scholarly journals Wearable Bioimpedance Monitoring: Viewpoint for Application in Chronic Conditions

10.2196/22911 ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. e22911
Author(s):  
Willemijn Groenendaal ◽  
Seulki Lee ◽  
Chris van Hoof
Keyword(s):  
Health Care ◽  
Chronic Conditions ◽  
Wearable Technology ◽  
Current Status ◽  
Time Varying ◽  
Early Detection Of Disease ◽  
Fluid Status ◽  
Wide Range ◽  
Patients With Heart Failure ◽  
Care Costs

Currently, nearly 6 in 10 US adults are suffering from at least one chronic condition. Wearable technology could help in controlling the health care costs by remote monitoring and early detection of disease worsening. However, in recent years, there have been disappointments in wearable technology with respect to reliability, lack of feedback, or lack of user comfort. One of the promising sensor techniques for wearable monitoring of chronic disease is bioimpedance, which is a noninvasive, versatile sensing method that can be applied in different ways to extract a wide range of health care parameters. Due to the changes in impedance caused by either breathing or blood flow, time-varying signals such as respiration and cardiac output can be obtained with bioimpedance. A second application area is related to body composition and fluid status (eg, pulmonary congestion monitoring in patients with heart failure). Finally, bioimpedance can be used for continuous and real-time imaging (eg, during mechanical ventilation). In this viewpoint, we evaluate the use of wearable bioimpedance monitoring for application in chronic conditions, focusing on the current status, recent improvements, and challenges that still need to be tackled.

scholarly journals Wearable Bioimpedance Monitoring: Viewpoint for Application in Chronic Conditions (Preprint)

2020 ◽  
Author(s):  
Willemijn Groenendaal ◽  
Seulki Lee ◽  
Chris van Hoof
Keyword(s):  
Health Care ◽  
Chronic Conditions ◽  
Wearable Technology ◽  
Current Status ◽  
Time Varying ◽  
Early Detection Of Disease ◽  
Fluid Status ◽  
Wide Range ◽  
Patients With Heart Failure ◽  
Care Costs

UNSTRUCTURED Currently, nearly 6 in 10 US adults are suffering from at least one chronic condition. Wearable technology could help in controlling the health care costs by remote monitoring and early detection of disease worsening. However, in recent years, there have been disappointments in wearable technology with respect to reliability, lack of feedback, or lack of user comfort. One of the promising sensor techniques for wearable monitoring of chronic disease is bioimpedance, which is a noninvasive, versatile sensing method that can be applied in different ways to extract a wide range of health care parameters. Due to the changes in impedance caused by either breathing or blood flow, time-varying signals such as respiration and cardiac output can be obtained with bioimpedance. A second application area is related to body composition and fluid status (eg, pulmonary congestion monitoring in patients with heart failure). Finally, bioimpedance can be used for continuous and real-time imaging (eg, during mechanical ventilation). In this viewpoint, we evaluate the use of wearable bioimpedance monitoring for application in chronic conditions, focusing on the current status, recent improvements, and challenges that still need to be tackled.

Cheaper Clinical Trials: The Real Solution to the Biologic Industry's Gordian Knot

2011 ◽  
Vol 37 (1) ◽  
pp. 172-193 ◽  
Author(s):  
Alana Montas
Keyword(s):  
Health Care ◽  
Interest Groups ◽  
Advanced Technology ◽  
Financial Impact ◽  
Regulatory Agencies ◽  
Real Solution ◽  
Regulatory Pathway ◽  
Gene Therapies ◽  
Wide Range ◽  
Care Costs

Biologics include a wide range of products, such as vaccines, allergenics, gene therapies, and tissues, among others. Biologics are complex combinations of sugars, proteins, or nucleic acids that are produced by biotechnology methods or other advanced technology. Biologics often represent the only medical treatment for complex medical conditions such as: Hepatitis B; Measles, Mumps, Rubella and Varicella; and Tetravalent meningococcal conjugate among others. As a result, biologic sales are growing at twice the rate of chemical pharmaceuticals and are expected to exceed $158 billion by 2015. Various interest groups, including patients, insurers, and regulatory agencies, raised concerns about the financial impact that biologics may have on health care costs. Congress and the Food and Drug Administration (FDA) faced pressure to provide a solution to the soaring biologic costs, namely through a regulatory pathway for generic biologics (“follow-on biologics”) to manufacture cheaper products. Although a regulatory pathway for generic chemical pharmaceuticals (“generic”) exists under the Hatch-Waxman Act, a similar regulatory pathway for follow-on biologics did not exist prior to 2010.

