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Remote patient monitoring

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401:. Many of the studies conducted on telehealth have focused on the effectiveness in rural or remote communities so an article published by plos one looked at a study done focusing on the effectiveness of telehealth in the prison system. This review looked at 29 different studies that all utilized telehealth in the prison slightly different. The parameters and interventions delivered varied causing the outcomes to vary. The overall systemic review provided mixed evidence on the impact and outcomes of telehealth usage in prisons. Considering the fact, the world population is growing this means so is the prison population which also means the spectrum of health issues is also broadening. This being the main reason for these studies to have been conducted. This leads to the conclusion that more testing and studies must be completed too fully determine the effectiveness in patient outcomes. There was definitely evidence in the studies showing a positive effect from telehealth in the prison system and it did in some cases prove to be effective with positive impacts. It also showed in some cases to be just as effective as normal conventional care. The study stated that the idea to consider is what is being treated and what the context of the situation being addressed is. If the situation is critical, then other measures or responses may be necessary. 163:
study researching if telehealth is cost effective for the patient in the comfort of their home. Langabeer et al. (2017), stated that this study's method was to utilize telehealth resources when people called 911 and EMS responded. Once EMS was on scene, they would pull up a virtual system putting them in direct contact with an emergency department provider at the hospital. The provider was then able to triage the patient at the scene of the call and determine the best course of treatment potentially being no transport to the hospital. This in turn is more cost efficient for the patients and the medical providers both. This showed to be helpful in-patient outcomes because the provider was able to determine the critical level of the patient therefore allowing them to determine the best course of action at an earlier time.
229:. The data are transmitted to healthcare providers or third parties via wireless telecommunication devices. The data are evaluated for potential problems by a healthcare professional or via a clinical decision support algorithm, and patient, caregivers, and health providers are immediately alerted if a problem is detected. As a result, timely intervention ensures positive patient outcomes. The newer applications also provide education, test and medication reminder alerts, and a means of communication between the patient and the provider. The following section illustrates examples of RPM applications, but RPM is not limited to those disease states 585:
feasible type of care for elderly people at home, especially during a difficult period like the ongoing COVID-19 pandemic, it is difficult for physicians to maintain control over their care while not under their supervision. The lack of standardization of RPM nomenclature and definition makes it difficult to differentiate between different forms of patient monitoring involving technology. Different forms of RPM have varying effectiveness, with researchers supporting more resources going towards developing technologies which counter the pitfalls of these methods.
580:, a randomized controlled trial involving congestive heart failure patients concluded that the use of telemonitoring failed to provide a benefit over usual care. The telemonitoring patient group was instructed to call a designated number daily, and answer a series of questions about their symptoms using a keypad. Clearly, the process described by Chaudhry et al. (2010) differs from the RPM methodology illustrated in the overview, which involves actual collection and transmission of physiological data through point-of-care devices. With articles from 25: 70: 298: 255: 410:
disorder, cancer and palliative care. VHA's findings indicate improvements in a wide range of metrics, including decrease in emergency department visits, hospitalizations, and nursing home admissions. Findings from the VHA Care Coordination/Home Telehealth program show that RPM deployment resulted in significant savings to the organization.
