Analysis of the implementation of a personalized care model in diabetes mellitus as an example of chronic disease with information and communication technology support

被引:3
作者
Lopez-Martinez, N. [1 ]
Segu, J. L. [1 ]
Vazquez-Castro, J. [2 ]
Brosa, M. [1 ]
Bohigas, L. [3 ]
Comellas, M. J. [3 ]
Kalfhaus, L. [3 ]
机构
[1] Oblikue Consulting SL, Av Diagonal 514,3-3a, Barcelona, Spain
[2] Madrid Hlth Serv, Primary Care Management, Madrid, Spain
[3] Emminens Healthcare Serv, Madrid, Spain
关键词
Chronicity; diabetes mellitus; patient centred management; web-based programs; Spain; COST-EFFECTIVENESS; METABOLIC-CONTROL; ST CARLOS; TELEMEDICINE; MANAGEMENT; TELECARE; GLUCOSE;
D O I
10.1080/14737167.2017.1290525
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
Introduction: Diabetes mellitus affects 13.8% of the adult population in Spain, representing some 8.2% of total Spanish health spending, which may be reduced by optimizing treatment and disease monitoring.Areas covered: This perspective article aims to evaluate the possible clinical and economic outcomes of implementing a theoretical personalized care model in diabetes supported by information and communications technology in Spain vs. conventional care. Moreover, we assessed the value of emminens (R) eConecta, a solution designed to support the operational implementation of this model, which enables the connection and participation of patients and health professionals, facilitates patient education, decision-making, access to information, and data analysis. We carried out a review of the available evidence, consultations with experts and a clinical and cost estimation.Expert commentary: The experts consulted considered that the proposed model is consistent with Spanish strategies on chronicity, supports the management of chronicity/diabetes, and may improve the most important aspects of disease management. In the literature, this type of care models improved or provided equal disease control compared with conventional care, potentiated self-management strategies and reduced the high use of resources. Cost estimation showed a reduction of -12% in total direct costs and around -34% in the costs of outpatient visits.
引用
收藏
页码:141 / 148
页数:8
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