Remote Patient Monitoring Program for COVID-19 Patients Following Hospital Discharge: A Cross-Sectional Study

Background: The COVID-19 pandemic created an urgent need to act to reduce the spread of the virus and alleviate congestion from healthcare services, protect healthcare providers, and help them maintain satisfactory quality and safety of care. Remote COVID-19 monitoring platforms emerged as potential...

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Main Authors: Khayreddine Bouabida, Kathy Malas, Annie Talbot, Marie-Ève Desrosiers, Frédéric Lavoie, Bertrand Lebouché, Melissa Taguemout, Edmond Rafie, David Lessard, Marie-Pascale Pomey
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Digital Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2021.721044/full
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author Khayreddine Bouabida
Khayreddine Bouabida
Kathy Malas
Kathy Malas
Kathy Malas
Annie Talbot
Annie Talbot
Marie-Ève Desrosiers
Marie-Ève Desrosiers
Frédéric Lavoie
Frédéric Lavoie
Bertrand Lebouché
Bertrand Lebouché
Melissa Taguemout
Melissa Taguemout
Edmond Rafie
Edmond Rafie
David Lessard
David Lessard
Marie-Pascale Pomey
Marie-Pascale Pomey
Marie-Pascale Pomey
Marie-Pascale Pomey
author_facet Khayreddine Bouabida
Khayreddine Bouabida
Kathy Malas
Kathy Malas
Kathy Malas
Annie Talbot
Annie Talbot
Marie-Ève Desrosiers
Marie-Ève Desrosiers
Frédéric Lavoie
Frédéric Lavoie
Bertrand Lebouché
Bertrand Lebouché
Melissa Taguemout
Melissa Taguemout
Edmond Rafie
Edmond Rafie
David Lessard
David Lessard
Marie-Pascale Pomey
Marie-Pascale Pomey
Marie-Pascale Pomey
Marie-Pascale Pomey
author_sort Khayreddine Bouabida
collection DOAJ
description Background: The COVID-19 pandemic created an urgent need to act to reduce the spread of the virus and alleviate congestion from healthcare services, protect healthcare providers, and help them maintain satisfactory quality and safety of care. Remote COVID-19 monitoring platforms emerged as potential solutions.Objective: The purpose of this study was to evaluate the capacity and contribution of two different platforms used to remotely monitor patients with COVID-19 to maintain quality, safety, and patient engagement in care, as well as their acceptability, usefulness, and user-friendliness from the user's perspective. The first platform is focused on telecare phone calls (Telecare-Covid), and the second is a telemonitoring app (CareSimple-Covid).Methods: We performed a cross-sectional study. The data were collected through a phone survey from May to August 2020. Data were analyzed using descriptive statistics and t-test analysis. Participants' responses and comments on open-ended questions were analyzed using content analysis to identify certain issues and challenges and potential avenues for improving the platforms.Results: Fifty one patients participated in the study. Eighteen participants used the CareSimple-Covid platform and 33 participants used the Telecare-Covid platform. Overall, the satisfaction rate for quality and safety of care for the two platforms was 80%. Over 88% of the users on each platform considered the platforms' services to be engaging, useful, user-friendly, and appropriate to their needs. The survey identified a few significant differences in users' perceptions of each platform: empathy toward users and the quality and safety of the care received were rated significantly higher on the CareSimple-Covid platform than on the Telecare-Covid platform. Users appreciated four aspects of these telehealth approaches: (1) the ease of access to services and the availability of care team members; (2) the user-friendliness of the platforms; (3) the continuity of care provided, and (4) the wide range of services delivered. Users identified some technical limitations and raised certain issues, such as the importance of maintaining human contact, data security, and confidentiality. Improvement suggestions include promoting access to connected devices; enhancing communications between institutions, healthcare users, and the public on confidentiality and personal data protection standards; and integrating a participatory approach to telehealth platform development and deployment efforts.Conclusion: This study provides preliminary evidence that the two remote monitoring platforms are well-received by users, with very few significant differences between them concerning users' experiences and views. This type of program could be considered for use in a post-pandemic era and for other post-hospitalization clienteles. To maximize efficiency, the areas for improvement and the issues identified should be addressed with a patient-centered approach.
