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Digital hjemmeoppfølging i norske kommuner: En undersøkelse av kostnader og konsekvenser, helsepersonells tidsbruk og implementeringsutfordringer

Hjemmepleier hjelper eldre beboer med medisindose
Illustrasjonsfoto: Colourbox

Prosjektbeskrivelse

This project explores the implementation of Remote Patient Monitoring (RPM) in Norwegian municipalities. With rising numbers of people living with chronic conditions and increasing workforce and demographic pressures in the healthcare system, RPM offers new opportunities to deliver care at home.

The study investigates economic consequences, effects on health personnel’s workload, and implementation challenges. It aims to generate knowledge that supports the effective adoption, integration, and scale-up of RPM services across Norway.  A scoping review has been conducted to inform the study design.

The project is structured around the following research questions:
RQ1: How does efficiency and resource use of RPM change over time in Norwegian municipalities, considering various characteristics as patient populations, service delivery models and technology 
RQ2: How does RPM affect patients’ health outcome and health care service satisfaction? 
RQ3: Will the introduction of RPM impact the workload and responsibilities for health care personnel?  
RQ4: What are the implementation challenges of RPM in Norway compared to those in other countries, and what lessons can be drawn from these comparisons for improved implementation strategies?

Mål

To examine the effects of RPM on resource use, outcomes, personnel workload, and implementation in municipal health and care services. 

Metode

We use a mixed-methods design. Quantitative data will be analyzed using a before-and-after approach and Cost-Consequence Analysis, including resource costing and patient-reported outcomes. Qualitative data include interviews with healthcare personnel and stakeholders, time registration studies, document analysis of national program reports, and implementation questionnaires guided by the Consolidated Framework for Implementation Research (CFIR). A scoping review following JBI and PRISMA-ScR has already been completed.

Konklusjon

The project will provide new knowledge about the economic, organizational, and practical consequences of introducing RPM in primary care. Findings will support policymakers and service providers in making informed decisions on how to integrate remote care technologies for better chronic care management.

Siri Bjørvig is a Doctoral candidate at the Doctoral Programme in Health and Psychology, Universitat Oberta de Catalunya.

Supervisors:

  • Carme Carrion Ribas (Universitat Oberta de Catalunya)
  • Jordi Piera Jiménez (Catalan Health Service, CatSalut)

Thesis committee: 

  • Carme Carrion Ribas (Universitat Oberta de Catalunya)
  • Jordi Piera Jiménez (Catalan Health Service, CatSalut)
  • Kristian Kidholm (Center for Innovative Medical Technologies, Odense University Hospital and the University of Southern Denmark)