Device based monitoring in digital care and its impact on hospital service use

This systematic review examines four themes of device-based remote monitoring (DRM): technology, patient monitoring and support, integration of DRM into clinical care, and patient engagement, and their impact on hospital service use. We included randomized controlled trials (RCTs) until 2024 comparing hospital service use in DRM with usual care. Hospital service use decreased in DRM in 72% of the 116 included RCTs. Non-implantable devices were most commonly used to measure data, but showed a lower decrease in hospital service use than implanted or mobile devices (69% vs 89% and 76%). Providing 24/7 support for patients led to a decrease (81% of the studies). DRM replacing usual care, involving designated healthcare providers, and patient-performed data transmission led to a greater decrease in hospital service use. DRM has the potential to further reduce hospital service use with additional factors such as sufficient support, automated processes, and optimized care redesign.