Evidence map›Paper›PMID 37498668›Full record

ArticleJMIR human factors2023

Operational Implementation of Remote Patient Monitoring Within a Large Ambulatory Health System: Multimethod Qualitative Case Study.

Katharine Lawrence, Nina Singh, Zoe Jonassen, Lisa L Groom, Veronica Alfaro Arias, Soumik Mandal, Antoinette Schoenthaler, Devin Mann, Oded Nov, Graham Dove

Abstract read
In one paragraph

Article in JMIR human factors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. National Patterns of Remote Patient Monitoring Service Availability at US Hospitals.Circulation. Cardiovascular quality and outcomes · 2025
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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

10 authors.

Katharine Lawrence *Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0001-5640-2138
Nina Singh *Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0002-4623-2451
Zoe Jonassen *Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0002-3780-3267
Lisa L Groom *Rory Meyers College of Nursing, New York University, New York, NY, United States.ORCID https://orcid.org/0000-0002-7075-0216
Veronica Alfaro Arias *Medical Center Information Technology, NYU Langone Health, New York, NY, United States.ORCID https://orcid.org/0009-0003-7825-2152
Soumik Mandal *Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0003-3602-703X
Antoinette Schoenthaler *Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0003-4905-5136
Devin Mann *Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0002-2099-0852
Oded Nov *Tandon School of Engineering, New York University, New York, NY, United States.ORCID https://orcid.org/0000-0001-6410-2995
Graham Dove *Tandon School of Engineering, New York University, New York, NY, United States.ORCID https://orcid.org/0000-0002-3551-0209

Funding

Bridging the evidence-to-practice gap: Evaluating practice facilitation as a strategy to accelerate translation of a systems-level adherence intervention into safety net practicesR01MD013769 · NIMHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI OGEDEGBE, OLUGBENGA G., ROSAL, MILAGROS C · 2019 to 2023
$5.2M
NIMHD NIH HHS R01 MD013769
6 · The paper itself

Abstract

backgroundRemote patient monitoring (RPM) technologies can support patients living with chronic conditions through self-monitoring of physiological measures and enhance clinicians' diagnostic and treatment decisions. However, to date, large-scale pragmatic RPM implementation within health systems has been limited, and understanding of the impacts of RPM technologies on clinical workflows and care experience is lacking.

objectiveIn this study, we evaluate the early implementation of operational RPM initiatives for chronic disease management within the ambulatory network of an academic medical center in New York City, focusing on the experiences of "early adopter" clinicians and patients.

methodsUsing a multimethod qualitative approach, we conducted (1) interviews with 13 clinicians across 9 specialties considered as early adopters and supporters of RPM and (2) speculative design sessions exploring the future of RPM in clinical care with 21 patients and patient representatives, to better understand experiences, preferences, and expectations of pragmatic RPM use for health care delivery.

resultsWe identified themes relevant to RPM implementation within the following areas: (1) data collection and practices, including impacts of taking real-world measures and issues of data sharing, security, and privacy; (2) proactive and preventive care, including proactive and preventive monitoring, and proactive interventions and support; and (3) health disparities and equity, including tailored and flexible care and implicit bias. We also identified evidence for mitigation and support to address challenges in each of these areas.

conclusionsThis study highlights the unique contexts, perceptions, and challenges regarding the deployment of RPM in clinical practice, including its potential implications for clinical workflows and work experiences. Based on these findings, we offer implementation and design recommendations for health systems interested in deploying RPM-enabled health care.

Indexed as

digital healthhuman-centered designhuman-computer interactionimplementation scienceremote patient monitoringRPM

Identifiers

PMID37498668
PMCPMC10415949

What OpenQuestion holds

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LicenceCC BY
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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.