School of Business, Wake Forest University, Winston-Salem, NC, United States.
Center for Healthcare Innovation, School of Medicine, Wake Forest University, Winston-Salem, NC, United States.
J Med Internet Res. 2024 May 30;26:e51234. doi: 10.2196/51234.
Remote patient monitoring (RPM) enables clinicians to maintain and adjust their patients' plan of care by using remotely gathered data, such as vital signs, to proactively make medical decisions about a patient's care. RPM interventions have been touted as a means to improve patient care and well-being while reducing costs and resource needs within the health care ecosystem. However, multiple interworking components must be successfully implemented for an RPM intervention to yield the desired outcomes, and the design and key driver of each component can vary depending on the medical context. This viewpoint and perspective paper presents a 4-component RPM infrastructure framework based on a synthesis of existing literature and practice related to RPM. Specifically, these components are identified and considered: (1) data collection, (2) data transmission and storage, (3) data analysis, and (4) information presentation. Interaction points to consider between components include transmission, interoperability, accessibility, workflow integration, and transparency. Within each of the 4 components, questions affecting research and practice emerge that can affect the outcomes of RPM interventions. This framework provides a holistic perspective of the technologies involved in RPM interventions and how these core elements interact to provide an appropriate infrastructure for deploying RPM in health systems. Further, it provides a common vocabulary to compare and contrast RPM solutions across health contexts and may stimulate new research and intervention opportunities.
远程患者监测 (RPM) 使临床医生能够通过使用远程收集的数据（例如生命体征）来维持和调整患者的护理计划，并主动做出有关患者护理的医疗决策。 RPM 干预措施被吹捧为一种改善患者护理和健康的方法，同时降低医疗保健生态系统中的成本和资源需求。然而，要使 RPM 干预措施产生预期的结果，必须成功实施多个互操作组件，并且每个组件的设计和主要驱动因素可能因医疗环境而异。本文提出了一个基于 RPM 相关文献和实践的综合观点和观点的四组件 RPM 基础设施框架。具体而言，这些组件被确定并考虑如下：（1）数据收集，（2）数据传输和存储，（3）数据分析，以及（4）信息呈现。组件之间需要考虑的交互点包括传输、互操作性、可访问性、工作流程集成和透明度。在这四个组件中的每一个中，都会出现影响 RPM 干预研究和实践的问题，这些问题可能会影响 RPM 干预的结果。该框架提供了 RPM 干预所涉及的技术的整体视角，以及这些核心要素如何相互作用以在卫生系统中部署 RPM 提供适当的基础架构。此外，它提供了一个通用词汇，可在不同的健康环境中比较和对比 RPM 解决方案，并可能激发新的研究和干预机会。