scholarly journals A unique partnership between a health system’s insurance plan and the Integrative Medicine Department benefits patients and helps control costs

2016 ◽  
Vol 5 (4) ◽  
pp. 61
Author(s):  
Maureen M Anderson ◽  
Karen Armstrong ◽  
Katherine Nori Janosz ◽  
Michael Tocco ◽  
Nancy A DeVore ◽  
...  
Keyword(s):  
Health Care ◽  
Integrative Medicine ◽  
Health Care Costs ◽  
Treatment Options ◽  
Cost Savings ◽  
Clinical Results ◽  
Insurance Plan ◽  
Effective Care ◽  
Wide Range ◽  
Care Costs

Health care costs continue to increase, affecting patients and insurance providers. Complementary health approaches are increasingly used to augment traditional medicine, and integrative medicine (IM) incorporates these complementary approaches into traditional patient care. The IM Department was established in our institution in 2004 and now offers a wide range of services to patients. Our institution offers health care coverage to all benefit-eligible hospital personnel and their eligible dependents. The use of IM has had a surprising and beneficial effect on the health care costs of this small, self-insured health plan. We found that the coverage of certain IM modalities for specific conditions had positive clinical results and resulted in significant cost savings to the insurance plan. At the same time, this partnership supports patients by providing appropriate and effective care, and we have seen success in terms of patient recovery and patient satisfaction. Here, we present the history of the relationship between the insurance plan and the IM Department, how the coverage of IM modalities has expanded, and the current practice at our institution. We demonstrate that this innovative relationship has benefitted patients and resulted in cost-savings for the insurance provider. Therefore, this partnership will continue to expand, thus providing patients with a wide range of treatment options and effective care.

The Current Status of Medical Malpractice Countersuits

1985 ◽  
Vol 10 (4) ◽  
pp. 439-457
Author(s):  
David J. Sokol
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Medical Malpractice ◽  
Current Status ◽  
Malpractice Litigation ◽  
Economic Motivation ◽  
Contingent Fee ◽  
Care Costs ◽  
Dramatic Growth

AbstractThe dramatic growth of medical malpractice litigation in recent decades has contributed significantly to an overall increase in health care costs in this country. Although lawmakers, physicians, and other responsible citizens have proposed numerous solutions in an effort to curb die crisis, diese proposals have generally been ineffective.In this Article the Audior endorses countersuits as die most appropriate response to frivolous medical malpractice actions. The Author also suggests that contingent fee systems, coupled with the economic motivation of private insurers to settle claims quickly, provide incentive for plaintiffs to initiate frivolous claims.This Article analyzes the general legal approaches available for countersuits, emphasizing recent successful actions based on malicious prosecution and abuse of process, and proposes more widespread use of diese approaches.

scholarly journals The Use of Telehealth Technology to Support Health Coaching: A Scoping Review (Preprint)

2020 ◽  
Author(s):  
Carl Markert ◽  
Farzan Sasangohar
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
Remote Monitoring ◽  
Chronic Conditions ◽  
Hospital Admissions ◽  
Health Coaching ◽  
Activity Level ◽  
Current Status ◽  
Use Of Technology ◽  
Health Related

BACKGROUND Health coaching is an intervention process for driving behavior change through goal-setting, education, encouragement and feedback on health-related behaviors. Telehealth systems that include health coaching and remote monitoring are making inroads in managing chronic conditions in elderly populations. OBJECTIVE To conduct a scoping review investigating the current status of health coaching interventions incorporating telehealth technology and the associated effectiveness of this intervention to deliver health care to seniors. METHODS A scoping literature review was conducted to identify the research conducted on health coaching combined with remote monitoring for delivering health care to seniors. The Ovid MEDLINE and CINAHL databases were queried using a combination of relevant search terms (including middle aged, aged, older adult, elderly, health coaching, and wellness coaching). The search retrieved 196 papers published from January 2010 to September 2019 in English. Following a systematic scoping review process, the titles and abstracts of the papers retrieved were screened for applicability to health coaching for seniors to define a subset for further review. The full text of the 42 papers in this subset were then reviewed, and 13 papers related to health coaching combined with remote monitoring for seniors were included in this scoping study. RESULTS Of the 13 studies reviewed, seven found coaching supported by telehealth technology to be effective in managing chronic conditions in seniors. Effectiveness outcomes assessed in the studies included hospital admissions/readmissions, mortality, hemoglobin A1c (HbA1c) level, body weight, blood pressure, physical activity level, fatigue, quality of life, and user acceptance of the coaching program and technology. CONCLUSIONS Telehealth systems that include health coaching have been implemented in senior populations as a viable intervention method for managing chronic conditions with mixed results. Health coaching combined with telehealth may be an effective solution for providing health care to older adults while enabling them to remain in their homes as they age. However, health coaching is predominantly performed by human coaches with limited use of technology to augment or replace the human coach. The opportunity exists to expand health coaching to include automated coaching.

