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Implementation of digital home monitoring and management of respiratory disease
Digital respiratory monitoring interventions (e.g. smart inhalers and digital spirometers) can improve clinical outcomes and/or organizational efficiency, and the focus is shifting to sustainable implementation as an approach to delivering respiratory care. This review considers key aspects of the t...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241431/ https://www.ncbi.nlm.nih.gov/pubmed/37132298 http://dx.doi.org/10.1097/MCP.0000000000000965 |
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author | Pinnock, Hilary Hui, Chi Yan van Boven, Job F.M. |
author_facet | Pinnock, Hilary Hui, Chi Yan van Boven, Job F.M. |
author_sort | Pinnock, Hilary |
collection | PubMed |
description | Digital respiratory monitoring interventions (e.g. smart inhalers and digital spirometers) can improve clinical outcomes and/or organizational efficiency, and the focus is shifting to sustainable implementation as an approach to delivering respiratory care. This review considers key aspects of the technology infrastructure, discusses the regulatory, financial and policy context that influence implementation, and highlights the over-arching societal themes of equity, trust and communication. RECENT FINDINGS: Technological requirements include developing interoperable and connected systems; establishing stable, wide internet coverage; addressing data accuracy and monitoring adherence; realising the potential of artificial intelligence; and avoiding clinician data overload. Policy challenges include concerns about quality assurance and increasingly complex regulatory systems. Financial barriers include lack of clarity over cost-effectiveness, budget impact and reimbursement. Societal concerns focus on the potential to increase inequities because of poor e-health literacy, deprivation or lack of available infrastructure, the need to understand the implications for patient/professional interactions of shifting care to remote delivery and ensuring confidentiality of personal data. SUMMARY: Understanding and addressing the implementation challenges posed by gaps in policy, regulatory, financial, and technical infrastructure is essential to support delivery of equitable respiratory care that is acceptable to patients and professionals. |
format | Online Article Text |
id | pubmed-10241431 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-102414312023-06-06 Implementation of digital home monitoring and management of respiratory disease Pinnock, Hilary Hui, Chi Yan van Boven, Job F.M. Curr Opin Pulm Med TELEMEDICINE AND HOME-MONITORING IN PULMONARY DISEASES: Edited by Marlies S. Wijsenbeek and Catharina C. Moor Digital respiratory monitoring interventions (e.g. smart inhalers and digital spirometers) can improve clinical outcomes and/or organizational efficiency, and the focus is shifting to sustainable implementation as an approach to delivering respiratory care. This review considers key aspects of the technology infrastructure, discusses the regulatory, financial and policy context that influence implementation, and highlights the over-arching societal themes of equity, trust and communication. RECENT FINDINGS: Technological requirements include developing interoperable and connected systems; establishing stable, wide internet coverage; addressing data accuracy and monitoring adherence; realising the potential of artificial intelligence; and avoiding clinician data overload. Policy challenges include concerns about quality assurance and increasingly complex regulatory systems. Financial barriers include lack of clarity over cost-effectiveness, budget impact and reimbursement. Societal concerns focus on the potential to increase inequities because of poor e-health literacy, deprivation or lack of available infrastructure, the need to understand the implications for patient/professional interactions of shifting care to remote delivery and ensuring confidentiality of personal data. SUMMARY: Understanding and addressing the implementation challenges posed by gaps in policy, regulatory, financial, and technical infrastructure is essential to support delivery of equitable respiratory care that is acceptable to patients and professionals. Lippincott Williams & Wilkins 2023-07 2023-05-02 /pmc/articles/PMC10241431/ /pubmed/37132298 http://dx.doi.org/10.1097/MCP.0000000000000965 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | TELEMEDICINE AND HOME-MONITORING IN PULMONARY DISEASES: Edited by Marlies S. Wijsenbeek and Catharina C. Moor Pinnock, Hilary Hui, Chi Yan van Boven, Job F.M. Implementation of digital home monitoring and management of respiratory disease |
title | Implementation of digital home monitoring and management of respiratory disease |
title_full | Implementation of digital home monitoring and management of respiratory disease |
title_fullStr | Implementation of digital home monitoring and management of respiratory disease |
title_full_unstemmed | Implementation of digital home monitoring and management of respiratory disease |
title_short | Implementation of digital home monitoring and management of respiratory disease |
title_sort | implementation of digital home monitoring and management of respiratory disease |
topic | TELEMEDICINE AND HOME-MONITORING IN PULMONARY DISEASES: Edited by Marlies S. Wijsenbeek and Catharina C. Moor |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241431/ https://www.ncbi.nlm.nih.gov/pubmed/37132298 http://dx.doi.org/10.1097/MCP.0000000000000965 |
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