62:) is a technology to enable monitoring of patients outside of conventional clinical settings, such as in the home or in a remote area, which may increase access to care and decrease healthcare delivery costs. RPM involves the constant remote care of patients by their physicians, often to track physical symptoms, 584:
associating RPM with the negative findings by Chaudhry et al. (2010), it may be difficult to clear the misconception that telemonitoring is synonymous with remote patient monitoring. Researchers at the Semnan University of Medical Science have determined that while Remote Patient Monitoring is a more
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RPM is highly dependent on the individual's motivation to manage their health. Without the patient's willingness to be an active participant in their care, RPM implementation will likely fail. The shift of accountability associated with RPM brings up liability issues. There are no clear guidelines in
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that are at risk for falls, RPM technology promotes safety and prevents harm through continuous surveillance. RPM sensors can be affixed to the individual or their assistive mobility devices such as canes and walkers. The sensors monitor an individual's location, gait, linear acceleration and angular
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A recent study of a remote patient monitoring solution for infertility demonstrated that for appropriately screened patients who had been seeking In-Vitro Fertilization (IVF) treatment, a six-month remote monitoring program had the same pregnancy rate as a cycle of IVF. The remote patient monitoring
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The RPM has improved the life expectancy of Cancer Patients up to 20%. Remote patient monitoring devices help in early interventions, prescriptions, chemotherapy modifications, etc. RPM has helped in reducing Cancer emergency room visits or prolonged chemotherapy treatments. It is estimated that the
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that are used for remote patient monitoring through apps, have to be considered Category I (low risk) or IIa (low-medium risk) to be eligible. Telehealth and coaching, even when combined with remote patient monitoring through wearables, is not directly covered by the DiGA directive, but needs to be
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Not much evidence has been able to support whether or not telehealth is more cost effective or not. There is some research showing that it can be a less expensive way for doctors to provide care because they aren't using any of their physical resources on the patient. Sage journals published a case
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to handle the information, which may, in fact, increase the workload. Although technology is introduced with the intent to increase efficiency, it can become a barrier to some healthcare providers that are not technological. There are common obstacles that health informatics technologies encounter
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Key features of RPM, like remote monitoring and trend analysis of physiological parameters, enable early detection of deterioration; thereby reducing emergency department visits, hospitalizations, and the duration of hospital stays. While technologies are continually being developed to tackle this
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The Veterans Health Administration (VHA), United States' largest integrated healthcare system, is an early adopter which became highly involved in the implementation and evaluation of RPM technologies. It has expanded use of RPM beyond common chronic disease applications, to post-traumatic stress
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to use virtual care. By 2025, the Remote Patient Monitoring industry is expected to double, due to factors such as the COVID-19 pandemic and increased at-home care. Use of Remote Patient Monitoring has been proven to ultimately provide better patient compliance and improved physician management,
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Research on the use of Remote Patient Monitoring technologies has helped determine that further development of telehealth ecosystems, in which physicians can give recommendations and means of care while also receiving transmitted health information, can lead to better patient outcomes and higher
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are among the large private U.S. private health insurance companies that offer members to track certain health data, such as blood pressure, glucose values and other metrics, and send them to their virtual primary care providers who can review the data during patient visits. Some of these plans
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and Micheal McGillion, split 905 patients between a standard of care group and a RPM group, which used at-home clinical grade vital sign devices to transfer their vital signs to a Clinician Portal where they were monitored remotely and could communicate through text, chat, or video calls. The
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patients post-discharge from hospital and those with mild to moderate oxygen desaturation levels that do not require hospitalization, and patients with long-COVID symptoms. Due to the nature of the pandemic, RPM is a necessary means of providing care to at-risk patients such as elderly or
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Darkins A, Ryan P, Kobb R, Foster L, Edmonson E, Wakefield B, Lancaster AE (December 2008). "Care Coordination/Home Telehealth: the systematic implementation of health informatics, home telehealth, and disease management to support the care of veteran patients with chronic conditions".
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created monitoring systems for rural communities in order to provide better healthcare to isolated regions. Literature related to Remote Patient Monitoring suggests that interventions based on health behavior models, care pathways, and personalized coaching lead to the best outcomes.
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Use of RPM among patients with cancer has been proven to improve outcomes overall, with studies showing improvements in re-hospitalization rates and decreased healthcare resource usage. These remote monitoring technologies help to lower severity of pain as well as improving
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When compared to standard of care with no devices, a 2021 study showed that post-surgical remote patient monitoring detected 30% more medication errors, 10-14% reduction in patient paint, and a 5% reduction in hospital re-admissions. The randomized study, conducted by
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issues of RPM, including the likelihood of hacks which could pull personal medical data. Additionally, most remote monitoring devices are limited to single-user applications, and could be expanded in the future for better inclusion of multi-user technologies.
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monitored, RPM involves a diverse selection of devices in its implementation. Standardization is required for data exchange and interoperability among multiple components. Furthermore, RPM deployment is highly dependent on an extensive
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Pritchett, Joshua C.; Borah, Bijan J.; Desai, Aakash P.; Xie, Zhuoer; Saliba, Antoine N.; Leventakos, Konstantinos; Coffey, Jordan D.; Pearson, Kristina K.; Speicher, Leigh L.; Orenstein, Robert; Virk, Abinash (September 2021).
289:, RPM may contribute to increased patient knowledge, earlier interventions, and shared decision making. However, the evidence is varying and issues of cost, and the shift of responsibilities to patients have also been raised. 337:
enables immediate alerts for patient and healthcare providers to intervene when needed. There is evidence to show that daily diabetes management involving RPM is just as effective as usual clinic visit every 3 months.
