Implementation of a Multidevice Telemonitoring Program for Home-Based Nursing Care in Quebec: Qualitative Report
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By
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Alexandre Castonguay
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Guy Paré
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Marie-Pierre Moreault
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Marie-Soleil Hardy
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Mickaël Ringeval
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Philippe Voyer
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June 16, 2026
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Clinical Scorecard: Adoption of a Comprehensive Telemonitoring System for At-Home Nursing Services in Quebec: A Qualitative Analysis
At a Glance
| Category | Detail |
|---|
| Condition | Heart Failure |
| Key Mechanisms | Home-based telemonitoring using connected devices for remote monitoring of physiological and symptomatic data. |
| Target Population | Older adults aged 65 years or older receiving home care for heart failure. |
| Care Setting | Home care services across three regional health organizations in Quebec. |
Key Highlights
- Telemonitoring associated with improved quality of life and reduced hospitalizations.
- Involvement of home care nurses as primary clinical contacts is crucial for success.
- Implementation challenges include integration into existing workflows and technology adoption.
Guideline-Based Recommendations
Diagnosis
- Identify eligible patients as French-speaking adults aged 65 years or older with heart failure.
Management
- Utilize a multidevice telemonitoring system to support clinical follow-up and patient engagement.
Monitoring & Follow-up
- Daily monitoring of symptoms and medication adherence through connected devices.
Risks
- Limited real-world adoption of telemonitoring systems and potential barriers to integration.
Patient & Prescribing Data
67 patients initially recruited for the intervention.
Patients engaged in daily symptom questionnaires and medication adherence tracking.
Clinical Best Practices
- Ensure nurses are trained to integrate telemonitoring tools into their workflows.
- Maintain continuity of care through regular follow-up and data interpretation.
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