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. 2019 Oct 17;1(6):354–365. doi: 10.1016/j.xkme.2019.07.014

Table 4.

Summary of Subthemes and Illustrative Quotes for Awareness and Visibility of At-Home Treatments Theme

Subtheme Content Illustrative Quote
Rapid treatment change HCPs indicated that RM enabled quicker intervention, including rapid and responsive changes to treatment (especially for new PD patients and those who live far away from the clinic). Patients and care partners thought that RM would be beneficial to HCPs to enable speedier checks on treatment, address related issues, and be more prepared for in-person visits. It was also noted that if patient information was not recorded (or not recorded properly), RM would still capture this accurately. One care partner described a concern that if treatment data are transmitted every day, their doctor may want to fix or change things daily, which could be burdensome. “So to have the nurse just key in a few strokes and change it, and then we say `okay try it, if it works fine, it’s not then we just change it again.’ I think it’s just one of the best things I’ve seen in technology in a long time, is the ability to change the prescription remotely.” HCP 505 (63-y-old female nephrologist, RM user)
“I feel that they could…just maybe look on the computer and see, daily, how they’re doing with the treatment…it would help the patient a lot, because I know…for me, I don’t like to have to keep going into the clinic 2, 3 times a week…ya know, I got stuff I’d rather be doing” Patient 786 (36-y-old female patient, non-RM user)
Treatment choice While not discussed by the majority of HCPs, 2 indicated that it would be desirable to have an option to adjust PD treatment settings, such as having 2 or 3 treatment programs that a patient could choose from. Patients and care partners did not discuss treatment choice. “I could program 2 prescriptions, prescription ‘A’ for the days he goes out and prescription ‘B’ for the days he stays home, and he picks and chooses which one works for him that day and he uses it, which is really wonderful.” HCP 505 (63-y-old female nephrologist, RM user)
“Sometimes I have people travelling and they want to sight see, that’s the reason why they’re on a trip and they don’t want to do that day exchange, or … instead of being on the machine for 9 hours, they want 6 hours. For a day or 2 it’s not going to change their dialysis that much so you can give them a third prescription for when they’re travelling, so all these things can be done remotely. I’m all in favor for the remote adjustment of the prescriptions.” HCP 505 (63-y-old female nephrologist, RM user)
Visibility Some patients and care partners and HCPs liked the idea of having access to information quickly for various reasons, including adherence, fast treatment change, and ease of monitoring. They also thought it could be more convenient for communicating changes without waiting for a clinic visit, thus optimizing treatment. However, a few thought that constant visibility of instant records could potentially lead to over management. “I think if they could already look at the data and kind of know, you know `well she’s having a lot of lost dwell time’ and `we can change this and we can change that’, I think it would be better.” Patient 532 (47-y-old female patient, non-RM user)
“They would have all the information before I got to the office…and if they did see any issues, they could call me instantly and have me go in…” Patient 538 (50-y-old female patient, non-RM user)

Abbreviations: HCP, health care provider; PD, peritoneal dialysis; RM, remote management.