Due to rapid technological advancements, remote patient monitoring (RPM) technology has gained traction in recent years. While the effects of specific RPM interventions are known, few published reviews examine RPM in the context of care transitions from an inpatient hospital setting to a home environment. In this systematic review, we addressed this gap by examining the impacts of RPM interventions on patient safety, adherence, clinical and quality of life outcomes and cost-related outcomes during care transition from inpatient care to a home setting. We searched five academic databases (PubMed, CINAHL, PsycINFO, Embase and SCOPUS), screened 2606 articles, and included 29 studies from 16 countries. These studies examined seven types of RPM interventions (communication tools, computer-based systems, smartphone applications, web portals, augmented clinical devices with monitoring capabilities, wearables and standard clinical tools for intermittent monitoring). RPM interventions demonstrated positive outcomes in patient safety and adherence. RPM interventions also improved patients’ mobility and functional statuses, but the impact on other clinical and quality-of-life measures, such as physical and mental health symptoms, remains inconclusive. In terms of cost-related outcomes, there was a clear downward trend in the risks of hospital admission/readmission, length of stay, number of outpatient visits and non-hospitalisation costs. Future research should explore whether incorporating intervention components with a strong human element alongside the deployment of technology enhances the effectiveness of RPM. The review highlights the need for more economic evaluations and implementation studies that shed light on the facilitators and barriers to adopting RPM interventions in different care settings.

由于技术的快速进步，远程患者监护 (RPM) 技术近年来受到关注。虽然特定 RPM 干预措施的效果是已知的，但很少有发表的评论在从住院医院环境到家庭环境的护理过渡的背景下研究 RPM。在本系统综述中，我们通过研究 RPM 干预措施对患者安全、依从性、临床和生活质量结果以及从住院护理过渡到家庭环境期间与成本相关的结果的影响来解决这一差距。我们检索了五个学术数据库（PubMed、CINAHL、PsycINFO、Embase 和 SCOPUS），筛选了 2606 篇文章，纳入了来自 16 个国家的 29 项研究。这些研究检查了七种类型的 RPM 干预措施（通信工具、计算机系统、智能手机应用程序、门户网站、具有监测功能的增强临床设备、可穿戴设备和用于间歇监测的标准临床工具）。 RPM 干预措施在患者安全和依从性方面表现出积极的成果。 RPM 干预措施还改善了患者的活动能力和功能状态，但对其他临床和生活质量指标（例如身心健康症状）的影响仍不确定。在费用相关结果方面，入院/再入院风险、住院时间、门诊次数和非住院费用均呈明显下降趋势。未来的研究应该探索将具有强大人为因素的干预措施与技术部署结合起来是否可以提高 RPM 的有效性。 该审查强调需要进行更多的经济评估和实施研究，以阐明在不同护理环境中采用 RPM 干预措施的促进因素和障碍。