Healthc (Amst) - A mobile health infrastructure to support underserved patients with chronic disease.

Tópicos

{ patient(2315) diseas(1263) diabet(1191) }
{ record(1888) medic(1808) patient(1693) }
{ care(1570) inform(1187) nurs(1089) }
{ health(3367) inform(1360) care(1135) }
{ intervent(3218) particip(2042) group(1664) }
{ monitor(1329) mobil(1314) devic(1160) }
{ extract(1171) text(1153) clinic(932) }
{ data(3963) clinic(1234) research(1004) }
{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ time(1939) patient(1703) rate(768) }
{ implement(1333) system(1263) develop(1122) }
{ method(1557) propos(1049) approach(1037) }
{ case(1353) use(1143) diagnosi(1136) }
{ risk(3053) factor(974) diseas(938) }
{ compound(1573) activ(1297) structur(1058) }
{ first(2504) two(1366) second(1323) }
{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ problem(2511) optim(1539) algorithm(950) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ research(1085) discuss(1038) issu(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ data(3008) multipl(1320) sourc(1022) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ use(976) code(926) identifi(902) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ studi(1119) effect(1106) posit(819) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ activ(1138) subject(705) human(624) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Chronic diseases are the global leading cause of death, but the US health system is poorly designed to support patients with chronic disease. Underserved patients report high rates of cell phone use and interest in using mobile technology for health care. A mobile health infrastructure may help transform health care delivery for underserved patients with chronic disease.PROBLEM: This study assessed the feasibility of integrating mobile health infrastructure with clinical information systems and the electronic medical record (EMR) to support patients with chronic disease through automated, bidirectional text messaging.GOALS: Three priority areas of chronic disease management were targeted. Existing self-management support was expanded, and new support for laboratory test scheduling and medication management was created.STRATEGY: Adult patients (n=135) with diabetes selected preferred content and scheduling for self-management message prompts. Outreach messages were sent to patients overdue for laboratory tests and medications. Manual review of pharmacy and laboratory outreach data was conducted for quality assurance. Focus groups were held to solicit patient perspectives.RESULTS: Patients sent over 6500 response messages with response rates of 53.7% (blood sugar), 48.8% (step counts), and 31.9% (blood pressure). Laboratory data integration was achieved, but pharmacy data gaps required ongoing manual review. Focus group participants reported improved self-management and information awareness.IMPLICATIONS: HIT was used to address dependency on visit-bound disease management in a novel, low-cost way. Use of a mobile health infrastructure was feasible. Text messaging solutions may mitigate barriers to access and enhance support for patients with chronic disease.

Resumo Limpo

ckground chronic diseas global lead caus death us health system poor design support patient chronic diseas underserv patient report high rate cell phone use interest use mobil technolog health care mobil health infrastructur may help transform health care deliveri underserv patient chronic diseaseproblem studi assess feasibl integr mobil health infrastructur clinic inform system electron medic record emr support patient chronic diseas autom bidirect text messaginggo three prioriti area chronic diseas manag target exist selfmanag support expand new support laboratori test schedul medic manag createdstrategi adult patient n diabet select prefer content schedul selfmanag messag prompt outreach messag sent patient overdu laboratori test medic manual review pharmaci laboratori outreach data conduct qualiti assur focus group held solicit patient perspectivesresult patient sent respons messag respons rate blood sugar step count blood pressur laboratori data integr achiev pharmaci data gap requir ongo manual review focus group particip report improv selfmanag inform awarenessimpl hit use address depend visitbound diseas manag novel lowcost way use mobil health infrastructur feasibl text messag solut may mitig barrier access enhanc support patient chronic diseas

Resumos Similares

Telemed J E Health - Electronic reminders to patients within an interactive patient health record. ( 0,779955635128684 )
J Am Med Inform Assoc - Online disease management of diabetes: engaging and motivating patients online with enhanced resources-diabetes (EMPOWER-D), a randomized controlled trial. ( 0,779622715170014 )
J Am Med Inform Assoc - Secure messaging and diabetes management: experiences and perspectives of patient portal users. ( 0,777936848578336 )
