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Barriers and Enablers to Routine Clinical Implementation of Cardiac Implantable Electronic Device Remote Monitoring in Australia Among Cardiologists, Cardiac Physiologists, Nurses, and Patients: Interview Study

Barriers and Enablers to Routine Clinical Implementation of Cardiac Implantable Electronic Device Remote Monitoring in Australia Among Cardiologists, Cardiac Physiologists, Nurses, and Patients: Interview Study

Cardiologists and physiologists reported that current reimbursement schemes fail to recognize the extensive tasks involved in providing the RM service and, in turn, do not provide adequate funding to deliver the service for improved patient care (Quotes 1-7 in Table S3 in Multimedia Appendix 2).

Brodie Sheahen, Edel T O'Hagan, Kenneth Cho, Tim Shaw, Astin Lee, Sean Lal, Aaron L Sverdlov, Clara Chow

JMIR Cardio 2025;9:e67758

A Resource-Efficient, High-Dose, Gamified Neurorehabilitation Program for Chronic Stroke at Home: Retrospective Real-World Analysis

A Resource-Efficient, High-Dose, Gamified Neurorehabilitation Program for Chronic Stroke at Home: Retrospective Real-World Analysis

However, none of these approaches have fully overcome implementational barriers: they often fail to free up therapist time, are costly, and have low patient adherence and engagement. To further complicate the matter, studies generally fail to demonstrate that scheduled training time equates to actual delivery of high-dose training—the vast majority do not report on actual therapy time delivered [27].

Spencer A Arbuckle, Anna Sophie Knill, Michelle H Chan-Cortés, Gabriela Rozanski, Anastasia Elena Ford, Louis T Derungs, John W Krakauer, Naveed Ejaz, David Putrino, Jenna Tosto-Mancuso, Meret Branscheidt

JMIR Serious Games 2025;13:e69335