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comment on this discission post (New Technology Lacie Travis Bellevue University BHMC 313 Health Information Technology Professor Ronald Brouwer June 12, 2025 I work on the administrative side more so than actual care, but something that has emerged in my personal health journey has been the use of remote patient monitoring. I have found the results of wearing a blood glucose monitor so much more accurate and reliable than my trying to do a finger prick daily on my own. I can see real time data on an app about how different foods at different times affect my blood sugar levels. I also get alerts from my phone if my sugar is too high or low. Not having to have a glucose monitor on hand and having no delays in knowing where my levels are has been a huge relief. It also has made communication with my doctor much easier. In researching remote patient monitoring, I came across an article about pulse oximetry and heart rate devices being used during the pandemic and how the expanded home use and monitoring had an impact. “Based on a hypothetical cohort of 3100 patients, the study projected that remote monitoring could potentially be associated with 87% fewer hospitalizations, 77% fewer deaths, reduced per patient costs of $11,472 over standard care, and gains of 0.013 quality adjusted life years” (Pronovost et al, 2022). Having less hospitalizations during that time was and is crucial. There needs to be availability of beds and staff to care for the needs of true emergent issues. Being able to monitor a subset of patients with high-risk diseases and comorbidities and determining whether they truly need to come into the hospital saves everyone involved time and money. “In a pilot study of a COVID-19 rapid follow-up service with pulse oximetry monitoring for 9 higher-risk patients, unplanned return visits to the ED were decreased compared with a retrospective comparator group of 32 patients (4.7% vs 22.6%).7 The combined use of telehealth, home health, and remote monitoring could bring some hospital level monitoring services to patients in their home” (Pronovost et al, 2022). Telehealth is what I chose in an earlier assignment for this course that goes hand in hand with remote patient monitoring. I have utilized both of these services, and the convenience and specificity helped me take part in managing my own care. Being armed with information makes it easier to coordinate my care and have input to make decisions with my doctor instead of just taking directives passively. One barrier I could see in adopting this technology is patient participation and technical literacy. Not every patient has conditions that would substantiate the use of some of these monitors. So, it would not be as large of a population, but it would be monitoring those who have worse ailments and disease progressions. Health also can correlate with access. Those with poor health may also have less access to technology, have less technical ability, no reliable internet, no nearby facilities and no excess of funds to cover regular medications, transportation and things like healthy food and clean water. Many of these factors could contribute to not having a widespread adoption of monitoring devices. References Pronovost, P. J., Cole, M. D., & Hughes, R. M. (2022). Remote Patient Monitoring During COVID-19: An Unexpected Patient Safety Benefit. JAMA : The Journal of the American Medical Association, 327(12), 1125-1126. https://doi.org/10.1001/jama.2022.2040 )
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