J. Med. Internet Res. - A Web-based interactive diabetes registry for health care management and planning in Saudi Arabia. ( 0,718977971636766 )
J Am Med Inform Assoc - Personal health records and hypertension control: a randomized trial. ( 0,704301862487955 )
IEEE J Biomed Health Inform - Integration of Personalized Healthcare Pathways in an ICT platform for Diabetes Management: a small-scale exploratory study. ( 0,693745233796459 )
J. Med. Internet Res. - Perceptions of successful cues to action and opportunities to augment behavioral triggers in diabetes self-management: qualitative analysis of a mobile intervention for low-income Latinos with diabetes. ( 0,677156676845577 )
BMC Med Inform Decis Mak - Identifying patients with diabetes and the earliest date of diagnosis in real time: an electronic health record case-finding algorithm. ( 0,676582572012151 )
Telemed J E Health - Prevalence and severity of diabetic retinopathy in Northwest Cameroon as identified by teleophthalmology. ( 0,6727034441314 )
Telemed J E Health - Asynchronous virtual visits for the follow-up of chronic conditions. ( 0,669384673047573 )
Int J Med Inform - Online self-management interventions for chronically ill patients: cognitive impairment and technology issues. ( 0,669236571481296 )
AMIA Annu Symp Proc - Disease progression subtype discovery from longitudinal EMR data with a majority of missing values and unknown initial time points. ( 0,669140843472753 )
Appl Clin Inform - Personal health records for patients with chronic disease: a major opportunity. ( 0,665743664411007 )
Health Info Libr J - Health education for Somali Bantu refugees via home visits. ( 0,657786008578319 )
J Med Syst - An assessment of patient behavior over time-periods: a case study of managing type 2 diabetes through blood glucose readings and insulin doses. ( 0,655689989589269 )
AMIA Annu Symp Proc - Type 2 diabetes risk forecasting from EMR data using machine learning. ( 0,649713782459006 )
Int J Med Inform - The effects of EMR deployment on doctors' work practices: a qualitative study in the emergency department of a teaching hospital. ( 0,647712467439822 )
J Med Syst - An architecture model for multiple disease management information systems. ( 0,647576012561997 )
Med Decis Making - Impact of Diabetes E-Consults on Outpatient Clinic Workflow. ( 0,64658625736683 )
Telemed J E Health - A novel telemonitoring device for improving diabetes control: protocol and results from a randomized clinical trial. ( 0,64357334356572 )
AMIA Annu Symp Proc - The Impact of HIT on Cost and Quality in Patient-Centered Medical Home Practices. ( 0,642876416318615 )
J Telemed Telecare - Trial of a mobile phone method for recording dietary intake in adults with type 2 diabetes: evaluation and implications for future applications. ( 0,642682703016103 )
J. Med. Internet Res. - Clinical effects of home telemonitoring in the context of diabetes, asthma, heart failure and hypertension: a systematic review. ( 0,639191965385431 )
Appl Clin Inform - Care everywhere, a point-to-point HIE tool: utilization and impact on patient care in the ED. ( 0,638213242469724 )
BMC Med Inform Decis Mak - An algorithm to identify patients with treated type 2 diabetes using medico-administrative data. ( 0,636167847321849 )
Appl Clin Inform - Novel computerized health risk appraisal may improve longitudinal health and wellness in primary care: a pilot study. ( 0,632079947395784 )
Telemed J E Health - Access to mobile communication technology and willingness to participate in automated telemedicine calls among chronically ill patients in Honduras. ( 0,628435895666166 )
J. Med. Internet Res. - Patients' continuing use of an online health record: a quantitative evaluation of 14,000 patient years of access data. ( 0,627714991176964 )
BMC Med Inform Decis Mak - User-centered design of a web-based self-management site for individuals with type 2 diabetes - providing a sense of control and community. ( 0,626994395145552 )
BMC Med Inform Decis Mak - Qualitative evaluation of a diabetes electronic decision support tool: views of users. ( 0,626344544704501 )
Telemed J E Health - Patients' use of self-monitored readings for managing everyday life with COPD: a qualitative study. ( 0,62520041608909 )
J Med Syst - Developing a web 2.0 diabetes care support system with evaluation from care provider perspectives. ( 0,62060793217062 )
Int J Med Inform - Does e-pain plan improve management of sickle cell disease associated vaso-occlusive pain crisis? a mixed methods evaluation. ( 0,6199146910169 )
J. Med. Internet Res. - Aligning medication reconciliation and secure messaging: qualitative study of primary care providers' perspectives. ( 0,618423344635907 )
J Am Med Inform Assoc - Predicting changes in hypertension control using electronic health records from a chronic disease management program. ( 0,617323632190734 )
