Patient Adherence pre

Population Stratification

 

These driver indicators capture the enablers and determinants for patient adherence. 

We consider how the system is introduced to the patient. It is important that the patient is motivated to get engaged and spouses and relatives are also supportive.

Recruitement

Considers how the CCTH service is introduced to patients and care givers

A solid introduction program that selects the appropriate patients and enhances staff engagement is required for better adherence.

Examples

  • Patient identification & selection: how patients are selected, introduced and contracted for the specific service
  • Patient characteristics: how well the patient is capable of using the CC&TH service, considering ability, motivation, knowledge, and medication & lifestyle adherence
  • Context: how the context of the patient is before start of the service
  • Context: how the context of the patient is before start of the service, considering satisfaction levels and support of spouse/family and informal care givers
  • Explanation during recruitment to TH: how the explanation during recruitment is perceived by the patient 
  • Installation for CC&TH: how the installation is perceived by the patient

 

Belief

Considers the belief the patient and (informal) caregiver have in the CCTH service

Patients and/or staff who are not convinced in the benefits or ease of CCTH service are less likely to use it. Patient preference is a key issue here; efforts should be made to quantify this variable

Examples

  • Access & convenience: the perceived benefit in terms of access to and convenience of care
  • Benefits & dis-benefits: perceived benefit in terms of telehealth, medications, and lifestyle.

 

Experience with TH technology

Capture the perception of the patient and informal care givers with respect to the technology and the care provider.

Good levels of service delivery are necessary to keep care givers and patients engaged

Examples

  • Reliability & performance: the performance of the technical components of the CC&TH service
  • Usability & accessibility: the patient’s and informal care givers’ perception about the ease of use of the service
  • User support: the availability of help with the service
  • Provider communication skills: the patient’s and informal care givers’ perception of the professionalism of the caregivers