The Influence of Mobile Health Adoption on Medication Adherence on Population Health

2020 ◽  
pp. 166-175
Author(s):  
Florence Funmilola Folami
Keyword(s):  
Medication Adherence ◽  
Health Outcomes ◽  
Population Health ◽  
Mobile Health ◽  
Health Determinants ◽  
Diabetic Patients ◽  
Private Hospitals

The fields of population health include health outcomes, patterns of health determinants, and policies interventions. Health is a national and international priority and implementation of mHealth can add a new level of solution to current challenges facing healthcare. The goal of this study is to explore the influence of mobile health adoption on medication adherence. A two-month intervention to monitor patients with poorly controlled diabetes was developed by the researcher diabetic patients that attend two private hospitals in western part of Nigeria. The researcher invented a smart pill container that automatically uploaded its data to the cloud. The pillbox helped patients organize their medications while providing patient-facing reminders and provider-centered feedback on medication adherence patterns. Average medication adherence was consistently above 80%, and even briefly hit 90% during one week of the study. The intervention showed an improvement in the medication adherence among the participants.

scholarly journals Population Health Inequalities Across and Within European Metropolitan Areas through the Lens of the EURO-HEALTHY Population Health Index

2019 ◽  
Vol 16 (5) ◽  
pp. 836 ◽  
Author(s):  
Claudia Costa ◽  
Paula Santana ◽  
Sani Dimitroulopoulou ◽  
Bo Burstrom ◽  
Carme Borrell ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Population Health ◽  
Urban Areas ◽  
Metropolitan Areas ◽  
Health Determinants ◽  
Healthy Population ◽  
Health Index ◽  
Geographical Patterns ◽  
Northern Cities ◽  
Multiple Health

The different geographical contexts seen in European metropolitan areas are reflected in the uneven distribution of health risk factors for the population. Accumulating evidence on multiple health determinants point to the importance of individual, social, economic, physical and built environment features, which can be shaped by the local authorities. The complexity of measuring health, which at the same time underscores the level of intra-urban inequalities, calls for integrated and multidimensional approaches. The aim of this study is to analyse inequalities in health determinants and health outcomes across and within nine metropolitan areas: Athens, Barcelona, Berlin-Brandenburg, Brussels, Lisbon, London, Prague, Stockholm and Turin. We use the EURO-HEALTHY Population Health Index (PHI), a tool that measures health in two components: Health Determinants and Health Outcomes. The application of this tool revealed important inequalities between metropolitan areas: Better scores were found in Northern cities when compared with their Southern and Eastern counterparts in both components. The analysis of geographical patterns within metropolitan areas showed that there are intra-urban inequalities, and, in most cities, they appear to form spatial clusters. Identifying which urban areas are measurably worse off, in either Health Determinants or Health Outcomes, or both, provides a basis for redirecting local action and for ongoing comparisons with other metropolitan areas.

Enhancing Patient Motivation through Intelligibility in Cardiac Tele-rehabilitation

2019 ◽  
Vol 31 (2) ◽  
pp. 122-137
Author(s):  
Supraja Sankaran ◽  
Kris Luyten ◽  
Dominique Hansen ◽  
Paul Dendale ◽  
Karin Coninx
Keyword(s):  
Medication Adherence ◽  
Exercise Training ◽  
Physical Exercise ◽  
Health Outcomes ◽  
Cardiac Rehabilitation ◽  
Field Studies ◽  
Activity Levels ◽  
Patient Motivation ◽  
Physical Exercise Training ◽  
The Impact

Abstract Physical exercise training and medication compliance are primary components of cardiac rehabilitation. When rehabilitating independently at home, patients often fail to comply with their prescribed medication and find it challenging to interpret exercise targets or be aware of the expected efforts. Our work aims to assist cardiac patients in understanding their condition better, promoting medication adherence and motivating them to achieve their exercise targets in a tele-rehabilitation setting. We introduce a patient-centric intelligible visualization approach to present prescribed medication and exercise targets to patients. We assessed efficacy of intelligible visualizations on patients’ comprehension in two lab studies. We evaluated the impact on patient motivation and health outcomes in field studies. Patients were able to adhere to medication prescriptions, manage their physical exercises, monitor their progress and gained better self-awareness on how they achieved their rehabilitation targets. Patients confirmed that the intelligible visualizations motivated them to achieve their targets better. We observed an improvement in overall physical activity levels and health outcomes of patients. Research Highlights Presents challenges currently faced in cardiac tele-rehabilitation. Demonstrates how intelligibility was applied to two core aspects of cardiac rehabilitation- promoting medication adherence and physical exercise training. Lab., field and clinical studies to demonstrate efficacy of intelligible visualization, impact on patient motivation and resultant health outcomes. Reflection on how similar HCI approaches could be leveraged for technology-supported management of critical health conditions such as cardiac diseases.

