Identifying and Overcoming Barriers to Patient Engagement with Remote Patient Monitoring (RPM) Technologies: Insight from a systematic literature review of high-income countries

Abstract

This research project investigates barriers to patient engagement with Remote Patient Monitoring (RPM) technologies in high-income countries while providing a systematic review of current literature. RPM technologies, driven by advancements in information and communication technologies (ICT) and a shift towards patient-centred care, have significantly reduced hospital admissions and improved outcomes for patients with chronic conditions and post-surgical recovery. Despite these benefits, several barriers hinder RPM's widespread adoption and effective use. Technological obstacles include device usability issues, connectivity problems, and data integration challenges. Psychological barriers encompass patient resistance due to fear of technology, concerns about data privacy, and a lack of trust in digital health solutions. Socioeconomic challenges involve financial constraints, digital literacy deficits, and disparities in access to necessary technology and internet services. Systemic obstacles within healthcare infrastructure, such as inadequate training for healthcare providers and insufficient reimbursement policies, further complicate the integration of RPM technologies. The research highlights the need for multifaceted strategies to overcome these barriers. Recommendations include developing user-friendly RPM devices, enhancing digital literacy through targeted educational programs, ensuring robust data security measures to build patient trust, and implementing supportive policies that provide financial incentives and comprehensive training for healthcare providers. Additionally, fostering an equity- centred approach and investing in technological infrastructure is crucial for mitigating disparities in RPM access and utilisation. By overcoming these barriers, the study aims to enhance patient engagement with RPM technologies, ultimately improving healthcare outcomes and optimising healthcare delivery. The findings provide valuable insights for healthcare providers, policymakers, and technology developers while underscoring the importance of a patient-centred approach in designing and implementing digital health solutions.