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. 2023:12:7299.
doi: 10.34172/ijhpm.2023.7299. Epub 2023 Mar 1.

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

Rafael Miranda  1   2 , Mónica Duarte Oliveira  1   3 , Paulo Nicola  4 , Filipa Matos Baptista  2 , Isabel Albuquerque  5
Affiliations

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

Rafael Miranda et al. Int J Health Policy Manag. 2023.

Abstract

Background: Remote patient monitoring (RPM) has been increasingly adopted over the last decade, with the COVID-19 pandemic fostering its rapid development. As RPM implementation is recognised as complex and highly demanding in terms of resources and processes, there are multiple challenges in providing RPM in an integrated logic.

Methods: To examine the structural elements that are relevant for implementing RPM integrated care, a scoping review was conducted in PubMed, Scopus, and Web of Science, leveraging a search strategy that combines terms relative to (1) conceptual models and reallife initiatives; (2) RPM; and (3) care integration.

Results: 28 articles were included, covering nine conceptual models and 19 real-life initiatives. Eighteen structural elements of RPM integrated care implementation were identified among conceptual models, defining a structure for assessing real-life initiatives. 78.9% of those initiatives referred to at least ten structural elements, with patient education and self-monitoring promotion, multidisciplinary core workforce, ICTs (information and communications technologies) and telemonitoring devices, and health indicators measurement being present in all studies, and therefore being core elements to the design of RPM initiatives.

Conclusion: RPM goes far beyond technology, with underlying processes and involved actors playing a central role in care provision. The structural elements identified can guide RPM implementation and promote maturity in adoption. Future research may focus on assessing design completeness, evaluating impacts, and analysing related financial arrangements.

Keywords: Healthcare Organization; Integrated Care; Remote Patient Monitoring; Scoping Review; Telehealth.

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Conflict of interest statement

This work is an integral part of RM’s doctoral research, carried out in collaboration between Instituto Superior Técnico (University of Lisbon) and Siemens Healthineers. Co-author FMB (PhD Epidemiology and Public Health) is an employee from Siemens Healthineers, and we naturally state that the developed work had a scientific nature and complied with ethical norms.

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