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Towards A Framework for Implementing Remote Patient Monitoring From an Integrated Care Perspective: A Scoping Review.

Rafael Miranda1,2, Mónica Duarte Oliveira1,3, Paulo Nicola4

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

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|August 14, 2023
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Summary
This summary is machine-generated.

Remote patient monitoring (RPM) implementation requires more than just technology. Key structural elements like patient education, multidisciplinary teams, and robust health indicator measurement are crucial for successful integrated care delivery.

Keywords:
Healthcare OrganizationIntegrated CareRemote Patient MonitoringScoping ReviewTelehealth

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Area of Science:

  • Healthcare Management
  • Digital Health
  • Health Services Research

Background:

  • Remote patient monitoring (RPM) adoption accelerated due to the COVID-19 pandemic.
  • RPM implementation presents significant complexity, resource demands, and process challenges for integrated care.
  • Existing frameworks often lack comprehensive guidance for integrated RPM delivery.

Purpose of the Study:

  • To identify and examine structural elements essential for implementing integrated remote patient monitoring care.
  • To develop a framework for assessing the maturity of real-life RPM initiatives.

Main Methods:

  • A scoping review was conducted across PubMed, Scopus, and Web of Science.
  • Search strategy combined terms for conceptual models, real-life initiatives, RPM, and care integration.
  • Identified structural elements from conceptual models to assess real-life RPM initiatives.

Main Results:

  • 28 articles were reviewed, encompassing nine conceptual models and 19 real-life initiatives.
  • Eighteen structural elements for RPM integrated care implementation were identified.
  • Patient education, multidisciplinary workforce, ICTs, telemonitoring devices, and health indicator measurement were core elements present in all initiatives.

Conclusions:

  • Successful RPM integrated care relies on a combination of technology, processes, and human factors.
  • The identified structural elements provide a guide for enhancing RPM implementation and maturity.
  • Future research should address design completeness, impact evaluation, and financial models for RPM.