Title: Remote monitoring program for patients with COVID-19 after hospital discharge: Exploring user's experience and perspectives on two telehealth platforms. (Preprint)
Authors: Pomey Marie-Pascale , Bouabida Khayreddine , Lebouché Bertrand , Malas Kathy , Talbot Annie , Desrosiers Marie-Ève , Lavoie Frédéric , Taguemout Melissa , Rafie Edmond , Lessard David 
Published: January 2021

BACKGROUND

As Covid-19 pandemic circumstances created the need to act to reduce the spread of the virus and alleviate healthcare services from congestions, protect healthcare providers and support them in maintaining a satisfactory quality and safety of care, Covid19 patient remote monitoring platforms quickly emerged.

OBJECTIVE

This study aimed to evaluate the capacity and contribution of two different platforms' services to monitor remotely patients with Covid-19. The first is a platform of telecare calls (Telecare-Covid), and the second platform is a telemonitoring app (Tactio-Covid). The study sought to examine the differences in acceptability, usefulness, and conviviality of those two different platforms services from users' perspectives and evaluate their contribution in maintaining the quality and safety of care, and engaging patients in their care.

METHODS

We performed a retrospective cross-sectional study using a survey. The data were collected through phone calls between May and August 2020. The data were analyzed using descriptive statistics, and t-test analysis. The participants' responses and comments on open-ended questions were analyzed using content analysis. The research approach through descriptive statistics allowed us to examine the differences in acceptability, usefulness, and conviviality of those two different platforms services from users' perspectives and determine their contributions to maintaining the quality and safety of care and promoting patient engagement. Whereas the content analysis of the general comments enabled the identification of certain stakes and challenges and improvements paths of the platforms.

RESULTS

In total, 51 patients participated in the study. 18 participants have used the Tactio-Covid platform and 33 participants have used the Telecare-Covid platform. Overall, the satisfaction rate regarding the quality and safety of the care services provided through the two platforms was 80%. Over 88% of users on each platform considered the services offered by the two platforms as engaging, useful, convivial, and meet their needs. The survey identified very few significant differences in users' perceptions regarding certain aspects on each platform. The survey identified four well-appreciated domains by the platforms’ users: (1) the ease of access and the proximity of care teams, and (2) the conviviality of the platform features (3) the continuity of care, and (4) the multitude of services. Certain stakes and limits such as the importance of maintaining human contact and confidentiality have been also identified and suggestions for improvement have been formulated.

CONCLUSIONS

This study provided preliminary evidence suggesting that the two remote monitoring platforms were well-received by users by users with very few significant differences between users' experience and perspectives over the two platforms.
This type of program can be considered in a post-pandemic era and for other post-hospitalization clienteles. To maximize efficiency, the areas for improvement and the issues identified should be considered in a patient-centered manner.

CLINICALTRIAL

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