J. Med. Internet Res. - The effects on health behavior and health outcomes of Internet-based asynchronous communication between health providers and patients with a chronic condition: a systematic review. ( 0,614967322329752 )
BMC Med Inform Decis Mak - Internet-enabled pulmonary rehabilitation and diabetes education in group settings at home: a preliminary study of patient acceptability. ( 0,614818890998132 )
BMC Med Inform Decis Mak - From design to implementation--the Joint Asia Diabetes Evaluation (JADE) program: a descriptive report of an electronic web-based diabetes management program. ( 0,61217602087677 )
Telemed J E Health - One-year efficacy and safety of the telehealth system in poorly controlled type 2 diabetic patients receiving insulin therapy. ( 0,611543809671198 )
BMC Med Inform Decis Mak - Strengthening district-based health reporting through the district health management information software system: the Ugandan experience. ( 0,609031651398326 )
J Biomed Inform - glUCModel: a monitoring and modeling system for chronic diseases applied to diabetes. ( 0,608196623722197 )
Int J Med Inform - Beyond the basics: refills by electronic prescribing. ( 0,605196281822357 )
AMIA Annu Symp Proc - Integrating direct electronic collection of data from patients into the process of care for eye care professionals. ( 0,603808200905447 )
J Telemed Telecare - The benefits of e-health support for older family caregivers in rural areas. ( 0,602817041248153 )
J. Med. Internet Res. - Effects of a Web-based intervention for adults with chronic conditions on patient activation: online randomized controlled trial. ( 0,602427209446745 )
Comput Methods Programs Biomed - LabPush: a pilot study of providing remote clinics with laboratory results via short message service (SMS) in Swaziland, Africa - a qualitative study. ( 0,602265441146268 )
J. Med. Internet Res. - Mobile phone-based telemonitoring for heart failure management: a randomized controlled trial. ( 0,600108140235406 )
Telemed J E Health - Shared care combined with telecare improves glycemic control of diabetic patients in a rural underserved community. ( 0,599788693908723 )
Telemed J E Health - Feasibility and acceptance of a pharmacist-run tele-oncology service for chemotherapy-induced nausea and vomiting in ambulatory cancer patients. ( 0,598857080206509 )
J Am Med Inform Assoc - Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. ( 0,598457400623238 )
J. Med. Internet Res. - The effect of a patient portal with electronic messaging on patient activation among chronically ill patients: controlled before-and-after study. ( 0,597639863951434 )
Telemed J E Health - Effects of home telemonitoring to support improved care for chronic obstructive pulmonary diseases. ( 0,596354665681563 )
J Med Syst - Cloud based emergency health care information service in India. ( 0,596107227984417 )
AMIA Annu Symp Proc - Feasibility of mobile phone-based management of chronic illness. ( 0,595948161329255 )
Methods Inf Med - Survey on medical records and EHR in Asia-Pacific region: languages, purposes, IDs and regulations. ( 0,594838268995324 )
BMC Med Inform Decis Mak - Evaluation of the use of decision-support software in carcino-embryonic antigen (CEA)-based follow-up of patients with colorectal cancer. ( 0,592614893114421 )
Appl Clin Inform - Registers for Networked Medical Research in Germany: Situation and prospects. ( 0,591339944233499 )
Perspect Health Inf Manag - Workflow and electronic health records in small medical practices. ( 0,590363023879286 )
J Am Med Inform Assoc - Point-of-care clinical documentation: assessment of a bladder cancer informatics tool (eCancerCareBladder): a randomized controlled study of efficacy, efficiency and user friendliness compared with standard electronic medical records. ( 0,589872446641481 )
Telemed J E Health - Smartphone interventions for long-term health management of chronic diseases: an integrative review. ( 0,587598485224048 )
AMIA Annu Symp Proc - A Comparison of Data Driven-based Measures of Adherence to Oral Hypoglycemic Agents in Medicaid Patients. ( 0,585701750495144 )
Int J Med Inform - Kenya's health workforce information system: a model of impact on strategic human resources policy, planning and management. ( 0,585604705408888 )
BMC Med Inform Decis Mak - Improved de-identification of physician notes through integrative modeling of both public and private medical text. ( 0,58411370039855 )
J Telemed Telecare - Effectiveness and safety of a glucose data-filtering system with automatic response software to reduce the physician workload in managing type 2 diabetes. ( 0,582909732214622 )
BMC Med Inform Decis Mak - Type 2 diabetes genetic association database manually curated for the study design and odds ratio. ( 0,582481227121655 )
