Information and communication technology enabling partnership in person-centred diabetes management: Building a theoretical framework from an inductive case study in the Netherlands

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Abstract

Objectives The aim of this paper is to construct a theoretical framework for information and communication technology (ICT)-enabled partnership towards diabetes management. Design We conducted an inductive case study and held interviews on the development and use of an artificial pancreas (AP) system for diabetes management. Setting The study was carried out in the Netherlands with users of an AP system. Participants We interviewed six patients with type 1 diabetes, five healthcare professionals (two medical specialists and three diabetes nurses), and one policy advisor from the Ministry of Health, Welfare and Sport. Results We built a new theoretical framework for ICT-enabled person-centred diabetes management, covering the central themes of self-managing the disease, shared analysing of (medical) data and experiencing the partnership. We found that ICT yielded new activities of data sharing and a new role for data professionals in the provision of care as well as contributed to carefree living thanks to the semiautomated management enabled by the device. Our data suggested that to enable the partnership through ICT, organisational adjustments need to be made such as the development of new ICT services and a viable financial model to support these services. Conclusion The management of diabetes through ICT requires an adjustment of the partnership between persons with the chronic condition and the healthcare professional(s) in such a way that the potential for self-managing the condition by analysing the newly available (medical) data (from the AP system) together leads to an experience of partnership between patients and healthcare professionals.

Original languageEnglish
Article numbere025930
JournalBMJ Open
Volume9
Issue number6
DOIs
Publication statusPublished - 1 Jun 2019

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Netherlands
Artificial Pancreas
Communication
Technology
Social Adjustment
Delivery of Health Care
Professional Role
Information Dissemination
Type 1 Diabetes Mellitus
Sports
Nurses
Interviews
Equipment and Supplies
Health

Keywords

  • chronic disease management
  • ehealth
  • ICT
  • person-centred care
  • type 1 diabetes

Cite this

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title = "Information and communication technology enabling partnership in person-centred diabetes management: Building a theoretical framework from an inductive case study in the Netherlands",
abstract = "Objectives The aim of this paper is to construct a theoretical framework for information and communication technology (ICT)-enabled partnership towards diabetes management. Design We conducted an inductive case study and held interviews on the development and use of an artificial pancreas (AP) system for diabetes management. Setting The study was carried out in the Netherlands with users of an AP system. Participants We interviewed six patients with type 1 diabetes, five healthcare professionals (two medical specialists and three diabetes nurses), and one policy advisor from the Ministry of Health, Welfare and Sport. Results We built a new theoretical framework for ICT-enabled person-centred diabetes management, covering the central themes of self-managing the disease, shared analysing of (medical) data and experiencing the partnership. We found that ICT yielded new activities of data sharing and a new role for data professionals in the provision of care as well as contributed to carefree living thanks to the semiautomated management enabled by the device. Our data suggested that to enable the partnership through ICT, organisational adjustments need to be made such as the development of new ICT services and a viable financial model to support these services. Conclusion The management of diabetes through ICT requires an adjustment of the partnership between persons with the chronic condition and the healthcare professional(s) in such a way that the potential for self-managing the condition by analysing the newly available (medical) data (from the AP system) together leads to an experience of partnership between patients and healthcare professionals.",
keywords = "chronic disease management, ehealth, ICT, person-centred care, type 1 diabetes",
author = "Wildevuur, {Sabine E.} and Simonse, {Lianne W.L.} and Peter Groenewegen and Ab Klink",
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T1 - Information and communication technology enabling partnership in person-centred diabetes management

T2 - Building a theoretical framework from an inductive case study in the Netherlands

AU - Wildevuur, Sabine E.

AU - Simonse, Lianne W.L.

AU - Groenewegen, Peter

AU - Klink, Ab

PY - 2019/6/1

Y1 - 2019/6/1

N2 - Objectives The aim of this paper is to construct a theoretical framework for information and communication technology (ICT)-enabled partnership towards diabetes management. Design We conducted an inductive case study and held interviews on the development and use of an artificial pancreas (AP) system for diabetes management. Setting The study was carried out in the Netherlands with users of an AP system. Participants We interviewed six patients with type 1 diabetes, five healthcare professionals (two medical specialists and three diabetes nurses), and one policy advisor from the Ministry of Health, Welfare and Sport. Results We built a new theoretical framework for ICT-enabled person-centred diabetes management, covering the central themes of self-managing the disease, shared analysing of (medical) data and experiencing the partnership. We found that ICT yielded new activities of data sharing and a new role for data professionals in the provision of care as well as contributed to carefree living thanks to the semiautomated management enabled by the device. Our data suggested that to enable the partnership through ICT, organisational adjustments need to be made such as the development of new ICT services and a viable financial model to support these services. Conclusion The management of diabetes through ICT requires an adjustment of the partnership between persons with the chronic condition and the healthcare professional(s) in such a way that the potential for self-managing the condition by analysing the newly available (medical) data (from the AP system) together leads to an experience of partnership between patients and healthcare professionals.

AB - Objectives The aim of this paper is to construct a theoretical framework for information and communication technology (ICT)-enabled partnership towards diabetes management. Design We conducted an inductive case study and held interviews on the development and use of an artificial pancreas (AP) system for diabetes management. Setting The study was carried out in the Netherlands with users of an AP system. Participants We interviewed six patients with type 1 diabetes, five healthcare professionals (two medical specialists and three diabetes nurses), and one policy advisor from the Ministry of Health, Welfare and Sport. Results We built a new theoretical framework for ICT-enabled person-centred diabetes management, covering the central themes of self-managing the disease, shared analysing of (medical) data and experiencing the partnership. We found that ICT yielded new activities of data sharing and a new role for data professionals in the provision of care as well as contributed to carefree living thanks to the semiautomated management enabled by the device. Our data suggested that to enable the partnership through ICT, organisational adjustments need to be made such as the development of new ICT services and a viable financial model to support these services. Conclusion The management of diabetes through ICT requires an adjustment of the partnership between persons with the chronic condition and the healthcare professional(s) in such a way that the potential for self-managing the condition by analysing the newly available (medical) data (from the AP system) together leads to an experience of partnership between patients and healthcare professionals.

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