By 2037, Canada’s population aged 65 and older is projected to reach 10.4 million, increasing demand for sustainable approaches to chronic disease management and aging in place. At the same time, the ongoing long-term care crisis and healthcare workforce shortages highlight an urgent need for models of care that can support older adults to safely remain at home.

Remote patient monitoring (RPM) has emerged as a digitally enabled approach to support aging in place by allowing healthcare providers to monitor patients remotely, identify changes in symptoms, and support proactive management of chronic conditions. Evidence suggests that RPM can improve care delivery and has been associated with reductions in hospital admissions and emergency department visits.

However, the benefits of RPM are not experienced equitably as our earlier research found that older adults from underserved and ethnically diverse communities may face barriers to accessing and participating in RPM, including language differences, limited internet or technology access, low digital literacy, geographic isolation, and programs that do not adequately reflect their cultural needs, preferences, or lived experiences.

This study aims to generate evidence to inform practical tools and approaches for the equitable design and implementation of RPM for older adults across Ontario, with particular attention to the experiences and needs of underserved communities.