Patient and clinician perspectives of a remote monitoring program for COVID-19 and lessons for future programs

BMC Health Serv Res. 2023 Jun 27;23(1):698. doi: 10.1186/s12913-023-09684-1.

Abstract

COVID Watch is a remote patient monitoring program implemented during the pandemic to support home dwelling patients with COVID-19. The program conferred a large survival advantage. We conducted semi-structured interviews of 85 patients and clinicians using COVID Watch to understand how to design such programs even better. Patients and clinicians found COVID Watch to be comforting and beneficial, but both groups desired more clarity about the purpose and timing of enrollment and alternatives to text-messages to adapt to patients' preferences as these may have limited engagement and enrollment among marginalized patient populations. Because inclusiveness and equity are important elements of programmatic success, future programs will need flexible and multi-channel human-to-human communication pathways for complex clinical interactions or for patients who do not desire tech-first approaches.

Keywords: COVID-19; Clinician perspectives; Patient perspectives; Pulse oximetry; Remote patient monitoring; Telehealth.

MeSH terms

  • Adult
  • Aged
  • Attitude of Health Personnel*
  • Attitude to Health*
  • COVID-19* / epidemiology
  • COVID-19* / therapy
  • Female
  • Humans
  • Male
  • Middle Aged
  • Monitoring, Ambulatory* / methods
  • Pandemics
  • Patient Preference
  • Patients* / psychology
  • Patients* / statistics & numerical data
  • Program Development
  • Program Evaluation
  • Qualitative Research
  • Telemedicine*