Evaluation of a telehealth program for high-risk pregnancy in a health service provider institution

• Published in: International journal of medical informatics (Shannon, Ireland) Ireland), 2023-11, Vol.179, p.105234-105234, Article 105234
• Main Authors: Valencia, Sara Arango, Barrientos Gómez, Juan Guillermo, Gómez Ramirez, Maria Camila, Luna, Iván Felipe, Caicedo, Henry Andrade, Torres-Silva, E.A., Díaz, Emmanuel Sanchez
• Format: Article
• Language: English
• Subjects: Diabetes; eHealth; High Risk Pregnancy; Hypertension; Outpatient monitoring; Patient care management; Pregnancy-induced; Telehealth
• ISSN: 1386-5056; 1872-8243
• DOI: 10.1016/j.ijmedinf.2023.105234

•A home care model was created at our institution mediated by the development of a mobile and web application (automated tools for antenatal diagnosis, HADA, for its acronym in Spanish) that seeks support in clinical decision-making.•HADA contains an educational page on general pregnancy care, hypertension, and diabetes in pregnancy, and contact information.•The main objective of this research was to evaluate the usability and satisfaction of patients with the use of a mobile and web application developed to support the management of patients with high obstetric risk.•The usability and satisfaction survey results show a good acceptance.•The results of this study will serve as a source for the creation of a hybrid model of health care that will involve patients with risk variables for different risk pathologies. eHealth offers a solution to current challenges in maternal health. Telemonitoring can rethink antenatal care, achieving more personalized medicine, especially in high-obstetric risk conditions. A home care model mediated by the development of a mobile and web application that seeks support in clinical decision-making was created in our institution. The software architecture consists of an information system (HCIS, Health Care Information System), a database, an authentication server, and an interoperability bus. The usability of the software by patients was assessed using the Information Systems Usability Questionnaire (CSUQ) version 3, as well as the satisfaction of the care model designed through a survey in a prospective observational study in 62 patients with a high-risk pregnancy. Participants were monitored in real-time through blood glucose, blood pressure, and weight measurements, and attended telemedicine appointments with an obstetrician from admission to six weeks postpartum. The CSUQ results show a good acceptance of the use of the application by patients both in the global score and the different domains, Global, System utility (SYSUSE), Information Quality (INFOQUAL), and Interface quality (INTERQUAL). The satisfaction survey also shows good results in general and by domains. The findings of this study provide some suggestions for the implementation of a technological development and a care model from the patient’s perspective.