Remote Patient Monitoring Is Making Healthcare More Accessible Than Ever In The Digital Age

by Bianca Barzaghini, MD Compliance Specialist @PQE Group

 Improved access to health care services has long been a subject of discussion before it was codified in the United Nations’ Sustainable Development Goals (SDG) framework in 2015, just four years prior to the COVID-19 pandemic, which would go on to catalyze the adoption and recognition of telehealth care and remote patient monitoring (RPM) as practical medical alternatives to in-person care. Although Remote Patient Monitoring was predominantly focused on chronic conditions earlier on, it has since evolved past chronic care and is now also used by healthcare providers and patients to monitor acute conditions and postoperative recovery, to detect irregularities and allow for timely interventions by medical experts. Beyond acute and chronic conditions, RPM has also demonstrated clear benefits in other medical spheres that previously required frequent physically and financially taxing hospital visits for high-need patient groups such as pregnant women, the elderly, and individuals receiving mental health support. 

 The proliferation of smart digital devices like wearables and smartphone apps, starting in the 2010s, which are now a part of our everyday lives, has played a key role in not just how we interact with the outside world, but also how we connect with and understand our own bodies using data. The collection and transmission of health data in real time, like oxygen saturation, ECG monitoring, pulse oximeters and blood pressure and blood glucose, using remote patient monitoring devices, is allowing medical care providers to gain continuous insights into patients' health and make critical, timely decisions outside the traditional clinic setting, saving the patients both time and money in the long run, especially those living with chronic conditions. 

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How and Why Remote Health Monitoring Is Reshaping Modern Healthcare

 There is no doubt remote health care is closing the gap between healthcare providers and patients which exists in traditional healthcare delivery systems due to factors beyond the control of hospitals and clinics such as distance, limited resources, and logistical challenges. Asynchronous telehealth care solutions like remote health monitoring, although effective in their own capacity, should not be seen as substitutes for traditional health care but rather as supplements that help us mitigate the pitfalls of orthodox healthcare models by delivering quality health care to patients without the burden of travelling long distances or waiting for hours to see a medical expert for a procedure that could have been done remotely. Mobile health apps and telemedicine platforms when used in combination with artificial intelligence to dig deeper into patients health data have the potential of not only helping medical experts to better understand patients' existing conditions, it also helps them in identifying new symptoms and complications earlier on using AI-powered prediction tools that gather, sort and analyze huge volume of data to find similar patterns in patients that could indicate underlying conditions. Today, RPM is helping patients take a more active role in their health by giving them the power to share their health data with care providers and learn more about their conditions and state of wellbeing in the process. By giving patients a responsibility in their own well-being, RPM is offering an engaging alternative to traditional passive care models which are often rigid and not sufficient.

Despite being better equipped than facilities in developing nations, medical centers in the developed world are often overwhelmed by large volumes of patients, and in the case of pandemics, as we saw during the COVID period, the healthcare systems quickly collapsed and became strained. Remote health care can help reduce the load on medical facilities if implemented statewide by reducing unnecessary hospital visits and consultations, which take up time and resources from the health care delivery system—resources that could have been assigned to more critical cases requiring direct intervention from a medical practitioner.

 

Current Regulatory Challenges & Operational Hurdles

 Governments and regulators, although initially skeptical of remote patient monitoring and RPM medical devices, have slowly begun to realize the value of investing in remote health care infrastructure and are now working on regulatory frameworks and policies that support the integration of RPM into existing health care delivery systems without compromising the safety and privacy of patients. Although the FDA and European Commission have shown willingness to engage with medical device manufacturers to improve remote health care delivery, they have put guardrails in place to protect patient health, safety, and privacy by introducing several regulatory frameworks guiding the production, monitoring, and use of medical devices in their respective jurisdictions. Medical device manufacturers in Europe should ensure their Remote Patient Monitoring devices adhere to Medical Device Regulation (MDR) 2017/745 or, when applicable, In Vitro Diagnostic Regulation (IVDR) 2017/746. Both regulations demand devices meet high standards in addition to providing also clear clinical evidence that demonstrates the device’s safety and performance. Each claim by the manufacturer must be proven scientifically through clinical evaluation and post-market surveillance, which must continue even if the device has already been approved and sold. On the other hand, medical device manufacturers in the US should prepare either a 510(k) clearance, which is required to demonstrate substantial equivalence to a predicate device already on the market, or the longer route which is a Premarket Approval (PMA) that involves providing extensive clinical data to demonstrate the safety and effectiveness of the device.

Since medical devices in Remote Patient Monitoring transmit sensitive data over the internet, they are also bound by data regulations like GDPR (General Data Protection Regulation) and HIPAA (Health Insurance Portability and Accountability Act) to ensure strict protection of patient information.

 

Conclusion

Remote patient monitoring presents us with an opportunity to provide quality, easily accessible, and cost-effective health care solutions to patients who are unable to frequent hospitals or clinics using digital technology that patients already have. Although medical device manufacturers aim for faster approval times to bring their technology to market on time, it is important to understand that the life sciences' main goal has always been patient safety over profits; thus, while regulatory hurdles may delay approvals, they are essential in safeguarding patients from potential risks and maintaining trust in not just medical devices and remote patient monitoring technologies but the entire life sciences industry.

 

 

 

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