Future of Obesity and Chronic-Disease Management in Health Care: The Employer Perspective

2002 ◽  
Vol 10 (S11) ◽  
pp. 84S-86S ◽  
Author(s):  
Gregory A. Walters
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Employer Perspective

scholarly journals Achieving Value-Based Care in Chronic Disease Management: Intervention Study (Preprint)

2018 ◽  
Author(s):  
Nilmini Wickramasinghe ◽  
Blooma John ◽  
Joey George ◽  
Doug Vogel
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Standard Care ◽  
Chronic Disease Management ◽  
Monitoring Device ◽  
Patient Centered ◽  
Centered Care ◽  
Diabetes Monitoring ◽  
Technology Solution

BACKGROUND The World Health Organization notes that diabetes, a chronic disease, is a silent epidemic, and by 2020 there will be a 54% rise in the total number of individuals diagnosed with this disease. These are alarming figures that have significant repercussions for the quality of life of individuals and their families as well as for the financial stress of health care systems globally. Early detection and proactive management of diabetes is essential. The Diamond solution provides diabetes self-management by enabling patients to send details about their blood sugar readings at specific times to their nominated care coordinator to receive recommendations for diet and exercise and insulin titration. OBJECTIVE The aim of the study was to assess the usability, acceptability, and fidelity of the Diamond diabetes monitoring device for patients with gestational diabetes mellitus (GDM). Specifically assessed were (1) patient compliance, (2) patient satisfaction, (3) level of glycemic control achieved, and (4) health professional satisfaction. METHODS Using a design science research perspective, the Diamond diabetes monitoring device solution was adapted to the Australian health care environment. Once the solution was deemed fit for purpose by the director of the OB/GYN clinical institute and on securing all relevant ethics approvals, a 2-period 2-arm nonblinded crossover clinical trial was conducted for 8 weeks total time with crossover at 4 weeks to establish proof of concept, usability, and fidelity. The patient perspective was assessed by using structured questionnaires at 4 specific stages of the project, while the clinician perspective was captured via semistructured interviews and unstructured questionnaires. RESULTS The 10 patients studied reported preferring standard care with the technology solution to standard care alone. Further, all clinicians involved concurred that the technology solution greatly assisted their ability to provide higher value patient-centered care. They also noted that it was extremely helpful for assisting in systematically monitoring glucose levels and any/all changes and trends. CONCLUSIONS Based on these initial findings, we offer a holistic pervasive approach to enable the achievement of value-based, patient-centered care in chronic disease management. Key lessons include the importance when designing such solutions to focus on the two primary user groups (patients and clinicians).

Application and investigation of wearable devices in the field of health care (Preprint)

2020 ◽  
Author(s):  
Zhewei Ye Sr ◽  
Jiayao Zhang Sr ◽  
Yi Xie Sr ◽  
Song Xu Sr ◽  
Fei Gao Sr ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Health And Safety ◽  
Safety Monitoring ◽  
Wearable Devices ◽  
Medical Field ◽  
Key Technologies

UNSTRUCTURED With the development of science and technology, wearable devices have been widely used in the field of health care. In this article, we summarize the characteristics, key technologies, and classification of wearable devices, as well as their application in health and safety monitoring, chronic disease management, diagnosis and treatment of diseases, and rehabilitation. We analyze the shortcomings of wearable devices to highlight development trends and provide a useful reference for the development of wearable devices by collecting data on the application and investigation of wearable devices in the medical field.

scholarly journals Optimizing Wellness in Chronic Obstructive Pulmonary Disease

2007 ◽  
Vol 14 (suppl a) ◽  
pp. 5A-22A
Author(s):  
Roger S Goldstein ◽  
Dina Brooks ◽  
Gordon T Ford
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Health Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Pulmonary Disease ◽  
Chronic Disease Management ◽  
Health Agency ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Care System

Optimizing wellness in chronic obstructive pulmonary disease (COPD) is an emerging theme, in response to the substantial burden of COPD among Canadians. Population surveillance, from the Public Health Agency of Canada, as well as from international initiatives, such as the Burden of Obstructive Lung Disease (BOLD) study, has revealed the prevalence and regional disparities of a condition in which mortality, morbidity and health care resource use often reflect what was happening in the population more than 20 years previously. As COPD emerges to be an important women’s health issue, it raises questions as to how female mortality from COPD can rise at double the rate of breast cancer, why the COPD patient population is still predominantly male and whether women experience breathlessness differently than men.There is increasing awareness of the frequency and importance of assessing secondary impairments, such as muscle atrophy, an important prognostic indicator. The availability of pulmonary rehabilitation, despite its beneficial effects on exercise and quality of life, remains far behind the demand for services, a care gap unlikely to be filled by institutionally based programs. New models of chronic disease management require the health care system to proactively meet the needs of individuals with chronic conditions, rather than reacting to them through the acute care system. Such approaches occur best in partnership between health authorities and local municipalities. The present supplement includes several examples of this partnership, especially in Alberta and Saskatchewan. An increasing body of evidence supports the importance of exercise training, combined with selfmanagement, as a cornerstone of chronic disease management.

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