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Telemonitoring in Portugal: where do we stand and which way forward?

Rafael Miranda1, Mónica Duarte Oliveira2, Filipa Matos Baptista3

  • 1Centro de Estudos de Gestão do Instituto Superior Técnico (CEG-IST), Instituto Superior Técnico, Universidade de Lisboa, Portugal; Enterprise Services Portugal, Siemens Healthineers.

Health Policy (Amsterdam, Netherlands)
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Summary

Telemonitoring adoption in Portugal is growing, driven by government strategy and reimbursement. However, patient numbers remain low due to digital literacy, integration, and resource challenges hindering scale-up.

Keywords:
Health policyHealthcare organizationRemote patient monitoringTelehealthTelemonitoring

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Area of Science:

  • Healthcare innovation and policy
  • Digital health adoption in Portugal

Background:

  • Post-pandemic pressure for efficient, sustainable, and equitable healthcare in Portugal.
  • Telemonitoring (TM) identified as a key solution for vulnerable patient populations.
  • Emergence of various TM initiatives necessitates a comprehensive analysis.

Purpose of the Study:

  • To provide a comprehensive analysis of the telemonitoring landscape in Portugal.
  • To examine the conditions, governmental strategy, and reimbursement for telehealth development.
  • To assess TM implementation, adoption, and challenges using the NASSS framework.

Main Methods:

  • Analysis of underlying conditions for telehealth development in Portugal.
  • Review of the National Strategic Plan for Telehealth and NHS reimbursement policies.
  • Analysis of 46 reported TM initiatives and adoption studies from provider perspectives.
  • Application of the Nonadoption, Abandonment, and challenges to the Scale-up, Spread, and Sustainability (NASSS) framework.

Main Results:

  • Growing adoption of TM by Portuguese institutions, supported by governance and reimbursement.
  • TM proved particularly relevant during the COVID-19 pandemic.
  • Limited number of patients currently monitored through TM initiatives.
  • Key barriers identified: low digital literacy (patients and providers), lack of care integration, and resource scarcity.

Conclusions:

  • Portuguese TM adoption is increasing, influenced by strategic planning and financial incentives.
  • Significant barriers, including digital literacy and resource limitations, impede the scaling of TM initiatives.
  • Addressing these challenges is crucial for widespread TM adoption and sustainability in Portugal.