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spelling doaj.art-642d05fd715c41a5abe04d115fc527792022-12-21T21:32:05ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2021-11-01310.3389/fdgth.2021.721044721044Remote Patient Monitoring Program for COVID-19 Patients Following Hospital Discharge: A Cross-Sectional StudyKhayreddine Bouabida0Khayreddine Bouabida1Kathy Malas2Kathy Malas3Kathy Malas4Annie Talbot5Annie Talbot6Marie-Ève Desrosiers7Marie-Ève Desrosiers8Frédéric Lavoie9Frédéric Lavoie10Bertrand Lebouché11Bertrand Lebouché12Melissa Taguemout13Melissa Taguemout14Edmond Rafie15Edmond Rafie16David Lessard17David Lessard18Marie-Pascale Pomey19Marie-Pascale Pomey20Marie-Pascale Pomey21Marie-Pascale Pomey22University of Montreal Hospital Centre de Recherche du Centre Hospitalier Universitaire de Montréal (CRCHUM), Montreal, QC, CanadaÉcole de Santé publique, Département de Gestion, Université de Montréal, Montreal, QC, CanadaExcutive Office, Centre Hospitalier Universitaire de Montréal (CHUM), Montreal, QC, CanadaDépartement de Recherche, Montreal Cancer Institute, University of Montreal Hospital Centre (CRCHUM), Montreal, QC, CanadaInnovation Axis, Research Center of the CHUM, Montreal, QC, CanadaInnovation Axis, Research Center of the CHUM, Montreal, QC, CanadaNetwork Coordination Department, CHUM, Montreal, QC, CanadaInnovation Axis, Research Center of the CHUM, Montreal, QC, CanadaNetwork Coordination Department, CHUM, Montreal, QC, CanadaInnovation Axis, Research Center of the CHUM, Montreal, QC, CanadaNetwork Coordination Department, CHUM, Montreal, QC, CanadaCanadian Institutes of Health Research Strategy for Patient-Oriented Research Mentorship Chair in Innovative Clinical Trials in Human Immunodeficiency Virus (HIV), Montreal, QC, CanadaCentre for Outcomes Research and Evaluation, McGill University Health Centre Research Institute, Montreal, QC, CanadaInnovation Axis, Research Center of the CHUM, Montreal, QC, CanadaState-of-the-Art Technology and Methods, Montreal, QC, CanadaInnovation Axis, Research Center of the CHUM, Montreal, QC, CanadaState-of-the-Art Technology and Methods, Montreal, QC, CanadaCanadian Institutes of Health Research Strategy for Patient-Oriented Research Mentorship Chair in Innovative Clinical Trials in Human Immunodeficiency Virus (HIV), Montreal, QC, CanadaCentre for Outcomes Research and Evaluation, McGill University Health Centre Research Institute, Montreal, QC, CanadaDépartement de Recherche, Montreal Cancer Institute, University of Montreal Hospital Centre (CRCHUM), Montreal, QC, CanadaState-of-the-Art Technology and Methods, Montreal, QC, Canada0Center of Excellence of Patient Partnership and the Public, Montreal, QC, Canada1Department of Health Management, Evaluation, and Policy, School of Public Health, Université de Montréal, Montreal, QC, CanadaBackground: The COVID-19 pandemic created an urgent need to act to reduce the spread of the virus and alleviate congestion from healthcare services, protect healthcare providers, and help them maintain satisfactory quality and safety of care. Remote COVID-19 monitoring platforms emerged as potential solutions.Objective: The purpose of this study was to evaluate the capacity and contribution of two different platforms used to remotely monitor patients with COVID-19 to maintain quality, safety, and patient engagement in care, as well as their acceptability, usefulness, and user-friendliness from the user's perspective. The first platform is focused on telecare phone calls (Telecare-Covid), and the second is a telemonitoring app (CareSimple-Covid).Methods: We performed a cross-sectional study. The data were collected through a phone survey from May to August 2020. Data were analyzed using descriptive statistics and t-test