Spaulding Aaron, Loomis Erica, Brennan Emily, Klein Diane, Pierson Karlyn, Willford Rochelle, Hallbeck M Susan, Reisenauer Janani
Division of Health Care Delivery Research, Mayo Clinic, Jacksonville, FL.
Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
Mayo Clin Proc Innov Qual Outcomes. 2022 Oct 21;6(6):574-583. doi: 10.1016/j.mayocpiqo.2022.09.005. eCollection 2022 Dec.
To determine how postsurgical remote patient monitoring (RPM) influences readmissions and emergency visits within 30 days of discharge after operation and to understand patient and surgeon perspectives on postsurgical RPM.
This study was conducted at a US tertiary academic medical center between April 1, 2021, and December 31, 2021. This mixed-methods evaluation included a randomized controlled trial evaluation of RPM after operation and a qualitative assessment of patients' and surgeons' perceptions of RPM's acceptability, feasibility, and effectiveness.
A total of 292 patients participated in the RPM trial, and 147 were assigned to the RPM intervention. Despite a good balance between the groups, results indicated no difference in primary or secondary outcomes between the intervention and control groups. The qualitative component included 11 patients and 9 surgeons. The overarching theme for patients was that the program brought them peace of mind. Other main themes included technological issues and perceived benefits of the RPM platform. The major themes for surgeons included identifying the best patients to receive postsurgical RPM, actionable data collection and use, and improvements in data collection needed.
Although quantitative results indicate no difference between the groups, postsurgical RPM appears well-accepted from the patient's perspective. However, technological issues could eliminate the benefits. Hospitals seeking to implement similar programs should carefully evaluate which populations to use the program in and seek to collect actionable data.
确定术后远程患者监测（RPM）如何影响术后出院30天内的再入院率和急诊就诊情况，并了解患者和外科医生对术后RPM的看法。
本研究于2021年4月1日至2021年12月31日在美国一家三级学术医疗中心进行。这项混合方法评估包括对术后RPM的随机对照试验评估，以及对患者和外科医生对RPM的可接受性、可行性和有效性看法的定性评估。
共有292名患者参与了RPM试验，其中147名被分配到RPM干预组。尽管两组之间达到了良好的平衡，但结果表明干预组和对照组在主要或次要结局方面没有差异。定性部分包括11名患者和9名外科医生。患者的总体主题是该项目让他们安心。其他主要主题包括技术问题和RPM平台的感知益处。外科医生的主要主题包括确定接受术后RPM的最佳患者、可操作的数据收集和使用，以及所需的数据收集改进。
尽管定量结果表明两组之间没有差异，但从患者的角度来看，术后RPM似乎很受欢迎。然而，技术问题可能会消除这些益处。寻求实施类似项目的医院应仔细评估该项目适用于哪些人群，并寻求收集可操作的数据。
