Equitable Remote Monitoring for People With Multiple Chronic Conditions

Susan Peirce

Equitable Remote Monitoring for People With Multiple Chronic Conditions

Author(s)	Dr. Susan Peirce
Country	United States
Abstract	Remote patient monitoring has become an important approach to extending chronic-disease management beyond conventional clinical encounters. Connected blood-pressure monitors, glucose meters, pulse oximeters, weighing scales, symptom-reporting systems, mobile applications, and other home-based technologies can allow health information to be reviewed between visits and may support earlier identification of deterioration. For people living with multiple chronic conditions, however, remote monitoring is more complex than transmitting several disease-specific measurements simultaneously. Multimorbidity frequently requires coordinated interpretation of interacting conditions, medications, symptoms, self-management tasks, functional limitations, and treatment priorities. Evidence available through 2021 indicates that remote monitoring can reduce acute-care use in selected chronic-disease populations, while multimorbidity-focused initiatives such as ProACT demonstrate the feasibility of integrated digital self-management over extended periods. The present study develops a simulation-based framework for equitable remote monitoring among people with multiple chronic conditions. Equity is defined not as providing every participant with an identical device but as ensuring a realistic opportunity to enroll, generate usable health data, receive clinically meaningful follow-up, understand monitoring instructions, and remain engaged regardless of age, income, connectivity, digital literacy, disability, language, or caregiving context. Because no original patient dataset was supplied, 720 synthetic profiles were modeled across a standard remote-patient-monitoring pathway and an equity-adapted pathway incorporating device provision, connectivity support, low-complexity interfaces, onboarding assistance, caregiver options, accessible communication, and non-digital fallback channels. The simulation shows higher participation across every modeled equity indicator under the adapted pathway. Enrollment completion increases from 68% to 86%, 90-day retention from 61% to 82%, valid data transmission from 72% to 88%, alert follow-up from 64% to 84%, and care-plan adherence from 58% to 79%. These hypothetical differences illustrate the central proposition that remote-monitoring effectiveness depends partly on whether patients can remain meaningfully connected to the intervention. This interpretation is consistent with realist evidence showing that remote-monitoring outcomes vary according to intervention design, patient selection, timely clinical response, and self-management support.
Keywords	remote patient monitoring; multiple chronic conditions; multimorbidity; digital health equity; telemonitoring; chronic disease management; digital inclusion; patient-centered care
Field	Engineering
Published In	Volume 4, Issue 3, May-June 2023
Published On	2023-06-30

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American Journal of Advanced Multidisciplinary Innovation and Research

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Equitable Remote Monitoring for People With Multiple Chronic Conditions

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