Published in Pjama Healthcare

Why efficiency and empathy do not have to be opposites

Healthcare systems everywhere are under pressure.
Time is limited, resources are stretched, and the demand for high-quality, patient-centred care continues to grow.

In this context, digitalisation is often framed as a way to improve efficiency.
Less often discussed is how digital tools can also strengthen relationships between healthcare professionals, patients and families.

In enuresis care, these two goals are not in conflict — they are closely connected.

The resource challenge in enuresis care

Enuresis is common, chronic in nature for some children, and often managed over extended periods.
This creates a familiar set of challenges for healthcare providers:

  • repeated follow-up contacts

  • variable adherence

  • uncertainty about treatment progress

  • families needing reassurance outside clinic visits

  • limited time for proactive support

Traditional care models rely heavily on in-person appointments and reactive follow-up, which can strain both staff and families without always improving outcomes.

Why digital care fits enuresis particularly well

Enuresis treatment takes place almost entirely at home.
What matters happens at night, outside the clinic.

Digital support aligns naturally with this reality by:

  • extending care beyond scheduled visits

  • supporting families in real time

  • enabling continuous, low-intensity follow-up

  • making treatment progress visible without requiring frequent appointments

This does not replace clinical care — it redistributes it more effectively.

Fewer visits does not mean less care

One common concern with digital follow-up is the fear of losing contact with patients and families.

In practice, the opposite is often true.

When digital tools are used to:

  • guide daily treatment routines

  • collect structured data

  • provide timely feedback

  • support early reassessment

…families often feel more supported, not less.

Clinicians, in turn, gain:

  • better insight between visits

  • clearer decision points

  • fewer unnecessary contacts

  • more meaningful conversations when follow-up does occur

Efficiency, in this context, enhances quality rather than undermining it.

Strengthening the patient–clinician relationship

Trust in enuresis care is built through:

  • Clarity

  • Predictability

  • Responsiveness

  • shared understanding

Digital care models can support these elements by:

  • setting clear expectations from the start

  • making progress and challenges transparent

  • aligning clinician and family perspectives

  • reducing ambiguity around “what happens next”

When families understand that treatment is actively monitored — even without constant clinic visits — confidence in care increases.

Organisational benefits: clarity supports sustainability

From an organisational perspective, digital enuresis care can:

  • reduce unnecessary follow-up appointments

  • prioritise patients who need intervention most

  • support standardised yet individualised pathways

  • improve documentation and continuity of care

  • enable data-informed quality improvement

These benefits contribute not only to cost-efficiency, but to sustainable care delivery.

Keeping care human in a digital setting

Digital tools succeed in healthcare when they respect clinical workflows and human needs.

In enuresis care, this means:

  • supporting, not replacing, professional judgement

  • avoiding information overload

  • maintaining transparency with families

  • ensuring that technology serves clinical goals

The purpose of digitalisation is not automation for its own sake, but care that adapts to real life.

Conclusion: efficiency and empathy go hand in hand

Digital enuresis care demonstrates that saving resources and strengthening relationships are not opposing goals.

By supporting families where treatment actually happens, and by providing clinicians with timely, structured insight, digital tools can:

  • reduce burden on healthcare systems

  • improve adherence and outcomes

  • enhance trust and communication

  • support more responsive, patient-centred care

Efficiency enables empathy when it frees time, clarifies decisions and strengthens connection.

References

Nevéus T et al. Evaluation and treatment of nocturnal enuresis: ICCS standardization document. J Urol. 2010.

Larsson J et al. Can enuresis alarm therapy be managed by families without nurse support? Acta Paediatr. 2022.

Larsson J, Borgström M, Karanikas B, Nevéus T. Predictors of response and adherence to enuresis alarm therapy. J Pediatr Urol. 2023.

Glazener CM, Evans JH. Alarm interventions for nocturnal enuresis in children. Cochrane Database Syst Rev. 2005.

WHO. Global strategy on digital health 2020–2025.

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