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fully covers doctors and other medical staff receiving payment for RPM patient setup and training. This is then followed by a fixed monthly amount for operating health monitoring devices and logging patient readings.
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Chausiaux O, Hayes J, Long C, Morris S, Williams G, Husheer S (2011). "Pregnancy Prognosis in Infertile Couples on the DuoFertility Programme Compared with In Vitro Fertilisation/Intracytoplasmic Sperm Injection".
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Digital health applications (known as DiGA in German: "Digitale Gesundheitsanwendungen") have been eligible for nationwide insurance coverage since the end of 2019 through a fast-track application process.
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McGillion, Michael H; Parlow, Joel; Borges, Flavia K; Marcucci, Maura; Jacka, Michael; Adili, Anthony; Lalu, Manoj M; Ouellette, Carley; Bird, Marissa; Ofori, Sandra; Roshanov, Pavel S (2021-09-30).
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velocity, and utilize a mathematical algorithm to predict the likelihood for falls, detect movement changes, and alert caregivers if the individual has fallen. Furthermore, tracking capabilities via
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McGillion, Michael H.; Parlow, Joel; Borges, Flavia K.; Marcucci, Maura; Jacka, Michael; Adili, Anthony; Lalu, Manoj M.; Yang, Homer; Patel, Ameen; O'Leary, Susan; Tandon, Vikas (2021-01-01).
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The diverse applications of RPM lead to numerous variations of RPM technology architecture. However, most RPM technologies follow a general architecture that consists of four components.:
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product and service used had a cost-per-patient of $ 800, compared to the average cost of a cycle of IVF of $ 15,000, suggesting a 95% reduction in the cost of care for the same outcome.
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Both patients and care providers can access the RPM record anytime from anywhere. Instantaneous access is helpful in making accurate health decisions and improves clinical operations.
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The FDA has given emergency authorized use of RPM technologies for the purpose of decreasing the spread of COVID-19 and to prevent overload for healthcare resources and personnel.
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respect to whether clinicians have to intervene every time they receive an alert regardless of the urgency. The continuous flow of patient data requires a dedicated team of
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Martínez A, Everss E, Rojo-Alvarez JL, Figal DP, García-Alberola A (2006). "A systematic review of the literature on home monitoring for patients with heart failure".
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infrastructure, which may not be available or feasible in rural areas. Since RPM involves transmission of sensitive patient data across telecommunication networks,
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Cafazzo JA, Leonard K, Easty AC, Rossos PG, Chan CT (8 September 2008). "Bridging the self-care deficit gap: Remote patient monitoring and the hospital-at-home.".
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patient satisfaction. Researchers also note that Remote Patient Monitoring will become more important as healthcare changes from a volume focus to a value focus.
2681: 89:, by allowing patients to maintain independence, prevent complications, and to minimize personal costs. RPM facilitates these goals by delivering care through 810:
Coye MJ, Haselkorn A, DeMello S (2009). "Remote patient management: technology-enabled innovation and evolving business models for chronic disease care".
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RPM helps in faster decision-making. RPM collects, improves, and analyzes data promptly, which is time-saving. Report-making has become easy through RPM.
354:, improves patient-provider relationships, shortens duration of stay in hospitals, decreases mortality rate, and reduces costs to the healthcare system. 2453: 1931:"Post-discharge after surgery Virtual Care with Remote Automated Monitoring-1 (PVC-RAM-1) technology versus standard care: randomised controlled trial" 2407: 1162:
Langabeer, James R; Champagne-Langabeer, Tiffany; Alqusairi, Diaa; Kim, Junghyun; Jackson, Adria; Persse, David; Gonzalez, Michael (September 2017).
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during the latter 1980s. Working with Doctors Oscar W. Boultinghouse and Michael J. Davis, from the early 1990s to 2007, Glenn G. Hammack led the
2015: 1647:"Patient expectations and experiences of remote monitoring for chronic diseases: Systematic review and thematic synthesis of qualitative studies" 1582:"Pediatric Teleheath: Opportunities Created by the COVID-19 and Suggestions to Sustain Its Use to Support Families of Children with Disabilities" 274:
Studies show that the use of RPM during the pandemic has helped to reduce hospitalizations and decrease the use of acute care resources.
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Depending on the disease and the parameters that are monitored, different combinations of sensors, storage, and applications may be deployed.
