Patient and clinician perspectives of a remote monitoring program for COVID-19 and lessons for future programs

BMC Health Services Research

Research

Medha Ghosh¹  Julianne Reilly¹  Jeffrey P. Ebert¹  Dina Abdel-Rahman¹  Jessica E. Hemmons¹  Deena L. Chisholm¹  Christopher K. Snider²  Kathleen C. Lee³  Sheila Kelly⁴  Ruiying A. Xiong⁵  Anna U. Morgan⁶  David A. Asch⁷  Judy A. Shea⁸  Krisda H. Chaiyachati⁹  Austin S. Kilaru^1,10  Zachary F. Meisel^1,11  M. Kit Delgado^1,12  Ari B. Friedman^1,13  Maria N. Nelson^1,14  Michaela Ward^1,14  Zoe Barbati^1,14 

[1] Center for Emergency Care Policy and Research, Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Center for Health Care Innovation, University of Pennsylvania Health System, Philadelphia, PA, USA;Comcast NBCUniversal in Philadelphia, Philadelphia, PA, USA;Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Center for Emergency Care Policy and Research, Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;The Center for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, PA, USA;Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Center for Health Care Innovation, University of Pennsylvania Health System, Philadelphia, PA, USA;Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Center for Health Care Innovation, University of Pennsylvania Health System, Philadelphia, PA, USA;The Center for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, PA, USA;Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA;Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA;Center for Health Care Innovation, University of Pennsylvania Health System, Philadelphia, PA, USA;Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA;Center for Emergency Care Policy and Research, Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA;Center for Emergency Care Policy and Research, Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Penn Injury Science Center, University of Pennsylvania, Philadelphia, PA, USA;Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA;Center for Health Care Innovation, University of Pennsylvania Health System, Philadelphia, PA, USA;Center for Emergency Care Policy and Research, Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;The Center for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, PA, USA;Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA;The Center for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, PA, USA;Mixed Methods Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;

关键词: Remote patient monitoring;    COVID-19;    Patient perspectives;    Clinician perspectives;    Telehealth;    Pulse oximetry;   

DOI  :  10.1186/s12913-023-09684-1

 received in 2022-11-03, accepted in 2023-06-11,  发布年份 2023

来源: Springer

【 摘 要 】

COVID Watch is a remote patient monitoring program implemented during the pandemic to support home dwelling patients with COVID-19. The program conferred a large survival advantage. We conducted semi-structured interviews of 85 patients and clinicians using COVID Watch to understand how to design such programs even better. Patients and clinicians found COVID Watch to be comforting and beneficial, but both groups desired more clarity about the purpose and timing of enrollment and alternatives to text-messages to adapt to patients’ preferences as these may have limited engagement and enrollment among marginalized patient populations. Because inclusiveness and equity are important elements of programmatic success, future programs will need flexible and multi-channel human-to-human communication pathways for complex clinical interactions or for patients who do not desire tech-first approaches.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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Fig. 21