
Chronic Diseases Management Using Digital Health Technologies
Teoh Soo Huat
1Cluster of Lifestyle Science, Advanced Medical and Dental
Institute, Universiti Sains Malaysia, Penang, Malaysia
Siti Norazlina Binti Juhari
2Faculty of Medicine, Universiti Sultan Zainal Abidin,
Terengganu, Malaysia
Razlina Abdul Rahman
3Department of Family Medicine, School of Medical Sciences,
Universiti Sains Malaysia, Kelantan, Malaysia
We read with first-rate interest the article posted in the
September 2018 trouble of the Oman Medical Journal with the aid of Al Kuwaiti
et al describing the significance of imposing virtual fitness technologies
(DHTs) in Saudi Arabia’s Academic Medical Centers (AMCs).1 We accept as true
with the authors’ evaluation and also would like to deliver for your attention
that DHT use can even advantage chronic sicknesses management. Its usage by
healthcare carriers and sufferers has been shown to improve treatment final
results, in particular in non-communicable illnesses (NCDs) inclusive of
diabetes and high blood pressure.2,three Such favorable outcomes are
anticipated due to the fact the software of DHT meets of the six additives in Wagner’s Chronic Care
Model (scientific information structures and patient’s self-management
guide).Three The techniques advocated within the former are the implementation
of digital medical facts (EMR), electronic prescriptions (eRX), and appointment
systems.2 EMR and eRX prevent issues with illegible handwriting and acting
medicines assessments, which are an important component in upholding sufferers’
safety. These measures are specially crucial in patients with persistent
sicknesses taking a couple of medications. Recorded clinical information
compiled into continual disorder registries allows clinicians, researchers, and
administrators to devise healthcare guidelines and remedy algorithms that
enhance medical outcomes in the wider population. Furthermore, the automated
device reduces ready time (e.G., tracing clinical records, time filling out
forms and appointments) and allows a reminder device, so as to enhance patients’
compliance to appointments and likely to treatment plans.
Chronic conditions require greater seamless and continuous
persistent disease management — among docs’ appointments. In addition to
requiring more than one medicines, lifestyle habits often play a factor, which
includes tobacco use, terrible eating regimen and a sedentary lifestyle. What
happens between visits is, arguably, as critical as what happens inside the
office. Tracking behavior and sickness progression reliably can assist patients
adhere to a treatment plan.
Digital health gear, inclusive of virtual therapeutics,
wearables, faraway patient monitoring, education and education, among others,
can assist with condition-precise elements. These elements encompass activity
trackers, medicinal drug reminders, recording A1c tiers, blood stress or
different vitals — in order that the proper information is without difficulty
reachable and now not drawn from memory during infrequent health practitioner
visits.
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We have visible progress in chronic disorder control through
the years, and sufferers and carriers interested in faraway monitoring at the
moment are lucky to have severa options to be had to preserve a connection with
a medical doctor’s workplace from everywhere. Challenging their adoption,
however, is that there are few gear that work across situations, despite the
fact that 2 out of 5 adults are handling two or greater continual sicknesses. A
unified patient experience across multiple conditions which can be incorporated
into the scientific workflow is important to riding adoption and scale.
Collaborations are emerging across exceptional regions of
healthcare to guide a greater integrated technique to persistent ailment
control. One instance of those partnerships is between Massachusetts General
Hospital and AstraZeneca. The lately launched AMAZE Disease Management Platform
includes a patient-dealing with mobile utility that integrates with third-party
platforms to drag in relevant information for sufferers based on their disease
nation(s), inclusive of actual-time air satisfactory records. With a focal
point on bronchial asthma, coronary heart failure, chronic kidney ailment and
COPD, care teams are capable of see statistics in a dashboard, and information
is also included into the digital health report (EHR) to feature insights at
the factor of care.
The use of wearable fitness era, mobile phone programs, and
home-primarily based tracking devices by means of sufferers with NCDs has
become popular.Four These DHT information patient’s vital signs, physical
sports, dietary intake, electricity expenditure, and glucose level, which
allows them and healthcare providers manipulate and reveal their disease. Of
note, sufferers may be able to evaluation this information first-hand thus
facilitating their decision on the next route of action. This can be to
maintain with an present intervention, accentuate a way of life intervention,
simple medication adjustment (as approved by using attending physician), or to
seek advice from a healthcare company at once. Indirectly, DHT use will empower
sufferers’ self-management, promote patient-focused care, and shift the
paternalistic patient-health practitioner courting to mutual participation —
all of which are component and parcel of the chronic care version.2,3
Other than usage in AMCs, we suppose DHT may even benefit
number one care considering the fact that the majority of patients with NCDs
are offered and managed at that stage.Five
References