u-Health for Management of Chronic Diseases - Physical Activity and Therapeutic Exercise -

Choi, Eun Hi; Seo, Jeong Yeol

doi:10.5124/jkma.2009.52.12.1154

Cited by 9 publications

(5 citation statements)

References 30 publications

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“…For patients with chronic diseases or the elderly, continuous self-management is needed [20]. In fact, if self-management service based on the medical service provider’s professional guide and care is carried out, the optimal effect can be generated [2122]. …”

Section: Discussionmentioning

confidence: 99%

Acceptability of Service Targets for ICT-Based Healthcare

Jeon

Seo

2016

Healthc Inform Res

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ObjectivesIn order to adopt and activate telemedicine it is necessary to survey how medical staff, who are providers of medical service, and consumers, who are the service targets, perceive information and communication technology (ICT)-based healthcare service.MethodsThis study surveyed the awareness and acceptability of ICT-based healthcare by involving service targets, specifically workers and students living in the Seoul and Gyeonggi regions who are consumers of healthcare service. To determine the correlation among awareness of ICT-based healthcare, the need for self-management, and acceptability, this study conducted a correlation analysis and a simple regression analysis.ResultsAccording to the responses to the questions on the need for ICT-based healthcare service by item, blood pressure (n = 279, 94.3%) and glucose (n = 277, 93.6%) were revealed to be the physiological signal monitoring area. Among the six measurement factors affecting ICT-based healthcare service acceptability, age, health concerns, and effect expectation had the most significant effects. As effect expectation increased, acceptability became 4.38 times higher (p < 0.05).ConclusionsThis study identified a positive awareness of service targets on ICT-based healthcare service. The fact that acceptability is higher among people who have family disease history or greater health concerns may lead to service targets’ more active participation. This study also confirmed that a policy to motivate active participation of those in their 40s (who had high prevalence rates) was needed.

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Section: Discussionmentioning

confidence: 99%

Acceptability of Service Targets for ICT-Based Healthcare

Jeon

Seo

2016

Healthc Inform Res

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“…Advances in technology have facilitated the development of electronic systems to measure patients’ health. There has been a rise in the use of physiological monitoring tools, including wearable activity trackers 34,35. Electronic systems also allow PROMs to be pragmatically collected, stored and reported in routine clinical practice.…”

Section: The Development Of Electronic Measurement Systemsmentioning

confidence: 99%

<p>The Use of Measurement Systems to Support Patient Self-Management of Long-Term Conditions: An Overview of Opportunities and Challenges</p>

Holmes

Stanescu

Bishop

2019

PROM

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Long-term conditions are a major public health concern that present many challenges for patients living with them. There is increasing policy focus on promoting patient self-management and supporting patients to take ownership of managing their conditions. Because long term conditions often fluctuate over time, ongoing monitoring of disease activity is necessary for self-management; this can be achieved through using Patient Reported Outcome Measures (PROMs). PROMs can provide additional information about patients’ symptoms, functioning, and emotional wellbeing, informing clinical care for patients. Measurement systems are an innovative method to gather and report PROMs throughout a patient’s course of care, to support clinical practice and improve overall quality of care. Measurement systems are often delivered via a digital platform, which can convey patient-reported information to healthcare professionals and provide tailored self-management advice to patients, all based on information collected via PROMs. There are a number of potential benefits of this approach to self-management. Measurement systems can improve clinical practice, creating efficient clinical encounters and positively influencing patient-clinician interactions. The use of monitoring throughout a patient’s care is also thought to empower patients, by improving their knowledge of their condition, increasing their engagement with their health, and influencing their overall management of their condition. Challenges associated with using measurement systems in this way include finding appropriate PROMs, provisioning of suitable technology, and limiting the burden for patients. To increase the implementation of measurement systems into practice it is important to consider how to engage and educate healthcare professionals and patients to empower their use. Overall, adopting measurement systems into clinical practice may improve clinicians’ ability to support patient self-management of long-term conditions.

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“…A report on diabetic patients in Korea indicates that 10.1% of persons aged 30 years or older as well as 22.7% of those aged 65 years or older have the disease [ 3 ]. As in-hospital treatment of patients with diabetes is a great financial burden to the healthcare system, it is recommended that each patient should self-manage their condition when it is necessary to have efficient communication without time restrictions between the patient and the specialist as well as to reduce medical cost [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…There are ongoing studies actively testing a variety of software and u-Health medical equipment in search of alternative methods of medical communication for the self-care of patients with chronic illness [ 11 , 12 , 13 , 14 , 15 ]. The u-Health service is expected to change the venue of medical service from conventional hospitals to personal everyday spaces, making it easier for patients to self-manage their chronic conditions [ 5 , 16 , 17 ]. With little time restriction between the patient and the medical expert, the u-Health service is also anticipated to provide patients with self-confidence in managing their illnesses, to prevent any possible complications, and to increase their compliance with medical treatments [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…The outcomes of u-Health service funded publicly and/or privately for the treatment of chronic illnesses will provide basic clinical data to facilitate further u-Health service projects. These will also expedite similar projects, accelerating the commercialization of the u-Health service in the near future [ 5 , 9 , 11 , 12 , 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of the Smart Care Service for Diabetes Management

2014

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ObjectivesThe aim of this study was to assess the effectiveness of the Smart Care service for the diabetes management.MethodsFifty-six patients with diabetes mellitus were recruited in Daegu, Korea. All participants completed a diabetes management education course (diet, exercise, and complications) for their self-care and received access to a care management website through a netbook and smartphone. The website accepts uploads of glucose level, body weight, HbA1c, low-density lipoprotein cholesterol level, and blood pressure. Participants communicated with the care manager through the internal management system of the website. The intervention was applied for 6 months.ResultsParticipants receiving the Smart Care service had lower blood glucose and HbA1c during 6 months follow-up when 1-month values (p < 0.001) were compared. There was no significant difference in body weight and body mass index between 1 month and 6 months. The average number of remote consultation with the Smart Care service per person was 10.4 by nurses, 3.0 by nutritionists, and 1.6 by sports curers. Regression analysis indicated that the number of times counseling was offered by nurses influences body weight and that the number of minutes of telephone counseling influences both body weight and body mass index.ConclusionsWe have confirmed that the Smart Care service might be an effective system for reduction in blood glucose and HbA1c. We expect that the Smart Care service will contribute to delaying diabetes complications and improving the quality of life of patients with diabetes.

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u-Health for Management of Chronic Diseases - Physical Activity and Therapeutic Exercise -

Cited by 9 publications

References 30 publications

Acceptability of Service Targets for ICT-Based Healthcare

Acceptability of Service Targets for ICT-Based Healthcare

<p>The Use of Measurement Systems to Support Patient Self-Management of Long-Term Conditions: An Overview of Opportunities and Challenges</p>

Effectiveness of the Smart Care Service for Diabetes Management

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