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Published on: April 19, 2019
Patient and Staff Experience of Remote Patient Monitoring-What to Measure and How: Systematic Review
Valeria Pannunzio1, Hosana Cristina Morales Ornelas2, Pema Gurung3
1Department of Design, Organisation and Strategy, Faculty of Industrial Design Engineering, Delft University of Technology, Delft, Netherlands.
Remote patient monitoring (RPM) research lacks standardized methods for measuring patient and staff experience. This review identifies 160 instruments and 120 constructs, offering guidelines to improve data quality and understanding of RPM interventions.
Area of Science:
- Health Services Research
- Digital Health
- Patient Experience
Background:
- Patient and staff experience are critical for evaluating remote patient monitoring (RPM) interventions.
- A comprehensive overview of existing RPM experience measurement tools and methods is currently lacking.
Purpose of the Study:
- To compile a comprehensive set of experience constructs and measurement instruments used in RPM research.
- To propose guidelines for enhancing methodological standardization in RPM experience evaluation.
Main Methods:
- Systematic review of full-text English papers on RPM interventions measuring patient or staff experience, published after January 1, 2011.
- Inclusion criteria excluded studies on non-sensor-based monitoring, primary care, participants under 18, or focusing solely on attitudes/technologies.
- Data were analyzed using correspondence analysis, a multivariate statistical technique, after searching Medline (PubMed) and EMBASE.
Main Results:
- 158 papers were included, reporting 546 experience-measuring instances using 160 unique instruments for 120 constructs.
- Significant growth in RPM experience research over the past decade, with a notable underrepresentation of staff experience.
- Experience measures were categorized into four main groups: service system, care, usage/adherence, and health outcome related.
Conclusions:
- A lack of consensus and standardization in RPM experience measurement methods creates a critical knowledge gap.
- This review provides a structured overview of RPM experience measures and practical guidelines to improve research quality and standardization.
- Recommendations are offered to integrate experience measurement into interdisciplinary data strategies for continuous RPM evaluation.
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