Mobile Health Access for Diabetics in Rural Areas of Turkey – Results of a Survey

2010 ◽  
pp. 13-20
Author(s):  
Emine Seker ◽  
Marco Savini
Keyword(s):  
Mobile Health ◽  
Rural Areas ◽  
Health Access

scholarly journals Diabetes clinic reinvented: will technology change the future of diabetes care?

2021 ◽  
Vol 12 ◽  
pp. 204201882199536
Author(s):  
Marwa Al-Badri ◽  
Osama Hamdy
Keyword(s):  
Mobile Health ◽  
Diabetes Care ◽  
Rural Areas ◽  
Patient Monitoring ◽  
Diabetes Management ◽  
Digital Health ◽  
Future Application ◽  
Diabetes Clinic ◽  
Digital Ecosystem ◽  
Morbid Conditions

Diabetes is a chronic disease that affects nearly 463 million people globally and involves multiple co-morbid conditions that require effective treatment and continuous management. These include lifestyle and behavioral modifications, compliance to diabetes medications and close patient monitoring, all of which can be efficiently conducted via telehealth. Integrating digital technology of telehealth and mobile health into diabetes care may improve diabetes management and increase its efficiency. In this review, we examine recent advances in healthcare technology of diabetes. Moreover, we present an example of a comprehensive virtual diabetes clinic, the “Joslin HOME,” as an innovative digital ecosystem for future application in diabetes care. This model utilizes digital health technology and comprises frequent short visits with easy two-way scheduling, focused documentation and simple billing methods. In this new model, a multidisciplinary team is connected with their patients using telehealth and mobile health to overcome the barriers of distance and location. It may possibly extend quality diabetes care to remote, underserved or rural areas.

scholarly journals The role of m-health in providing antenatal care in rural areas

2017 ◽  
Vol 6 (9) ◽  
pp. 4059
Author(s):  
Basavanapalli Menaka ◽  
Vasundhara Kamineni ◽  
M. Vijaya Sree
Keyword(s):  
Antenatal Care ◽  
Mobile Health ◽  
Rural Areas ◽  
Obstetric Care ◽  
Study Group ◽  
Specialist Care ◽  
Innovative Strategy ◽  
Number Of Patients ◽  
Antenatal Visits

Background: The maternal mortality rate is high in India and many deaths are due to preventable causes related to pregnancy. Mobile-health is an innovative strategy wherein, mobile phones are used for pregnancy tracking and giving support during the antenatal period. Aims and objectives of the study was to know the role of m-Health in providing antenatal care in rural areas.Methods: This was a prospective, comparative study carried out at Kamineni Hospital, LB Nagar, Hyderabad and the Primary Health Centres (PHC) of Uppal and Narapally, Ranga Reddy district over a period of one year nine months and consisted of 204 registered antenatal cases divided into study and control groups. Both groups received routine antenatal support and the study group, in addition received mobile health support also. Various parameters were compared in both the groups.Results: The study group had more antenatal visits, better correction of anemia, less number of patients who were lost to follow-up, and more number of Caesarean deliveries.Conclusions: Mobile health helps in pregnancy tracking and increasing the antenatal visits. It helps in timely referrals for high-risk pregnancies in remote areas and it has the potential to provide obstetric care and consultations to both low risk and at-risk women in rural areas where specialist care is not always available.

Differences in Health Access and Disparities between Phone and Video-based Virtual Care: A Cross Sectional Study (Preprint)

2020 ◽  
Author(s):  
Saif Khairat ◽  
Roshan John ◽  
Malvika Pillai ◽  
Barbara Edson ◽  
Robert Gianforcaro
Keyword(s):  
Rural Areas ◽  
Healthcare Delivery ◽  
Cross Sectional Study ◽  
Urgent Care ◽  
Health Access ◽  
P Value ◽  
Delivery Mode ◽  
Sectional Study ◽  
Cross Sectional ◽  
Service Outcomes

BACKGROUND Health systems have rapidly adopted telehealth as an alternative healthcare delivery mode in response to the Covid-19 pandemic. OBJECTIVE The objective of this study was to compare the effectiveness of telemedicine modalities namely, phone and video, on health access, disparities, and service outcomes. METHODS We conducted a cross-sectional study of outpatients with telemedicine visits using a state-wide, on-demand telehealth service. Virtual Urgent Care (VUC) clinic data was collected from March 3rd, 2020 through May 3rd, 2020 using the institutional data warehouse. RESULTS Of 1803 telemedicine visits, 1278 (70.9%) were of patients who were female, 730 (40.5%) were of ages 18-34, 1423 (78.9%) were uninsured. Significant relationships between telemedicine modalities and gender (p-value=0.0002), age (p-value<0.0001), insurance status (p-value<0.0001) health access (p-value = 0.0094), and prescriptions given (p-value < 0.0001). Phone visits provided significantly more access to rural areas than video visits (p<0.01). Of all rural visits, 170 (68%) were from phone visits and 80(32%) were video visits. Significant differences were found in medication prescription rates between phone and video visits (p<0.01), visit wait times (p<0.0001), and visit duration (p<0.0001). CONCLUSIONS We found that the combination of phone and video visits meet the needs of various vulnerable populations, and has substantial effect on improving access, reducing disparities while maintaining high quality telemedicine services. To improve the adoption rates and quality of telemedicine visits, more work is needed in building internet capacity within our rural communities, increasing awareness among patients to choose the correct telemedicine modality, and creating policies to ensure fairness in service outcomes between phone and video visits.

