Evidence map›Paper›PMID 38653884›Full record

ArticleJournal of general internal medicine2024

Challenges and Facilitators in Implementing Remote Patient Monitoring Programs in Primary Care.

Ruth Hailu, Jessica Sousa, Mitchell Tang, Ateev Mehrotra, Lori Uscher-Pines

Open access · hybridAbstract read
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
14.1field-weighted citation impact, top 1% of its field
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

22 citing papers in PubMed, 26 citations in OpenAlex.

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  11. The Future of Remote Patient Monitoring.Journal of general internal medicine · 2025
    Article
  12. Revisiting the rural and urban divide in hospital health information technology adoption: Evidence from 2023.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 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

5 authors at 2 institutions in 1 country.

Ruth HailuDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Jessica SousaRAND Corporation, Arlington, VA, USA.
Mitchell TangDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Ateev MehrotraDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Lori Uscher-PinesRAND Corporation, Arlington, VA, USA. luscherp@rand.org.
Harvard University · USRAND Corporation · US

Funding

The Impact of Telestroke on Patterns of Care and Long-Term OutcomesR01NS111952 · NINDS · HARVARD MEDICAL SCHOOL · PI MEHROTRA, ATEEV · 2019 to 2023
$2.4M
NINDS NIH HHS R01 NS111952
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic resulted in greater use of remote patient monitoring (RPM). However, the use of RPM has been modest compared to other forms of telehealth.

objectiveTo identify and describe barriers to the implementation of RPM among primary care physicians (PCPs) that may be constraining its growth.

designWe conducted 20 semi-structured interviews with PCPs across the USA who adopted RPM. Interview questions focused on implementation facilitators and barriers and RPM's impact on quality. We conducted thematic analysis of semi-structured interviews using both inductive and deductive approaches. The analysis was informed by the NASSS (non-adoption and abandonment and challenges to scale-up, spread, and sustainability) framework.

participantsPCPs who practiced at least 10 h per week in an outpatient setting, served adults, and monitored blood pressure and/or blood glucose levels with automatic transmission of data with at least 3 patients. KEY

resultsWhile PCPs generally agreed that RPM improved quality of care for their patients, many identified barriers to adoption and maintenance of RPM programs. Challenges included difficulties handling the influx of data and establishing a manageable workflow, along with digital and health literacy barriers. In addition to these barriers, many PCPs did not believe RPM was profitable.

conclusionsTo encourage ongoing growth of RPM, it will be necessary to address implementation barriers through changes in payment policy, training and education in digital and health literacy, improvements in staff roles and workflows, and new strategies to ensure equitable access.

Indexed as

COVID-19Primary Health CareTelemedicineAdultAttitude of Health PersonnelFemaleHumansMaleMiddle AgedMonitoring, PhysiologicPhysicians, Primary CareSARS-CoV-2United States

Identifiers

PMID38653884
PMCPMC11436674
OpenAlexW4395029531

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.