analysis. Participants' responses and comments on open-ended questions were analyzed using content analysis to identify certain issues and challenges and potential avenues for improving the platforms.Results: Fifty one patients participated in the study. Eighteen participants used the CareSimple-Covid platform and 33 participants used the Telecare-Covid platform. Overall, the satisfaction rate for quality and safety of care for the two platforms was 80%. Over 88% of the users on each platform considered the platforms' services to be engaging, useful, user-friendly, and appropriate to their needs. The survey identified a few significant differences in users' perceptions of each platform: empathy toward users and the quality and safety of the care received were rated significantly higher on the CareSimple-Covid platform than on the Telecare-Covid platform. Users appreciated four aspects of these telehealth approaches: (1) the ease of access to services and the availability of care team members; (2) the user-friendliness of the platforms; (3) the continuity of care provided, and (4) the wide range of services delivered. Users identified some technical limitations and raised certain issues, such as the importance of maintaining human contact, data security, and confidentiality. Improvement suggestions include promoting access to connected devices; enhancing communications between institutions, healthcare users, and the public on confidentiality and personal data protection standards; and integrating a participatory approach to telehealth platform development and deployment efforts.Conclusion: This study provides preliminary evidence that the two remote monitoring platforms are well-received by users, with very few significant differences between them concerning users' experiences and views. This type of program could be considered for use in a post-pandemic era and for other post-hospitalization clienteles. To maximize efficiency, the areas for improvement and the issues identified should be addressed with a patient-centered approach.https://www.frontiersin.org/articles/10.3389/fdgth.2021.721044/fullCOVID-19remote patient monitoringtelehealthtelemonitoringuser experienceevaluation
spellingShingle Khayreddine Bouabida
Khayreddine Bouabida
Kathy Malas
Kathy Malas
Kathy Malas
Annie Talbot
Annie Talbot
Marie-Ève Desrosiers
Marie-Ève Desrosiers
Frédéric Lavoie
Frédéric Lavoie
Bertrand Lebouché
Bertrand Lebouché
Melissa Taguemout
Melissa Taguemout
Edmond Rafie
Edmond Rafie
David Lessard
David Lessard
Marie-Pascale Pomey
Marie-Pascale Pomey
Marie-Pascale Pomey
Marie-Pascale Pomey
Remote Patient Monitoring Program for COVID-19 Patients Following Hospital Discharge: A Cross-Sectional Study
Frontiers in Digital Health
COVID-19
remote patient monitoring
telehealth
telemonitoring
user experience
evaluation
title Remote Patient Monitoring Program for COVID-19 Patients Following Hospital Discharge: A Cross-Sectional Study
title_full Remote Patient Monitoring Program for COVID-19 Patients Following Hospital Discharge: A Cross-Sectional Study
title_fullStr Remote Patient Monitoring Program for COVID-19 Patients Following Hospital Discharge: A Cross-Sectional Study
title_full_unstemmed Remote Patient Monitoring Program for COVID-19 Patients Following Hospital Discharge: A Cross-Sectional Study
title_short Remote Patient Monitoring Program for COVID-19 Patients Following Hospital Discharge: A Cross-Sectional Study
title_sort remote patient monitoring program for covid 19 patients following hospital discharge a cross sectional study
topic COVID-19
remote patient monitoring
telehealth
telemonitoring
user experience
evaluation
url https://www.frontiersin.org/articles/10.3389/fdgth.2021.721044/full
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