The Promise of Remote Patient Monitoring.

IF 2.8 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Telemedicine and e-Health Pub Date : 2024-11-13 DOI:10.1089/tmj.2024.0521
Bree Holtz, Frank A Urban, Jill Oesterle, Roger Blake, Androni Henry
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Abstract

The promise of remote patient monitoring (RPM) lies in its ability to revolutionize health care delivery by enabling continuous, real-time tracking of patient health outside traditional clinical settings. The COVID-19 pandemic accelerated the adoption of RPM, particularly in underserved and rural populations, highlighting both its potential and the persistent barriers that limit its widespread use. This paper explores the critical role of technological advancements-such as wearables, artificial intelligence (AI), and broadband expansion-in sustaining and optimizing RPM in the postpandemic era. We examine Michigan as a microcosm of national health care challenges, focusing on its diverse population and geographic barriers, and propose condition-specific RPM protocols to address these inequities. Key facilitators and barriers to RPM implementation are discussed, with a focus on AI integration, community engagement, and digital infrastructure. We also explore the role of policy reform and public-private partnerships in supporting RPM's scalability and long-term sustainability. Our findings suggest that while RPM offers a powerful tool for improving health care access and outcomes, especially for chronic conditions and rural maternal health, sustained investment in technology and infrastructure is critical. By addressing these challenges, RPM can become a cornerstone of modern health care, reducing disparities and improving care delivery for underserved populations.

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远程病人监护的前景。
远程病人监护(RPM)的前景在于它能够在传统的临床环境之外持续、实时地跟踪病人的健康状况,从而彻底改变医疗服务的提供方式。COVID-19 大流行加速了 RPM 的应用,尤其是在服务不足的人群和农村地区,凸显了 RPM 的潜力以及限制其广泛应用的长期障碍。本文探讨了技术进步(如可穿戴设备、人工智能(AI)和宽带扩展)在后大流行时代维持和优化 RPM 的关键作用。我们将密歇根州作为全国医疗挑战的一个缩影进行研究,重点关注其多样化的人口和地理障碍,并提出了针对特定病症的 RPM 协议,以解决这些不平等问题。我们讨论了实施 RPM 的主要促进因素和障碍,重点关注人工智能整合、社区参与和数字基础设施。我们还探讨了政策改革和公私合作在支持 RPM 的可扩展性和长期可持续性方面的作用。我们的研究结果表明,尽管 RPM 为改善医疗服务的可及性和结果提供了强有力的工具,尤其是在慢性病和农村孕产妇保健方面,但对技术和基础设施的持续投资至关重要。通过应对这些挑战,RPM 可以成为现代医疗保健的基石,缩小差距,改善服务不足人群的医疗服务。
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来源期刊
Telemedicine and e-Health
Telemedicine and e-Health 医学-卫生保健
CiteScore
8.80
自引率
6.40%
发文量
270
审稿时长
2.3 months
期刊介绍: Telemedicine and e-Health is the leading peer-reviewed journal for cutting-edge telemedicine applications for achieving optimal patient care and outcomes. It places special emphasis on the impact of telemedicine on the quality, cost effectiveness, and access to healthcare. Telemedicine applications play an increasingly important role in health care. They offer indispensable tools for home healthcare, remote patient monitoring, and disease management, not only for rural health and battlefield care, but also for nursing home, assisted living facilities, and maritime and aviation settings. Telemedicine and e-Health offers timely coverage of the advances in technology that offer practitioners, medical centers, and hospitals new and innovative options for managing patient care, electronic records, and medical billing.
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