2041:"Post Discharge after Surgery Virtual Care with Remote Automated Monitoring Technology (PVC-RAM): protocol for a randomized controlled trial" 1081: 723: 286: 398: 2356: 2966: 201:
Diagnostic application software that develops treatment recommendations and intervention alerts based on the analysis of collected data.
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Local data storage at patients' site that interfaces between sensors and other centralized data repository and/or healthcare providers.
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The UK's Department of Health's Whole System Demonstrator (WSD) launched in May 2008. It is the largest randomised control trial of
390: 1688:"Remote Patient Monitoring Technologies for Predicting Chronic Obstructive Pulmonary Disease Exacerbations: Review and Comparison" 381:
and McGillion) are now conducting two follow-up studies (PVC-RAM 2 and PVC-RAM 3) to investigate secondary findings of PVC RAM1.
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Centralized repository to store data sent from sensors, local data storage, diagnostic applications, and/or healthcare providers.
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O'Donoghue J, Herbert J (2012). "Data Management within mHealth Environments: Patient Sensors, Mobile Devices, and Databases".
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can connect back to a central database by WiFi or cellular communication protocols depending on the manufacturer.
1465:"Remote patient monitoring in peritoneal dialysis helps reduce risk of hospitalization during Covid-19 pandemic" 217:
and subjective patient data are collected by sensors on peripheral devices. Examples of peripheral devices are:
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and telecare would be extended over the next five years (2012-2017) to reach three million people.
218: 93:. This form of patient monitoring can be particularly important when patients are managing complex 1512:
Annis T, Pleasants S, Hultman G, Lindemann E, Thompson JA, Billecke S, et al. (August 2020).
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Use of Remote Patient Monitoring reduces face-to-face interactions between physician and patient
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Chaudhry SI, Mattera JA, Curtis JP, Spertus JA, Herrin J, Lin Z, et al. (December 2010).
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Shigekawa, Erin; Fix, Margaret; Corbett, Garen; Roby, Dylan H.; Coffman, Janet (2018-12-01).
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Ong MK, Romano PS, Edgington S, Aronow HU, Auerbach AD, Black JT, et al. (March 2016).
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and telecare in the world, involving 6191 patients and 238 GP practices across three sites,
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Pritchett JC, Borah BJ, Desai AP, Xie Z, Saliba AN, Leventakos K, et al. (June 2021).
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on a device that is enabled by wireless communications to measure physiological parameters.
2981: 2910: 351: 132:, Remote Patient Monitoring has been used extensively and allowed for more fields such as 106: 86: 82: 77:
are continually updated with new Remote Monitoring technologies such as heartbeat monitors
2408:"Reimbursements for Remote Patient Monitoring: How to Use Them to Raise Practice Revenue" 389:
A forerunner to RPM, Florida first experimented with "primitive" telemedicine use in its
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Noah B, Keller MS, Mosadeghi S, Stein L, Johl S, Delshad S, et al. (January 2018).
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Please help update this article to reflect recent events or newly available information.
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Tian, Esther Jie; Venugopalan, Sooraj; Kumar, Saravana; Beard, Matthew (2021-05-17).
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In the UK, the Government's Care Services minister, Paul Burstow, has stated that
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type of health care, physicians may utilize basic communication methods such as
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Chase HP, Pearson JA, Wightman C, Roberts MD, Oderberg AD, Garg SK (May 2003).
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include coverage of the use of medical devices for remote patient monitoring.
482: 419: 226: 137: 133: 74: 2391: 2374: 2251: 2064: 1954: 1615: 1431: 1244: 1189: 1180: 1163: 1132: 823: 2788: 2614:"COVID-19: Pros and cons of different caring techniques of elderly patients" 1930: 1529: 785: 753:"Technologies for remote patient monitoring in older adults: Position paper" 254: 94: 2649: 2560: 2305: 2269: 2171: 2082: 2056: 2040: 1972: 1860: 1815: 1774: 1739:"Does remote patient monitoring reduce acute care use? A systematic review" 1723: 1672: 1623: 1547: 1498: 1449: 1391: 1342: 1252: 1197: 1140: 1031: 982: 930: 831: 692: 2542: 2375:"Exploring a New Security Framework for Remote Patient Monitoring Devices" 2297: 2120: 1373: 634:"How COVID-19 Affects the Telehealth, Remote Patient Monitoring Landscape" 1123: 536: 431: 326: 306: 263: 246:
hospitalization rate of patients with RPM is 2.8% and without RPM is 13%
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Technology to monitor patients outside of conventional clinical settings
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Taylor ML, Thomas EE, Snoswell CL, Smith AC, Caffery LJ (March 2021).
