Tailoring Remote Patient Management in Cardiovascular Risk Management for Healthcare Professionals using Panel Management: a Qualitative Study

Abstract

Abstract Background While remote patient management (RPM) holds potential to reach cardiovascular risk factor treatment targets in primary care, its effectiveness can vary across different patient subgroups. Panel management - proactive care to specific patient risk groups - could be a promising approach to tailor RPM. This study aimed (i) to assess the perception of healthcare professionals and other stakeholders of the adoption of a panel management approach to tailor an RPM intervention to specific patient risk groups and (ii) to identify the barriers and facilitators for successful implementation of a panel management approach for RPM for cardiovascular risk factor control in primary care. Methods In total, 24 participants (GPs, nurses, health insurers, project managers, and IT consultants) participated in nineteen semi-structured interviews and two focus group discussions for this qualitative study conducted in the Netherlands. Three authors reviewed the audited transcripts. The Consolidated Framework for Implementation Strategies (CFIR) domains were used for the thematic analysis. Results Overall, panel management was considered valuable. Implementation barriers encompassed concerns about missing necessary risk factors for patient stratification, additional clinical and technical tasks for nurses, and reimbursement agreements. Facilitators included tailoring consultation frequency and early detection of at-risk patients, an implementation manager accountable for supervising project procedures, and establishing agreements on assessing implementation metrics and ambassador roles. Conclusion Panel management could enhance proactive care and accurately identify which patients could benefit most from RPM to mitigate CVD risk. However, for successful implementation, it is recommended to have clear agreements on technical support, financial infrastructure and the criteria for measuring evaluation outcomes.