A Systematic Review of Internet-Based Remote Patient Monitoring Systems for Chronic Disease Management in Asian

Chronic diseases are an increase global health concern driven by aging populations and lifestyle changes. In Asia, rapid demographic shifts and diverse healthcare systems pose unique challenges for chronic disease management. Internet-based remote monitoring systems offer innovative solutions for early detection and timely intervention, but their effectiveness within the varied Asian context requires thorough evaluation.

This systematic review aimed to evaluate the effectiveness of internet-based remote monitoring systems in managing outcomes among patients with chronic diseases.

A systematic literature search was conducted across major electronic databases, including PubMed, Scopus, Taylor and Francis, and EBSCOhost, employing a combination of relevant search terms. The keywords used were "remote monitoring OR telemonitoring OR internet-based monitoring AND chronic disease OR chronic illness AND patient outcome OR health outcome OR clinical outcome". The inclusion criteria are defined using the PICO framework. The data were analyzed descriptively and qualitatively using thematic analysis.

Following rigorous screening and quality appraisal, 16 studies met the inclusion criteria. These studies employed diverse remote monitoring modalities, encompassing automated remote monitoring systems, patient-reported monitoring, and personalized telecommunication-based approaches. The evidence demonstrates that internet-based remote monitoring systems significantly enhance chronic disease management across various Asian contexts.

Internet-based remote patient monitoring constitutes a pivotal advancement in chronic disease management. It facilitates timely emergency responses, reduces healthcare utilization, and optimizes clinical outcomes within Asian healthcare settings. Future efforts should focus on synergizing automated data acquisition, patient self-reporting, and personalized communication to overcome challenges related to sustained behavioral change and quality-of-life improvements.