Organisational Impact of a Remote Patient Monitoring System for Heart Failure Management: The Experience of 29 Cardiology Departments in France

Sarah Alami, Laurène Courouve (), Guila Lancman, Pierrette Gomis, Gisele Al-Hamoud, Corinne Laurelli, Hélène Pasche, Gilles Chatellier, Grégoire Mercier, François Roubille, Cécile Delval and Isabelle Durand-Zaleski
Additional contact information
Sarah Alami: ALSI, Air Liquide Santé International, 92220 Bagneux, France
Laurène Courouve: CEMKA, 92340 Bourg-la-Reine, France
Guila Lancman: ALSI, Air Liquide Santé International, 92220 Bagneux, France
Pierrette Gomis: CEMKA, 92340 Bourg-la-Reine, France
Gisele Al-Hamoud: ALSI, Air Liquide Santé International, 92220 Bagneux, France
Corinne Laurelli: ALSI, Air Liquide Santé International, 92220 Bagneux, France
Hélène Pasche: ALSI, Air Liquide Santé International, 92220 Bagneux, France
Gilles Chatellier: Department of Statistics Informatics and Public Health, Université Paris-Cité, 75006 Paris, France
Grégoire Mercier: Economic Evaluation Unit (URME), University Hospital of Montpellier, 34295 Montpellier, France
François Roubille: Cardiology Department, Hôpital Lapeyronie, PhyMedExp, University of Montpellier, INSERM, CNRS, CHRU, INI-CRT, 34090 Montpellier, France
Cécile Delval: ALSI, Air Liquide Santé International, 92220 Bagneux, France
Isabelle Durand-Zaleski: Université de Paris, CRESS, INSERM, INRA, URCEco, AP-HP, Hôpital de l’Hôtel Dieu, 75004 Paris, France

IJERPH, 2023, vol. 20, issue 5, 1-10

Abstract: Remote patient monitoring (RPM) for the management of patients with chronic heart failure (CHF) has been widely studied from clinical and health-economic points of view. In contrast, data on the organisational impact of this type of RPM are scarce. The objective of the present study of cardiology departments (CDs) in France was to describe the organisational impact of the Chronic Care Connect TM (CCC TM ) RPM system for CHF. An organisational impact map for health technology assessment was used to identify and define the criteria evaluated in the present survey, including the care process, equipment, infrastructure, training, skill transfers, and the stakeholders’ abilities to implement the care process. In April 2021, an online questionnaire was sent to 31 French CDs that were using CCC TM for CHF management: 29 (94%) completed the questionnaire. The survey results showed that CDs progressively modified their organisational structures upon or shortly after the implementation of the RPM device. Twenty-four departments (83%) had created a dedicated team, sixteen (55%) had provided dedicated outpatient consultations for patients with an emergency alert, and twenty-five (86%) admitted patients directly (i.e., avoiding the need to attend the emergency department). The present survey is the first to have assessed the organisational impact of the implementation of the CCC TM RPM device for CHF management. The results highlighted the variety of organisational structures, which tended to structure with the use of the device.

Keywords: heart failure; remote patient monitoring; organisational impact; health technology assessment; ambulatory; emergency department (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/20/5/4366/pdf (application/pdf)
https://www.mdpi.com/1660-4601/20/5/4366/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:20:y:2023:i:5:p:4366-:d:1083890

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().