scholarly journals Beneficiary satisfaction with mobile medical units in the state of Andhra Pradesh

2020 ◽  
Vol 8 (1) ◽  
pp. 366
Author(s):  
Amrutha Nair ◽  
Aakash A. Raikwar ◽  
M. Abdul Wassey ◽  
Vishal Dogra
Keyword(s):  
Health Services ◽  
Mobile Health ◽  
Rural Areas ◽  
Andhra Pradesh ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Exit Interviews ◽  
Socially Disadvantaged ◽  
Ease Of Access ◽  
Multistage Sampling

Background: Mobile health services in India have gained significant attention recently. However, there is little information regarding the beneficiary satisfaction of such services. Beneficiaries’ satisfaction and perception plays significant role in utilization of services. We assess the program beneficiaries’ satisfaction of using mobile health services in rural Andhra Pradesh.Methods: We used a cross-sectional study design to survey the mobile health services program beneficiaries in rural Andhra Pradesh (October 2016 to October 2018). Beneficiaries availing the mobile health services from 277 mobile medical vans across 13523 villages were selected using multistage sampling. Exit interviews (using Likert-scale questions) were used to reveal the ease of access in utilising mobile health services and satisfaction among the program beneficiaries.Results: A total, 1080 exit interviews were conducted. Above ninety percent of beneficiaries completed the exit interviews (response rate: 95%). More than two-thirds (72%) of the respondents were females and aged >45 years (71%). Of all respondents, the majority were Hindu (89%), belonging to socially disadvantaged groups (80%), and illiterate (56%). Nearly all (95%) program beneficiaries found mobile health services easily accessible and building their knowledge and awareness (94%) on key health issues. Ninety-five percent of the program beneficiaries strongly favoured recommending the use of mobile health services to others. The overall satisfaction rate was 95% (Cronbach alpha 0.925).Conclusions: Mobile health services in rural areas are effective in meeting the beneficiaries’ expectations. High beneficiary satisfaction and trust in mobile health services strongly favours such services in other rural geographies.

scholarly journals Usability Evaluation of Mobile Health Application from AI Perspective in Rural Areas of Pakistan

2019 ◽  
Vol 13 (11) ◽  
pp. 213
Author(s):  
Abdul Samad Dahri ◽  
Ahmaed Al-Athwari ◽  
Azham Hussain
Keyword(s):  
Mobile Health ◽  
Rural Areas ◽  
Usability Evaluation ◽  
Future Research ◽  
User Characteristics ◽  
Know How ◽  
Mobile Health Application ◽  
Task Success ◽  
Health Application ◽  
And Task

<p><strong>Purpose:</strong> This study endorses AI enabled Mobile Health application and investigates usability evaluation of the Mobile Health application by patients’ task performance evaluation and satisfaction.</p><p><strong>Materials and Methods</strong>: International Organization for Standards (ISO) 9241-11 standard metrics were used and 15 patients performed tasks on task success rate, errors, efficiency (time spent), satisfaction (SUS scale).</p><p><strong>Results:</strong> Getting registered was a top easy task while finding a relevant doctor was the most difficult task for users. The satisfaction scores by SUS suggest good rather excellent application user experience. Male were successful task achievers, while educational level and mobile know-how influence the usability scores in terms of time consumed, task errors occurred, and task completed.</p><p><strong>Conclusion:</strong> Methods used in this study suggest future research from different contexts. Using ISO 9241-11 usability standards, the SUS instrument for satisfaction, and measuring user characteristics influence performance and can provide considerable Mobile Health design.</p>

Infrastructure Development of mHealth Systems in Developing Countries (Case Study: Implementation NusaHealth Apps in Yogyakarta Indonesia) (Preprint)

2020 ◽  
Author(s):  
Surahyo Sumarsono ◽  
Peter M.A. van Ooijen ◽  
Widyawan Widyawan
Keyword(s):  
Developing Countries ◽  
Health System ◽  
Community Health ◽  
Data Storage ◽  
Mobile Health ◽  
Rural Areas ◽  
Pilot Project ◽  
Management Program ◽  
Local Health ◽  
Infrastructure Development

