Mazzella-Ebstein Ann Marie, Daly Robert, Huang Jennie, Bernal Camila, Wilhelm Clare, Panageas Katherine S, Holland Jessie, Salvaggio Rori, Ackerman Jill, Cracchiolo Jennifer, Kuperman Gilad, Mao Jun, Begue Aaron, Barton-Burke Margaret
Nursing Research, Department of Nursing, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Thoracic Services, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
JMIR Hum Factors. 2025 Jan 24;12:e60585. doi: 10.2196/60585.
Remote patient monitoring (RPM) aims to improve patient access to care and communication with clinical providers. Overall, understanding the usability of RPM applications and their influence on clinical care workflows is limited from the perspectives of clinician end users at a cancer center in the Northeastern United States.
This study aims to explore the usability and functionality of RPM and elicit the perceptions and experiences of oncology clinicians using RPM for oncology patients after hospital discharge.
The sample included 30 of 98 clinicians (31% response rate) managing at least 5 patients in the RPM program and responding to the mHealth usability between March 2021 and October 2021. Overall, clinicians responded positively to the survey. Item responses with the highest proportion of disagreement were explored further. A nested sample of 5 clinicians who responded to the study survey (30% response rate) participated in interview sessions conducted from November 2021 to February 2022, averaging 60 minutes each.
Survey responses highlighted that RPM was easy to use and learn and verified symptom alerts during follow-up phone calls. Areas to improve identified practice changes from reporting RPM alerts through digital portals and its influence on clinicians' workload burden. Interview sessions revealed 3 main themes: clinician understanding and usability constraints, patient constraints, and suggestions for improving the program. Subthemes for each theme were explored, characterizing technical and functional limitations that could be addressed to enhance efficiency, workflow, and user experience.
Clinicians support the value of RPM for improving symptom management and engaging with providers. Improvements to address RPM challenges include functional changes to enhance the program's utility, such as input from patients about temporal changes in their symptoms and technical resources for home monitoring devices.
远程患者监测（RPM）旨在改善患者获得医疗服务的机会以及与临床提供者的沟通。总体而言，从美国东北部一家癌症中心的临床医生终端用户的角度来看，对RPM应用程序的可用性及其对临床护理工作流程的影响的了解有限。
本研究旨在探讨RPM的可用性和功能，并了解肿瘤临床医生在出院后使用RPM为肿瘤患者提供服务的看法和经验。
样本包括98名临床医生中的30名（回复率31%），这些医生在RPM项目中管理至少5名患者，并在2021年3月至2021年10月期间对移动健康可用性进行了回复。总体而言，临床医生对调查的回复较为积极。对分歧比例最高的项目回复进行了进一步探讨。5名回复研究调查的临床医生组成的嵌套样本（回复率30%）参加了2021年11月至2022年2月进行的访谈，每次访谈平均60分钟。
调查回复突出表明，RPM易于使用和学习，并在后续电话随访中验证了症状警报。确定需要改进的领域包括通过数字门户报告RPM警报的实践变化及其对临床医生工作量负担的影响。访谈揭示了3个主要主题：临床医生的理解和可用性限制、患者限制以及改进该项目的建议。对每个主题的子主题进行了探讨，描述了可以解决的技术和功能限制，以提高效率、工作流程和用户体验。
临床医生支持RPM在改善症状管理和与提供者互动方面的价值。应对RPM挑战的改进措施包括功能改变，以提高该项目的效用，例如患者提供症状随时间变化的信息以及家庭监测设备的技术资源。
