Evidence map›Paper›PMID 24731239›Full record

SynthesisTelemedicine journal and e-health : the official journal of the American Telemedicine Association2014

A systematic review of clinician and staff views on the acceptability of incorporating remote monitoring technology into primary care.

Melinda M Davis, Michele Freeman, Jeffrey Kaye, Nancy Vuckovic, David I Buckley

Abstract readSystematic Review
In one paragraph

Synthesis in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  9. Remote Patient Monitoring via Non-Invasive Digital Technologies: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Melinda M Davis1 Oregon Rural Practice-Based Research Network, Oregon Health & Science University , Portland, Oregon.
Michele Freeman
Jeffrey Kaye
Nancy Vuckovic
David I Buckley

Funding

OREGON CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024140 · NCRR · OREGON HEALTH & SCIENCE UNIVERSITY · PI ORWOLL, ERIC S. · 2006 to 2011
$61.1M
Outreach, Recruitment and Education CoreP30AG008017 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI WOLTJER, RANDALL L · 1990 to 2019
$27.7M
Pilot CoreP30AG024978 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KAYE, JEFFREY A · 2004 to 2023
$9.0M
NCRR NIH HHS 1 UL1 RR024140 01NIA NIH HHS P30 AG008017NIA NIH HHS P30AG008017NIA NIH HHS P30 AG024978NIA NIH HHS P30AG024978
6 · The paper itself

Abstract

objectiveRemote monitoring technology (RMT) may enhance healthcare quality and reduce costs. RMT adoption depends on perceptions of the end-user (e.g., patients, caregivers, healthcare providers). We conducted a systematic review exploring the acceptability and feasibility of RMT use in routine adult patient care, from the perspectives of primary care clinicians, administrators, and clinic staff. MATERIALS AND

methodsWe searched the databases of Medline, IEEE Xplore, and Compendex for original articles published from January 1996 through February 2013. We manually screened bibliographies of pertinent studies and consulted experts to identify English-language studies meeting our inclusion criteria.

resultsOf 939 citations identified, 15 studies reported in 16 publications met inclusion criteria. Studies were heterogeneous by country, type of RMT used, patient and provider characteristics, and method of implementation and evaluation. Clinicians, staff, and administrators generally held positive views about RMTs. Concerns emerged regarding clinical relevance of RMT data, changing clinical roles and patterns of care (e.g., reduced quality of care from fewer patient visits, overtreatment), insufficient staffing or time to monitor and discuss RMT data, data incompatibility with a clinic's electronic health record (EHR), and unclear legal liability regarding response protocols.

conclusionsThis small body of heterogeneous literature suggests that for RMTs to be adopted in primary care, researchers and developers must ensure clinical relevance, support adequate infrastructure, streamline data transmission into EHR systems, attend to changing care patterns and professional roles, and clarify response protocols. There is a critical need to engage end-users in the development and implementation of RMT.

Indexed as

Attitude of Health PersonnelQuality of Health CareAdultCost SavingsElectronic Health RecordsFemaleHealth PersonnelHealth Services AccessibilityHumansMaleMiddle AgedMonitoring, PhysiologicPractice Patterns, Physicians'Primary Health CareRemote ConsultationRural Health Services

Identifiers

PMID24731239
PMCPMC4011427

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.