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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.
SUBMITTER: Wildevuur SE
PROVIDER: S-EPMC6589019 | biostudies-literature | 2019 Jun
REPOSITORIES: biostudies-literature
Wildevuur Sabine E SE Simonse Lianne Wl LW Groenewegen Peter P Klink Ab A
BMJ open 20190616 6
<h4>Objectives</h4>The aim of this paper is to construct a theoretical framework for information and communication technology (ICT)-enabled partnership towards diabetes management.<h4>Design</h4>We conducted an inductive case study and held interviews on the development and use of an artificial pancreas (AP) system for diabetes management.<h4>Setting</h4>The study was carried out in the Netherlands with users of an AP system.<h4>Participants</h4>We interviewed six patients with type 1 diabetes, ...[more]