Analysis of Health Care Costs in Elderly Patients with Multiple Chronic Conditions Using a Finite Mixture of Generalized Linear Models

2016 ◽  
Vol 26 (5) ◽  
pp. 582-599 ◽  
Author(s):  
Matthias Eckardt ◽  
Christian Brettschneider ◽  
Hendrik van den Bussche ◽  
Hans-Helmut König ◽  
Keyword(s):  
Health Care ◽  
Elderly Patients ◽  
Health Care Costs ◽  
Generalized Linear Models ◽  
Chronic Conditions ◽  
Linear Models ◽  
Finite Mixture ◽  
Multiple Chronic Conditions ◽  
Care Costs

scholarly journals Livello di dipendenza dai Servizi Territoriali e costi relativi al trattamento della schizofrenia

2005 ◽  
Vol 6 (4) ◽  
pp. 301-304
Author(s):  
Giorgio D’Allio ◽  
Fernando Rutto ◽  
Michela Coppi ◽  
Luca Guidi
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Costs ◽  
Chronic Conditions ◽  
Home Intervention ◽  
One Year ◽  
Care Costs ◽  
Home Nurse ◽  
Nurse Intervention ◽  
Typical Neuroleptics

The present study was designed to evaluate the level of dependence from Mental Health Care Department, in Casale Monferrato, of three groups of psychotic patients treated with olanzapine (31), risperidone (30) or typical neuroleptics (31). The observation was retrospective, lasting one year (2003-2004), and collected data relative to health care resources as specialist visits, home interventions operated by nurses or physicians, drug administration, rehabilitation, psychotherapy, hospitalizations. The data collected allowed to evidentiate substantial differences among olanzapine and risperidone treated patients, usually younger, versus typical treated patients, usually older and more chronic. In general, atypical treated patients, evidentiate a reduction of home nurse intervention in respect to typical treated patients while olanzapine shows a trend in hospitalization and specialist visits reduction versus risperidone. Total health care costs are not significantly different among the three groups but evidentiate interventions more oriented to rehabilitation in the group treated with olanzapine while risperidone treated patients needed a major number of hospitalizations. Typical treated patients requested, instead, an high number of home intervention due to their chronic conditions and cognitive imparement.

scholarly journals EVALUATION OF NONCARDIAC CHEST PAIN

2017 ◽  
Vol 9 (3) ◽  
pp. 12-23
Author(s):  
V I Dorofeev ◽  
D N Monashenko ◽  
D A Svirido ◽  
A A Savelev
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Chest Pain ◽  
Primary Care Physicians ◽  
Diagnostic Tools ◽  
Noncardiac Chest Pain ◽  
Wide Range ◽  
Diagnostic Approaches ◽  
Care Costs ◽  
Upper Gastrointestinal

In the presented review of the current literature a lot of information about differente diagnostic approaches for patients management with a syndrome of noncardiac chest pain were system- atized and generalized.These patients have a diverse set of disease that requires the physician applying a wide range of ad- ditional surveys. In General, doctors need to exclude heart disease in patients who were treated with chest pain. If chest pain is noncardiac, then empirical treatment for gastro-intestinal reasons and the cor- responding assessment of psychogenic causes of chest pain are important for the symptomatology of pa- tients. In particular, primary care physicians should consider - besides the cardiac causes as a possible causes of thoracalgia - possible mental disorders, impaired motility of the upper gastrointestinal tract, problems with the thoracic spine - as a possible causes of thoracalgia. It would be beter to find out the rea- sons of thoracalgia with all available diagnostic tools and then - choose and assign appropriate adequate etiotropic therapy for most effectively cupping the patient's symptoms and reducing health care costs.

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