Introduction: Person-centred care is increasingly recognized as vital for ensuring high quality outcomes, especially for individuals with long-term conditions. Digital health solutions, such as remote patient monitoring (RPM) are often promoted for their potential to support person-centeredness. However, there remains a knowledge gap as for whether and how RPM facilitates person-centered patient participation, and the mechanisms involved. This study investigated whether and how patients associated RPM with their participation in health and healthcare within primary healthcare. Methods: In this qualitative study, 12 patients with asthma or hypertension who had utilized RPM shared their experiences of RPM and their participation in health and healthcare. Results: RPM could facilitate communication, and foster a mutual relationship with healthcare professionals, thus reinforcing patient participation. Patients emphasized that the relationship and communication with healthcare professionals was key for experiencing participation. While the RPM was a tool for managing self-care, it was more often perceived by the patients as a way to facilitate healthcare staff, rather than directly benefiting the patient’s own health. Patients primarily used to report symptoms and measures, delegating decision-making for further actions to healthcare professionals. Conclusion: RPM can influence patients care and treatment, though they may not view this as participation. Simply providing access to RPM does not guarantee improved patient participation. To fully realize the potential of RPM for enhancing health outcomes, it is essential to explore how it can better support person-centered participation.