Patient Experiences With a Remote Monitoring Pathway for COVID-19

Cheng, Changxia; Appel, Lora; Scrivener, A.; Smith, Charles O.

doi:10.7759/cureus.26263

Cited by 7 publications

(4 citation statements)

References 12 publications

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“…Reductions in health care costs, hospital readmission, and increased access to care with better clinical outcomes and patient satisfaction are some of the potential benefits associated with this innovative strategy of offering health care outside of traditional clinical settings [16,19,21,[29][30][31]. Furthermore, patients expressed feeling more informed about their condition and more connected with their providers when continuous monitoring was provided [32,33]. Similarly, health care providers have experienced a high level of acceptance in the inclusion of RPM as part of their daily practice [19,34].…”

Section: Principal Findingsmentioning

confidence: 99%

Patient Satisfaction With a Multisite, Multiregional Remote Patient Monitoring Program for Acute and Chronic Condition Management: Survey-Based Analysis

Haddad¹,

Maita²,

Ávila³

et al. 2023

J Med Internet Res

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Background Remote patient monitoring (RPM) is an option for continuously managing the care of patients in the comfort of their homes or locations outside hospitals and clinics. Patient engagement with RPM programs is essential for achieving successful outcomes and high quality of care. When relying on technology to facilitate monitoring and shifting disease management to the home environment, it is important to understand the patients’ experiences to enable quality improvement. Objective This study aimed to describe patients’ experiences and overall satisfaction with an RPM program for acute and chronic conditions in a multisite, multiregional health care system. Methods Between January 1, 2021, and August 31, 2022, a patient experience survey was delivered via email to all patients enrolled in the RPM program. The survey encompassed 19 questions across 4 categories regarding comfort, equipment, communication, and overall experience, as well as 2 open-ended questions. Descriptive analysis of the survey response data was performed using frequency distribution and percentages. Results Surveys were sent to 8535 patients. The survey response rate was 37.16% (3172/8535) and the completion rate was 95.23% (3172/3331). Survey results indicated that 88.97% (2783/3128) of participants agreed or strongly agreed that the program helped them feel comfortable managing their health from home. Furthermore, 93.58% (2873/3070) were satisfied with the RPM program and ready to graduate when meeting the program goals. In addition, patient confidence in this model of care was confirmed by 92.76% (2846/3068) of the participants who would recommend RPM to people with similar conditions. There were no differences in ease of technology use according to age. Those with high school or less education were more likely to agree that the equipment and educational materials helped them feel more informed about their care plans than those with higher education levels. Conclusions This multisite, multiregional RPM program has become a reliable health care delivery model for the management of acute and chronic conditions outside hospitals and clinics. Program participants reported an excellent overall experience and a high level of satisfaction in managing their health from the comfort of their home environment.

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Section: Principal Findingsmentioning

confidence: 99%

Patient Satisfaction With a Multisite, Multiregional Remote Patient Monitoring Program for Acute and Chronic Condition Management: Survey-Based Analysis

Haddad¹,

Maita²,

Ávila³

et al. 2023

J Med Internet Res

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“…This facilitated a space to connect with patients when in-person therapy was halted during the initial lockdown. Remote monitoring reduces patients' travel costs and risk for infection (Cheng et al, 2022;Annie et al, 2020). Therapists indicated that remote monitoring in the early stages of the pandemic provided opportunities for patients to acquire information about COVID-19, rehabilitation, and their general medical management.…”

Section: Remote Monitoring Telepracticementioning

confidence: 99%

Bridging the Access Gap: The Telepractice Experience of Speech Therapists and Audiologists at a Public Health Care Facility in South Africa

et al. 2022

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South Africa is a low to middle income country (LMIC) with a population of 60 million people. The public health sector serves more than 80% of the population. Chris Hani Baragwanath Academic Hospital is a central level public health care facility situated in Gauteng. The Speech Therapy and Audiology Department provides insight into their telepractice services through a qualitative approach. The onset of the COVID-19 pandemic resulted in therapists exploring telepractice as a sustainable model of service delivery. Therapists and patients encountered many challenges to the implementation of telepractice, however, the commitment of therapists ensured that creative solutions were developed. A comprehensive needs analysis at public health institutions is required to ensure the sustainability of telepractice. A hybrid model (telepractice and in-person consults) holds the potential to reduce the financial burden on patients and increase access to quality patient- centered care.