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Fusion trends & opportunities medical devices and communications
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Pilot programs for Remote Patient Monitoring began in 1970s when
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Ekeland, Anne G.; Bowes, Alison; Flottorp, Signe (2010-11-01).
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real-time delivery of blood glucose and blood pressure readings
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Bayliss EA, Steiner JF, Fernald DH, Crane LA, Main DS (2003).
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A systematic review of the literature on home monitoring for
869:"The History of Remote Monitoring, Telemedicine Technology" 758:. Oakland, CA: Center for Technology and Aging. April 2010. 2433:"Cigna's MDLIVE Deploys Remote Patient Monitoring Program" 1221:"The Current State Of Telehealth Evidence: A Rapid Review" 1164:"Cost–benefit analysis of telehealth in pre-hospital care" 1561:
Center for Devices and Radiological Health (2021-07-15).
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Fan KG, Mandel J, Agnihotri P, Tai-Seale M (May 2020).
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Journal of the American Medical Informatics Association
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Walker RC, Tong A, Howard K, Palmer SC (April 2019).
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management may significantly improve an individual's
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Scarpioni R, Manini A, Chiappini P (December 2020).
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management requires control of multiple parameters:
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Health Insurance Portability and Accountability Act
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Please Log On" 1651:International Journal of Medical Informatics 1580:Camden, Chantal; Silva, Mindy (2021-01-02). 1103:International Journal of Medical Informatics 942: 940: 281:Chronic Obstructive Pulmonary Disease (COPD) 890: 888: 854:In ICT Critical Infrastructures and Society 539:also covers these procedures in 34 states. 2682: 2668: 2660: 2373:Ondiege B, Clarke M, Mapp G (March 2017). 2639: 2629: 2618:Journal of Education and Health Promotion 2550: 2390: 2259: 2241: 2161: 2156:(5). The PEW Charitable Trusts: A15–A17. 2072: 1962: 1850: 1805: 1764: 1754: 1713: 1703: 1662: 1605: 1537: 1488: 1439: 1381: 1332: 1322: 1289:(Report). Connecticut: NERAC Publication. 1179: 1122: 1070:Kuhn K, Warren J, Leong TZ, eds. (2007). 1021: 972: 920: 845:Vavilis S, Petković M, Zannone N (2012). 682: 1276: 1274: 1272: 1270: 953:Clinical Gastroenterology and Hepatology 747: 745: 743: 741: 739: 737: 735: 2520: 2518: 621: 805: 803: 499:that applies to RPM. Depending on the 2842:Health information on Knowledge (XXG) 1984: 1982: 1924: 1922: 1909:European Obstetrics & Gynaecology 1281:Smith T, Sweeney R (September 2010). 465:20% reduction in emergency admissions 414:Whole System Demonstrator Trial in UK 350:patients indicates that RPM improves 287:chronic obstructive pulmonary disease 7: 1831:Journal of Telemedicine and Telecare 1168:Journal of Telemedicine and Telecare 471:14% reduction in elective admissions 2531:The New England Journal of Medicine 947:Riaz MS, Atreja A (December 2016). 2834:Health information on the Internet 2431:Vaidya, Anuja (January 31, 2022). 847:"Impact of ICT on home healthcare" 395:University of Texas Medical Branch 14: 2355:. 19 January 2012. Archived from 2286:Telemedicine Journal and e-Health 2163:10.1016/j.annemergmed.2010.09.008 333:, weight, and blood glucose. The 66:, or post-hospitalization rehab. 2454:"BfArM — Interesting facts" 462:45% reduction in mortality rates 434:. The trials were evaluated by: 141:while decreasing costs of care. 23: 2967:Open-source healthcare software 2593:Krumholz H (19 November 2010). 2574:Langreth R (18 November 2010). 1989:Leighanne, Evans (2021-10-20). 