Mobile Phone Diabetes Project Led To Improved Glycemic Control And Net Savings For Chicago Plan Participants

被引:98
作者
Nundy, Shantanu [1 ,2 ,3 ]
Dick, Jonathan J. [4 ]
Chou, Chia-Hung [5 ]
Nocon, Robert S. [5 ]
Chin, Marshall H. [5 ]
Peek, Monica E. [6 ]
机构
[1] Evolent Hlth, Program Innovat, Washington, DC 20037 USA
[2] George Washington Univ, Dept Hlth Policy, Washington, DC USA
[3] Marys Ctr, Washington, DC USA
[4] MHlth Solut, New York, NY USA
[5] Univ Chicago, Dept Med, Chicago, IL 60637 USA
[6] Univ Chicago, Chicago, IL 60637 USA
基金
美国医疗保健研究与质量局;
关键词
INTERVENTION; DISEASE; CARE;
D O I
10.1377/hlthaff.2013.0589
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Even with the best health care available, patients with chronic illnesses typically spend no more than a few hours a year in a health care setting, while their outcomes are largely determined by their activities during the remaining 5,000 waking hours of the year. As a widely available, low-cost technology, mobile phones are a promising tool to use in engaging patients in behavior change and facilitating self-care between visits. We examined the impact of a six-month mobile health (mHealth) demonstration project among adults with diabetes who belonged to an academic medical center's employee health plan. In addition to pre-post improvements in glycemic control (p = 0.01) and patients' satisfaction with overall care (p = 0.04), we observed a net cost savings of 8.8 percent. Those early results suggest that mHealth programs can support health care organizations' pursuit of the triple aim of improving patients' experiences with care, improving population health, and reducing the per capita cost of health care.
引用
收藏
页码:265 / 272
页数:8
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