Objectives: The current project was driven by the vision of a comprehensive eHealth platform for HPN patients and their improved care. Our overall goals are to enhance HPN patient and physician satisfaction and reduce complication rates through videoconferencing ([Fig. 1]).
Methods: This prospective, multicenter pilot study, conducted in Switzerland in 2023, evaluated the satisfaction and effectiveness of eHealth care in HPN management. This comparative before-and-after study lasted eight months, with four months of eHealth care. The intervention included frequent and shorter interactions between patients and their treating physicians, as well as monitoring via the eSwissHPN app. Patients and physicians completed questionnaires to assess consumer satisfaction with health services, the usability of the telehealth implementation and app usability at baseline and at the end of the intervention. Physicians documented the occurrence of HPN-related complications and other clinical data. During the study, additional information material (e.g. images of the catheter insertion site, laboratory parameters) was uploaded to the application by the patient.
Results: Fifteen patients from different clinicians across the country were included in the study and 11 in the final analysis. The most common indication for PN was short bowel syndrome. Satisfaction with eHealth, as measured by the CSQ8, yielded a mean score of 3.4±0.7 for patients and 3.5±0.6 for physicians, indicating high satisfaction. During the intervention we recorded 3 manifest PN-related complications" /> Introduction: Patients who cannot meet their nutritional needs orally or enterally require parenteral nutrition (PN) with home parenteral nutrition (HPN) for long-term PN. While HPN improves quality of life, it carries risks such as catheter-related complications that require close monitoring. eHealth solutions can improve care by increasing accessibility and reducing hospital visits.
Objectives: The current project was driven by the vision of a comprehensive eHealth platform for HPN patients and their improved care. Our overall goals are to enhance HPN patient and physician satisfaction and reduce complication rates through videoconferencing ([Fig. 1]).
Methods: This prospective, multicenter pilot study, conducted in Switzerland in 2023, evaluated the satisfaction and effectiveness of eHealth care in HPN management. This comparative before-and-after study lasted eight months, with four months of eHealth care. The intervention included frequent and shorter interactions between patients and their treating physicians, as well as monitoring via the eSwissHPN app. Patients and physicians completed questionnaires to assess consumer satisfaction with health services, the usability of the telehealth implementation and app usability at baseline and at the end of the intervention. Physicians documented the occurrence of HPN-related complications and other clinical data. During the study, additional information material (e.g. images of the catheter insertion site, laboratory parameters) was uploaded to the application by the patient.
Results: Fifteen patients from different clinicians across the country were included in the study and 11 in the final analysis. The most common indication for PN was short bowel syndrome. Satisfaction with eHealth, as measured by the CSQ8, yielded a mean score of 3.4±0.7 for patients and 3.5±0.6 for physicians, indicating high satisfaction. During the intervention we recorded 3 manifest PN-related complications" />
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