Telemed J E Health - mCare: using secure mobile technology to support soldier reintegration and rehabilitation.

Tópicos

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Resumo

CKGROUND: The U.S. Army Medical Department conducted a pilot mobile health project to determine the requirements for coordination of care for "Wounded Warriors" using mobile messaging. The primary objective was to determine if a secure mobile health (mhealth) intervention provided to geographically dispersed patients would improve contact rates and positively impact the military healthcare system.METHODS AND MATERIALS: Over 21 months, volunteers enrolled in a Health Insurance Portability and Accountability Act-compliant, secure mobile messaging initiative called mCare. The study included males and females, 18-61 years old, with a minimum of 60 days of outpatient recovery. Volunteers were required to have a compatible phone. The mhealth intervention included appointment reminders, health and wellness tips, announcements, and other relevant information to this population exchanged between care teams and patients.RESULTS: Provider respondents reported that 85% would refer patients to mCare, and 56% noted improvement in appointment attendance (n=90). Patient responses also revealed high acceptability of mCare and refined the frequency and delivery times (n=114). The pilot project resulted in over 84,000 outbound messages and improved contact rates by 176%.CONCLUSIONS: The mCare pilot project demonstrated the feasibility and administrative effectiveness of a scalable mhealth application using secure mobile messaging and information exchanges, including personalized patient education.

Resumo Limpo

ckground us armi medic depart conduct pilot mobil health project determin requir coordin care wound warrior use mobil messag primari object determin secur mobil health mhealth intervent provid geograph dispers patient improv contact rate posit impact militari healthcar systemmethod materi month volunt enrol health insur portabl account actcompli secur mobil messag initi call mcare studi includ male femal year old minimum day outpati recoveri volunt requir compat phone mhealth intervent includ appoint remind health well tip announc relev inform popul exchang care team patientsresult provid respond report refer patient mcare note improv appoint attend n patient respons also reveal high accept mcare refin frequenc deliveri time n pilot project result outbound messag improv contact rate conclus mcare pilot project demonstr feasibl administr effect scalabl mhealth applic use secur mobil messag inform exchang includ person patient educ

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