Comput. Biol. Med. - A closer look at nursing documentation on paper forms: preparation for computerizing a nursing documentation system. ( 0,582399807502033 )
Int J Med Inform - Employing the FITT framework to explore HIV case managers' perceptions of two electronic clinical data (ECD) summary systems. ( 0,582161189209864 )
J Med Syst - Computerized disease profiling using GPS-linked multi-function sensor cartridges. ( 0,57976734918516 )
Telemed J E Health - Use of telemedicine to improve glycemic management in a skilled nursing facility: a pilot study. ( 0,579525057129727 )
J. Med. Internet Res. - A smart web aid for preventing diabetes in rural China: preliminary findings and lessons. ( 0,578988633305594 )
J. Med. Internet Res. - mHealth and mobile medical Apps: a framework to assess risk and promote safer use. ( 0,575858886521022 )
AMIA Annu Symp Proc - Emergency medical services: the frontier in health information exchange. ( 0,575390901629323 )
Int J Med Inform - Narratives of empowerment and compliance: studies of communication in online patient support groups. ( 0,574702585232058 )
Telemed J E Health - Development of a mobile teledermatology system. ( 0,573887756968083 )
Int J Med Inform - Does the introduction of an electronic nursing documentation system in a nursing home reduce time on documentation for the nursing staff? ( 0,573617511175187 )
Int J Med Inform - A combined disease management and process modeling approach for assessing and improving care processes: a fall management case-study. ( 0,57326370282443 )
Appl Clin Inform - Determining primary care physician information needs to inform ambulatory visit note display. ( 0,571083033038245 )
J. Med. Internet Res. - Design of an mHealth app for the self-management of adolescent type 1 diabetes: a pilot study. ( 0,570989538255897 )
J Am Med Inform Assoc - Computerized provider documentation: findings and implications of a multisite study of clinicians and administrators. ( 0,568513049317201 )
Telemed J E Health - Telemonitoring increases patient awareness of health and prompts health-related action: initial evaluation of the TELE-ERA study. ( 0,568425023185676 )
Telemed J E Health - Home telehealth: facilitators, barriers, and impact of nurse support among high-risk dialysis patients. ( 0,566700153659172 )
Appl Clin Inform - A pilot trial of a computerized renal template note to improve resident knowledge and documentation of kidney disease. ( 0,566423815634868 )
Med Decis Making - Balancing clinical experience in outpatient residency training. ( 0,566084312436533 )
J Am Med Inform Assoc - Open source electronic health records and chronic disease management. ( 0,565894644448461 )
J Am Med Inform Assoc - A large-scale quantitative analysis of latent factors and sentiment in online doctor reviews. ( 0,565695609889868 )
Perspect Health Inf Manag - Exploration of ICD-9-CM coding of chronic disease within the Elixhauser Comorbidity Measure in patients with chronic heart failure. ( 0,565381562142272 )
BMC Med Inform Decis Mak - Web-based information for pregnant women and new mothers with type 1 diabetes--a description of the development process. ( 0,564544967887849 )
Int J Med Inform - E-prescribing errors in community pharmacies: exploring consequences and contributing factors. ( 0,564179947449628 )
J Am Med Inform Assoc - VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes. ( 0,564033978505136 )
J Am Med Inform Assoc - Implementation of the Department of Veterans Affairs' first point-of-care clinical trial. ( 0,563533976795797 )
J Med Syst - Computer-aided intelligent system for diagnosing pediatric asthma. ( 0,562754176143907 )
Health Info Libr J - Developing a long-term condition's information service in collaboration with third sector organisations. ( 0,562394283719543 )
Int J Med Inform - Issues and questions to consider in implementing secure electronic patient-provider web portal communications systems. ( 0,562291192404602 )
Healthc (Amst) - Worth a thousand words: Integrating clinical photographs into an electronic medical record. ( 0,561785512194214 )
J Am Med Inform Assoc - Organizational strategies for promoting patient and provider uptake of personal health records. ( 0,561673729014603 )
BMC Med Inform Decis Mak - HERALD (health economics using routine anonymised linked data). ( 0,561148859167756 )
Med Decis Making - Patients' experiences of shared decision making in primary care practices in the United kingdom. ( 0,558322232082866 )
BMC Med Inform Decis Mak - A web-based intervention to support self-management of patients with type 2 diabetes mellitus: effect on self-efficacy, self-care and diabetes distress. ( 0,557721101867846 )
AMIA Annu Symp Proc - You can lead a horse to water: physicians' responses to clinical reminders. ( 0,557411851062936 )
Appl Clin Inform - A case report in health information exchange for inter-organizational patient transfers. ( 0,55717404889757 )