Table 2.
Barriers to implementation of HF telemonitoring based on the content analysis of the open-ended answers in the survey—Domain 1. Organization, “How are we going to do it?”.
| Category | Subcategory | Quote |
| Resource | Manpower | We have a shortage of medical staff, we have no time (Sweden, physician, male) |
| Difficulty securing medical staff who control overall data/system of telemonitoring (Japan, physician, male) | ||
| Materials | There are no devices for HF telemonitoring (Japan, nurse, female) | |
| There are no adequate network systems in our hospital (Japan, physician, male) | ||
| Funding and priority setting | We have no money for this (Sweden, physician, male) | |
| It depends on hospital policy (Japan, nurse, female) | ||
| Structure | Responsibilities | Who is responsible for telemonitoring? (Japan, physician, male) |
| Which professionals play a key role? (Japan, nurse, female) | ||
| What should we do if something happens? (Japan, nurse, male) | ||
| Patients | What kind of patients can be a candidate for telemonitoring? (Japan, nurse, female) | |
| How many patients need telemonitoring? (Japan, nurse, female) | ||
| Protocols | When or how often do we check data from patients? (Japan, nurse, female) | |
| Collaboration | Information-sharing among medical staff is not sufficient (Japan, nurse, female) | |
| It is difficult to collaborate with other hospitals/clinics (Sweden, physician, male) | ||
| Safety | Support system and troubleshooting were not yet established (Japan, nurse, female) |