1014:10.1001/jamainternmed.2015.7712 867:Gruessner V (9 November 2015). 774:J. Data and Information Quality 578:New England Journal of Medicine 468:15% reduction in A&E visits 2191:Freudenheim M (May 29, 2010). 1664:10.1016/j.ijmedinf.2019.01.013 1115:10.1016/j.ijmedinf.2010.08.006 632:Wicklund E, ed. (4 May 2021). 405:Veterans Health Administration 385:Telemedicine in prison systems 1: 2144:Illove M (January 21, 2016). 2014:Kate, Bueckert (2021-10-26). 1598:10.1080/01942638.2020.1825032 2243:10.1371/journal.pone.0251840 2150:Annals of Emergency Medicine 477:8% reduction in tariff costs 2784:Doctor–patient relationship 2691:Telemedicine and telehealth 2406:Bowman, Jeff (2023-02-07). 1756:10.1136/bmjopen-2020-040232 1045:Jercich K (5 August 2020). 716:10.1007/978-3-642-00413-1_8 506:wireless telecommunications 213:Physiological data such as 113:, or even landline phones. 3024: 2819:Patient Activation Measure 1843:10.1258/135763306777889109 1481:10.1007/s40620-020-00822-0 1237:10.1377/hlthaff.2018.05132 456:London School of Economics 2891:Remote patient monitoring 2631:10.4103/jehp.jehp_1536_20 2353:U.K. Department of Health 2335:U.K. Department of Health 1807:10.2337/diacare.26.5.1475 965:10.1016/j.cgh.2016.05.009 913:10.1038/s41746-017-0002-4 663:Annals of Family Medicine 474:14% reduction in bed days 316:global positioning system 301:Telehealth Response Watch 56:Remote patient monitoring 32:This article needs to be 2847:Online patient education 2751:Electronic health record 2511:: 16. September 4, 2023. 2392:10.3390/computers6010011 1692:JMIR mHealth and uHealth 1181:10.1177/1357633X16680541 824:10.1377/hlthaff.28.1.126 444:University of Manchester 342:Congestive heart failure 175:Technological components 786:10.1145/2378016.2378021 452:Imperial College London 97:processes such as home 2972:Patient opinion leader 2824:Shared decision-making 2761:Personal health record 2057:10.9778/cmajo.20200176 1002:JAMA Internal Medicine 436:City University London 302: 259: 78: 2804:Knowledge translation 2771:Patient participation 2543:10.1056/nejmoa1010029 2298:10.1089/tmj.2008.0021 1530:10.1093/jamia/ocaa097 1469:Journal of Nephrology 1412:JCO Oncology Practice 1374:10.4081/oncol.2012.e7 1311:JCO Oncology Practice 496:health care providers 300: 257: 81:Incorporating RPM in 72: 2977:Research participant 2097:"ClinicalTrials.gov" 901:npj Digital Medicine 510:information security 440:University of Oxford 2698:Background concepts 2359:on 19 January 2012. 2234:2021PLoSO..1651840T 1424:10.1200/OP.21.00307 1324:10.1200/OP.21.00307 873:mHealthIntelligence 638:mHealthIntelligence 399:Texas state prisons 219:blood pressure cuff 158:Cost-effectiveness. 145:Key features of RPM 3003:Medical monitoring 2951:Telerehabilitation 2705:Health informatics 2197:The New York Times 2101:ClinicalTrials.gov 1887:Telehealth at Home 1418:(9): e1293–e1302. 1317:(9): e1293–e1302. 1051:Healthcare IT News 305:For patients with 303: 293:Dementia and falls 285:For patients with 260: 91:telecommunications 79: 64:chronic conditions 2990: 2989: 2926:Teleophthalmology 2916:Telemental health 2901:Tele-epidemiology 2746:De-identification 2718:Telecommunication 1947:10.1136/bmj.n2209 1231:(12): 1975–1982. 1083:978-1-58603-774-1 959:(12): 1697–1705. 725:978-3-642-00413-1 576:Published by the 551:UnitedHealth Care 269:immunocompromised 130:COVID-19 pandemic 118:Kaiser Permanente 53: 52: 3015: 2799:Health education 2684: 2677: 2670: 2661: 2654: 2653: 2643: 2633: 2609: 2603: 2602: 2590: 2584: 2583: 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Index

chronic conditions

smartwatches
chronic-disease
quality of life
telecommunications
self-care
hemodialysis
Zoom
Snapchat
Kaiser Permanente
COVID-19 pandemic
psychology
cardiology
Sensors
Sensors
blood pressure
blood pressure cuff
pulse oximeter
glucometer
depression

COVID-19
immunocompromised
chronic obstructive pulmonary disease

dementia
Wi-Fi
global positioning system
Diabetes

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