BACKGROUND The size of the Indonesian population and the shifting pattern of illness from infectious to non-communicable diseases (NCDs), which leads to double disease burden, demand that Indonesia develop a variety of innovative efforts to control the numbers of NCDs. Moreover, NCDs are preventable and strongly influenced by lifestyle, therefore individual intervention to stimulate healthier lifestyle is important. One approach to support NCD programs is the use of mobile technology or mHealth. OBJECTIVE The purpose of this work is to show the process of designing and developing a mobile health system, NusaHealth, which will be implemented in rural areas of Yogyakarta province. The NusaHealth system will be our pilot project to get better understanding and knowledge how mobile health solution answers the health problems in rural areas in terms of promotion and prevention health services. METHODS Universitas Gadjah Mada (UGM) seeks to address the challenges of developing a technology-based health management program. The development of the NusaHealth system starts from looking at the potential of health data that can be processed and enriched to become health information. The NusaHealth project builds a digital healthcare infrastructure involving universities, healthcare providers (hospitals, community health centers, clinics, health offices and others) and communities (including health volunteers) in a mHealth approach that puts patient at the center of health care. RESULTS The NusaHealth system has been realized through the process of design and development which involved experts and partners. Technical descriptions including supported device specifications, operating systems requirements, feature needed, user interface, data storage, interoperability and security assessment produced in the paper. Moreover, the infrastructure to connect mobile devices network with the hospital information system has been developed, as well as supporting systems such as SMS gateway and servers. CONCLUSIONS This paper proves that the process of designing and developing a mobile health solution for rural areas in developing countries needs to be comprehensive and the process of field implementation should involve related partners. While the NusaHealth pilot project in rural areas of Yogyakarta province was successfully implemented, further activities need to be implemented to enhance community health through development of formal mobile health system supported by local health district offices’ policies and regulations. Wider geographical areas will be a challenging opportunity in measuring whether this system is suitable in the context of developing country. CLINICALTRIAL None

scholarly journals Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic (Preprint)

2020 ◽  
Author(s):  
Clarisse G Casilang ◽  
Samantha Stonbraker ◽  
Ingrid Japa ◽  
Mina Halpern ◽  
Luz Messina ◽  
...  
Keyword(s):  
Dominican Republic ◽  
Mobile Health ◽  
Exclusive Breastfeeding ◽  
Rural Areas ◽  
Text Messages ◽  
Urban Setting ◽  
Rural Setting ◽  
Free Access ◽  
Semistructured Interview ◽  
Mhealth Intervention

BACKGROUND Despite growing interest in the use of technology to improve health outcomes in low- and middle-income countries (LMICs), local attitudes toward mobile health (mHealth) use in these settings are minimally understood. This is especially true in the Dominican Republic, where mHealth interventions are starting to emerge. This information is critical for developing effective mHealth interventions to address public health issues, such as low exclusive breastfeeding (EBF) rates, which can lead to poor outcomes. With an EBF rate of 5% in the first 6 months of life, the Dominican Republic has one of the lowest EBF rates worldwide. OBJECTIVE This study aims to describe the current use of information and communication technology (ICT) and to analyze the attitudes and perceptions related to using mHealth interventions among caregivers of children aged ≤5 years and health promoters in the Dominican Republic. Findings can inform mHealth strategies aimed at improving EBF in this, and other, LMICs. METHODS Participants were recruited from 3 outpatient sites: the Niños Primeros en Salud program at Centro de Salud Divina Providencia in Consuelo (rural setting) and Clínica de Familia La Romana and its program Módulo de Adolescentes Materno Infantil in La Romana (urban setting). Focus groups were conducted with caregivers and community health promoters to identify the use, attitudes, perceptions, and acceptability of mHealth as well as barriers to EBF. Discussions were conducted in Spanish, guided by semistructured interview guides. All sessions were audio-recorded and later transcribed. Thematic content analysis was conducted in Spanish by two bilingual researchers and was structured around a hybrid behavioral theory framework to identify salient themes. RESULTS All participants (N=35) reported having a mobile phone, and 29 (83%) participants had a smartphone. Sources for obtaining health information included the internet, physicians and clinic, family and friends, health promoters, and television. Barriers to mHealth use included the cost of internet service, privacy concerns, and perceived credibility of information sources. Participants indicated the desire for, and willingness to use, an mHealth intervention to support breastfeeding. The desired features of a possible mHealth intervention included offering diverse methods of information delivery such as images and video content, text messages, and person-to-person interaction as well as notifications for appointments, vaccines, and feeding schedules. Other important considerations were internet-free access and content that included maternal and child health self-management topics beyond breastfeeding. CONCLUSIONS There is a high level of acceptance of ICT tools for breastfeeding promotion among caregivers in urban and rural areas of the Dominican Republic. As mHealth tools can contribute to increased breastfeeding self-efficacy, identifying desirable features of such a tool is necessary to create an effective intervention. Participants wanted to receive trusted and reliable information through various formats and were interested in information beyond breastfeeding.

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