:10.7812/tpp/23.022 · Cited by 162 · see citing works
Amed, S., Pinkney, S., Abdulhussein, F. S., Virani, A., Zachariuk, C., Tamana, S. K., Muralidharan, S., Görges, M., Barrett, B., van Rooij, T., et al. (2025) · PLOS Digital Health · doi:10.1371/journal.pdig.0000861 · Cited by 1 · see citing works
“Numerous studies have highlighted the benefits of remote patient monitoring between clinic visits in detecting health deterioration earlier and enabling prompt intervention, particularly for individuals with chronic conditions [44–50].”
- Authors
- Jeffs, L., Jamieson, T., Saragosa, M., Mukerji, G., Jain, A. K., Man, R., Desveaux, L., Shaw, J., Agarwal, P., Hensel, J. M., Maione, M., Nguyen, M., Onabajo, N., & Bhatia, R. S.
- Affiliations
- St. Michael's Hospital (CA)
- Women's College Hospital (CA)
- University of Toronto (CA)
- London Health Sciences Centre (CA)
- University Health Network (CA)
- Corresponding author
- Jeffs, Lianne
- ORCID
- Venue
- Patient Preference and Adherence
- Publisher
- Informa UK Limited
- Published
- 2018-12
- Volume
- Volume 12
- Pages
- 2623-2629
- ISSN
- 1177-889X (ISSN-L)
- PMC
- PMC6294168
- OpenAlex
- W2904107717
- Cited by
- 5
- References
- 33
- Citations by year
- 2025: 2 · 2023: 2 · 2020: 1
- FWCI
- 0.24
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Patient Preference and Adherence (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- peritoneal dialysis, virtual care, remote monitoring, chronic kidney disease, home dialysis, patient safety, health care efficiency, patient engagement, caregiver involvement, stakeholder perspectives, patient-centered care, chronic disease management
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