Sociotechnical Challenges in Remote Patient Monitoring: A Multi Stakeholder Analysis

Abstract

Remote patient monitoring (RPM) is now central to hybrid and distributed care, yet its scalability remains limited by persistent sociotechnical misalignments. Despite evidence of improved deterioration detection, reduced readmissions, and better chronic disease control, adoption is uneven and many programs stall at the pilot stage. This study uses ontology informed analysis, drawing on sociotechnical systems theory, cognitive ergonomics, digital health governance, and a review of more than 200 vendors, to identify eight recurring archetypes with distinct workflows, incentives, and regulatory exposures. Across these models, interoperability gaps, cognitive load, workflow fragmentation, and incentive misalignment emerge as dominant barriers, shaping patient trust and engagement, clinician workload, and organizational integration and compliance costs. Overall, RPM effectiveness is strongly dependent on alignment across human, technical, organizational, and policy actors, making resolution of these sociotechnical constraints essential for scalable, equitable, person centered remote care.

Keywords: Remote Patient Monitoring, Sociotechnical Systems, Interoperability

DOI: 10.54941/ahfe1008107