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Related Concept Videos

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Use of Remote Assessment Tools to Substitute Routine Outpatient Care: Scoping Review.

Jayne Barclay1, Clair Sullivan2,3, Michael Beckmann1,4

  • 1School of Medicine, University of Queensland, Brisbane, Australia.

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Summary

Digital remote assessment tools enhance healthcare by improving patient outcomes and experiences while reducing costs. These technologies support hybrid care models in adult tertiary centers, boosting efficiency and personalized care delivery.

Keywords:
applicationshealth care cost reductionhybrid care modelsmHealthpatient-reported outcome measuresremote assessmentremote patient monitoringself-reportedtelemedicine

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Area of Science:

  • Health Informatics
  • Digital Health
  • Healthcare Delivery Systems

Background:

  • Rising global healthcare demand necessitates innovative delivery approaches.
  • Digital remote assessment tools enable hybrid care models, supporting the Quadruple Aim.
  • This review examines remote assessment tools for routine consultation substitution in adult tertiary care.

Purpose of the Study:

  • To evaluate the implementation and health outcomes of digital remote assessment tools.
  • To assess the use and effectiveness of these tools in substituting conventional outpatient care.
  • To understand their alignment with the Quadruple Aim in adult tertiary care settings.

Main Methods:

  • A comprehensive scoping review adhering to PRISMA-ScR guidelines.
  • Searched multiple databases for studies on internet-dependent remote assessment technologies.
  • Included studies focused on tertiary care settings with data extraction on tool functionality and Quadruple Aim alignment.

Main Results:

  • 12 studies showed growing interest in remote assessment technologies across diverse clinical settings.
  • Interventions varied in length and functionality, demonstrating improved clinical outcomes and protocol adherence.
  • Positive patient and clinician experiences were reported, with potential cost savings identified, though initial setup costs were a barrier.

Conclusions:

  • Digital remote assessment tools significantly enhance healthcare delivery, improving outcomes, reducing costs, and enriching experiences.
  • These tools offer flexibility for personalized care and operational efficiency in various clinical contexts.
  • Successful integration requires careful consideration of implementation, equity, cost, and user experiences.