Postsurgical Remote Patient Monitoring Outcomes and Perceptions: A Mixed-Methods Assessment

Spaulding, Aaron; Loomis, Erica A.; Brennan, Emily; Klein, Diane; Pierson, Karlyn; Willford, Rochelle; Hallbeck, M. Susan; Reisenauer, Janani

doi:10.1016/j.mayocpiqo.2022.09.005

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…However, which patient populations will benefit the most form RPM tools remains to be seen. A different team of researchers from Mayo conducted a RCT of RPM use after surgery between April and December 2021 ( 44 ). A total of 292 patients participated and 147 were randomized to RPM monitoring post-operatively.…”

Section: Resultsmentioning

confidence: 99%

“…In 2018, a meta-analysis of RPM RCTs found that is evidence supporting improved outcomes for patients with select conditions, including obstructive pulmonary disease, Parkinson’s disease, hypertension, and low back pain ( 68 ). In the PHE-era, RPM studies continue to show mixed results with improved outcomes for acute care of COVID-19 patients but no difference in post-operative care ( 43 , 44 ). As RPM use and adoption continues to increase, ongoing evaluations will be necessary to determine for which patients and conditions can RPM improve outcomes while understanding the implications on costs of care.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Overview of telehealth in the United States since the COVID-19 public health emergency: a narrative review

Andino¹,

Eyrich²,

Boxer³

2023

mHealth

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Background and Objective The coronavirus disease 2019 (COVID-19) public health emergency (PHE) resulted in rapid expansion and use of telehealth services. Regulatory and reimbursement flexibilities were put in place to ensure patients had continued access to care while the health system was overwhelmed by COVID-19 cases. These changes have allowed clinicians to use and researchers to evaluate telehealth in new ways. Methods This narrative review focuses on highlighting telehealth research and evaluation that took place from March 2020 to February 2023 in the outpatient setting of the United States healthcare system. Key Content and Findings The research conducted during the COVID-19 PHE shows that telehealth was primarily used as a substitute for in-person care, to maintain continuity of care for established patients, and has not had a negative impact on clinical outcomes or resulted in increasing healthcare costs. Conclusions Studies show high patient and physician satisfaction, similar clinical outcomes and suggest that telehealth is used as a substitute for in-person care. The findings of this narrative review have direct implications for key stakeholders using telehealth now and beyond the COVID-19 pandemic. Patients, physicians and providers, healthcare leaders and administrators, as well as policymakers should consider how telehealth should continue to be reimbursed and regulated even as the COVID-19 PHE expired in May 2023.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Overview of telehealth in the United States since the COVID-19 public health emergency: a narrative review

Andino¹,

Eyrich²,

Boxer³

2023

mHealth

View full text Add to dashboard Cite

show abstract

“…Some studies show that an increase in monitoring and management strategies like phone applications decreases the number of readmissions after several types of surgery [ 18 , 19 ]. However, others show that monitoring or reduction in LOS do not affect readmission rates [ 8 , 20 ]. This includes a study by Smithson et al.…”

Section: Discussionmentioning

confidence: 99%