{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T18:17:42Z","timestamp":1788459462915,"version":"build-2803163510"},"reference-count":41,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Remote patient management (RPM) is a strategy to track daily health data in patients with heart failure (HF) to enable early detection and treatment of decompensation to prevent hospital readmissions. The implementation of RPM alters standard care and redistributes provider responsibilities. Although randomized controlled trials demonstrate positive clinical outcomes, the impact of implementing RPM on patients\u2019 health care usage, as well as the care time and workload of health care providers in a real-world setting, remains unclear.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The objective of this retrospective study is to explore the effects of implementing RPM for HF on patients\u2019 cardiac care consumption and caregiver workload within a regional care network through the use of real-world data.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Two hospitals in the same regional care network with aligned care pathways for usual care (UC) were compared: one with RPM (hospital 1) and one without (hospital 2). Between June 2021 and July 2022, patients with HF were included from a clinical registry with a 1-year follow-up. Cardiac health care consumption was quantified by the number and duration of consultations (in-person, phone, and RPM) with nurse practitioners specialized in HF care and cardiologists. HF-related readmissions were also collected. Three groups were analyzed: hospital 1 RPM, hospital 1 UC, and hospital 2 UC.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 131 patients were included (hospital 1 RPM: 34, hospital 1 UC: 64, hospital 2 UC: 33). Consultation frequency and duration were significantly higher in the hospital 1 RPM cohort compared to the hospital 1 UC and the hospital 2 UC cohorts (frequency: mean 18.5, SD 9.3 vs mean 9.3, SD 6.0 and mean 11.6, SD 6.3;\n P<\/jats:italic>\n <.001; duration: mean 233.2, SD 95.2 min vs mean 121.2, SD 47.9 min and mean 113.0, SD 66.0 min;\n P<\/jats:italic>\n <.001), mainly due to increased number of consultations of nurse practitioners specialized in HF care (hospital 1 RPM: mean 15.3, SD 8.4 vs hospital 1 UC: mean 5.3, SD 2.4 and hospital 2 UC: mean 8.6, SD 6.1;\n P<\/jats:italic>\n <.001). No significant differences were observed regarding cardiologist care time (\n P<\/jats:italic>\n =.27), cardiologist number of consultations (\n P<\/jats:italic>\n =.43), or HF-related readmissions (\n P<\/jats:italic>\n =.47).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n In this real-world study, the implementation of RPM for patients with HF was associated with a higher nursing workload, with no observed differences in cardiologists\u2019 consultations or patient outcomes. These findings highlight the need for optimization at organizational and technological levels and underline the importance of real-world evaluation of the implementation of innovations.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/89187","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T20:10:05Z","timestamp":1786479005000},"page":"e89187-e89187","source":"Crossref","is-referenced-by-count":0,"title":["Real-World Impact of Remote Patient Management on Care Consumption and Care Time in Heart Failure: Retrospective Cohort Study"],"prefix":"10.2196","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3125-8767","authenticated-orcid":false,"given":"Wessel William","family":"Nieuwenhuys","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5048-3747","authenticated-orcid":false,"given":"Mayke Maria Christina Josephina","family":"van Leunen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2106-5634","authenticated-orcid":false,"given":"Jeroen Albert Adrianus","family":"van de Pol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2591-8710","authenticated-orcid":false,"given":"Frederique Jantine","family":"Hafkamp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2885-8538","authenticated-orcid":false,"given":"Rudolph Ferdinand","family":"Spee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1164-5827","authenticated-orcid":false,"given":"Ren\u00e9 Anton","family":"Tio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5877-2802","authenticated-orcid":false,"given":"Mathias","family":"Funk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0272-4355","authenticated-orcid":false,"given":"Hareld Marijn Clemens","family":"Kemps","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1093\/ejhf\/xuag121","article-title":"The global epidemiology of heart failure: a comprehensive and contemporary review","author":"Valente","journal-title":"Eur J Heart Fail"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1007\/s10198-024-01690-2","article-title":"The impact of different perspectives on the cost-effectiveness of remote patient monitoring for patients with heart failure in different European countries","volume":"26","author":"Mokri","journal-title":"Eur J Health Econ"},{"issue":"1","key":"R3","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-017-0187-2","article-title":"Global health workforce labor market projections for 2030","volume":"15","author":"Liu","journal-title":"Hum Resour Health"},{"issue":"11","key":"R4","doi-asserted-by":"publisher","DOI":"10.1161\/HCQ.0000000000000123","article-title":"Telehealth and health equity in older adults with heart failure: a scientific statement from the American Heart Association","volume":"16","author":"Masterson Creber","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"36","key":"R5","doi-asserted-by":"publisher","first-page":"3599","DOI":"10.1093\/eurheartj\/ehab368","article-title":"2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure","volume":"42","author":"McDonagh","journal-title":"Eur Heart J"},{"key":"R6","unstructured":"Van der Vloed J Strijbis A . 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