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“…[4][5][6] Reassuringly, VWs have maintained relatively robust safety profiles and patient satisfaction, whilst avoiding common complications associated with hospital admissions. [7][8][9] Despite these benefits, equitable access remains a challenge for patient care, with striking disparity in terms of technological access and connectivity, digital literacy, language barriers and socioeconomic status. 10,11 In addition, risk categorisation and escalation pathways remain divergent across health services, in part due to the rapidly changing nature of the pandemic and the associated evolution of variants, vaccinations and treatments.…”

Section: Introductionmentioning

confidence: 99%

“…Such systems have been further supported by the implementation of remote monitoring mechanisms that allow earlier identification of well‐described phenomena such as ‘silent hypoxaemia’ 4–6 . Reassuringly, VWs have maintained relatively robust safety profiles and patient satisfaction, whilst avoiding common complications associated with hospital admissions 7–9 …”

Section: Introductionmentioning

confidence: 99%

Evaluation of a virtual ward model of care and readmission characteristics during the COVID‐19 pandemic within an Australian tertiary hospital

Farquhar,

Choong,

Anderson

et al. 2023

Internal Medicine Journal

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BackgroundVirtual ward (VW) models of care established during the coronavirus disease 2019 (COVID‐19) pandemic provided safe and equitable provision of ambulatory care for low‐risk patients; however, little is known about patients who require escalation of care to hospitals from VWs.AimTo assess our VW model of care and describe the characteristics of patients admitted to the hospital from the VW.MethodsObservational study of all patients admitted to a tertiary hospital COVID‐19 VW between 1 December 2021 and 30 June 2022. Utilisation and epidemiological characteristics were assessed for all patients while additional demographics, assessments, treatments and outcomes were assessed for patients admitted to the hospital from the VW.ResultsOf 9494 patient admissions, 269 (2.83%) patients identified as Aboriginal and Torres Strait Islander and 1774 (18.69%) were unvaccinated. The median length of stay was 5.10 days and the mean Index of Relative Socio‐economic Advantage and Disadvantage decile was 5.73. One hundred sixty (1.69%) patients were admitted to the hospital from the VW, of which 25 were adults admitted to medical wards. Of this cohort, prominent comorbidities were obesity, hypertension, asthma and frailty, while the main symptoms on admission to the VW were cough, fatigue, nausea and sore throat. High Pandemic Respiratory Infection Emergency System Triage (PRIEST), Veterans Health Administration COVID‐19 (VACO), COVID Home Safely Now (CHOSEN) and 4C mortality scores existed for those readmitted.ConclusionsThis VW model of care was both safe and effective when applied to a broad socioeconomic population during the COVID‐19 pandemic. While readmission to the hospital was low, this study identified key characteristics of such presentations, which may assist future triaging, escalation and resource allocation within VWs during the COVID‐19 pandemic and beyond.

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Patient Experiences With a Remote Monitoring Pathway for COVID-19

Cited by 7 publications

References 12 publications

Patient Satisfaction With a Multisite, Multiregional Remote Patient Monitoring Program for Acute and Chronic Condition Management: Survey-Based Analysis

Patient Satisfaction With a Multisite, Multiregional Remote Patient Monitoring Program for Acute and Chronic Condition Management: Survey-Based Analysis

Bridging the Access Gap: The Telepractice Experience of Speech Therapists and Audiologists at a Public Health Care Facility in South Africa

Evaluation of a virtual ward model of care and readmission characteristics during the COVID‐19 pandemic within an Australian tertiary hospital

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