Digital Inhalers and Remote Patient Monitoring for Asthma

被引:20
作者
Mosnaim, Giselle S. [1 ]
Greiwe, Justin [2 ,3 ]
Jariwala, Sunit P. [4 ,5 ]
Pleasants, Roy [6 ]
Merchant, Rajan [7 ]
机构
[1] North Shore Univ Hlth Syst, Div Allergy Asthma & Immunol, Dept Med, Evanston, IL USA
[2] Bernstein Allergy Grp Inc, Cincinnati, OH USA
[3] Univ Cincinnati, Coll Med, Dept Internal Med, Div Immunol,Allergy Sect, Cincinnati, OH USA
[4] Albert Einstein Coll Med, Div Allergy Immunol, Bronx, NY USA
[5] Montefiore Med Ctr, Bronx, NY USA
[6] Duke Sch Med, Dept Med, Raleigh, NC USA
[7] Woodland Clin, Woodland, CA USA
基金
美国国家卫生研究院;
关键词
Asthma; Digital inhaler systems; Electronic medication monitoring; Adherence; Inhaler technique; Dashboard; Remote patient monitoring; Remote therapeutic monitoring; UNCONTROLLED ASTHMA; ADHERENCE; CORTICOSTEROIDS; MEDICATION; INTERVENTION; PREVENTION; FEEDBACK; OUTCOMES; SUPPORT; IMPACT;
D O I
10.1016/j.jaip.2022.06.026
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Digital inhaler systems, remote patient monitoring, and remote therapeutic monitoring offer great promise as diagnostic tools and therapeutic interventions to improve adherence and inhaler technique for patients with difficult-to-control asthma. In turn, improvements in adherence and inhaler technique may translate into decreasing the need for high side effect treatments such as oral corticosteroids and costly therapies including biologics. Although more clinical trials are needed, studies that use digital inhaler systems to collect objective real-time data on medication-taking behavior via electronic medication monitors and feed this data back to patients on their mobile asthma app, and to health care professionals on the clinician dashboard to counsel patients, show positive outcomes. This article addresses the use of these diagnostic and therapeutic tools in asthma care, how to choose a digital inhaler system, how to teach patients to use the system, strategies for the adoption of these technologies in large health care systems as well as smaller practices, coding and reimbursement, liability concerns, and research gaps. (C) 2022 American Academy of Allergy, Asthma & Immunology
引用
收藏
页码:2525 / 2533
页数:9
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