Trends in Relative Inequalities in Measures of Favorable and Adverse Population Health Outcomes

Epidemiology ◽  
2017 ◽  
Vol 28 (3) ◽  
pp. e23-e24
Author(s):  
Ramal Moonesinghe ◽  
Ana Penman-Aguilar ◽  
Gloria L. A. Beckles
Keyword(s):  
Health Outcomes ◽  
Population Health

scholarly journals Effects of economic crises on population health outcomes in Latin America, 1981–2010: an ecological study

BMJ Open ◽  
2016 ◽  
Vol 6 (1) ◽  
pp. e007546 ◽  
Author(s):  
Callum Williams ◽  
Barnabas James Gilbert ◽  
Thomas Zeltner ◽  
Johnathan Watkins ◽  
Rifat Atun ◽  
...  
Keyword(s):  
Latin America ◽  
Health Outcomes ◽  
Population Health ◽  
Ecological Study ◽  
Economic Crises

scholarly journals How to tackle the growing problem of type 2 diabetes in the European Union?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N M Mahrouseh ◽  
D W Njuguna ◽  
O A Varga
Keyword(s):  
Type 2 Diabetes ◽  
European Union ◽  
Communicable Diseases ◽  
Health Determinants ◽  
Diabetic Patients ◽  
The European Union ◽  
Member States ◽  
Non Communicable Diseases ◽  
The Eu

Abstract Background There is an alerting increase in the population affected by type 2 diabetes mellitus (T2DM) in the European Union (EU) with significant socioeconomic burden. According to an estimation by the International Diabetes Federation, by 2030, the total number of diabetic patients will be 38 million in EU. The “screen and treat” strategies that predominantly applied in policies to prevent T2DM have not achieved significant success, as reported by a large systematic review and meta-analysis published in 2017. Although the member states of the EU have almost full responsibilities for actions in the field of health, the EU has to tackle non-communicable diseases by targeting health determinants and lifestyle mostly through non-binding policies. The goal of this work is to review the T2DM prevention policies in the EU and compare with tobacco policies, from a legal perspective. Methods Following the systematic search and screening of policies from EUR-lex, a content analysis was carried out by using MonQcle as publicly available legal text document analysis platform, by two coders. The search was limited for regulations, directives and white papers. Results Our data collection consisted of 19 documents including 10 regulations, 6 directives and 3 white papers with relevance to T2DM, covering the following topics: health infrastructure and services, informational policies, economic policies, environmental policies, command and control and social policies. The identified policies covered the time frame of 1972 to 2020. Diabetes was targeted as part of non-communicable diseases. None of the policies was legally binding addressing T2DM directly which is in sharp contrast to the tobacco control policies in the EU. Conclusions T2DM, in fact, is largely preventable. EU institutions should consider to reframe T2DM prevention strategies and consider applying a wide range of population-level legislative and innovative actions to prevent T2DM e.g. taxes on unhealthy food products. Key messages T2DM is a largely preventable disease, effective legal tools should be created and applied matching the scale of such public health problem. T2DM policies of the EU may be subject to change due to additional value of actions taken by the EU compared to that could have been achieved by member states alone.

Translation Research in Practice: An Introduction

2018 ◽  
Vol 23 (2) ◽  
Author(s):  
Marita Titler
Keyword(s):  
Health Outcomes ◽  
Population Health ◽  
Care Delivery ◽  
Implementation Strategies ◽  
Improve Patient Care ◽  
Evidence Base ◽  
Routine Practice ◽  
Translation Research ◽  
Introductory Overview ◽  
Improve Patient

Translation science is a relatively young area of investigation that is rapidly growing. Although a number of healthcare practices have an evidence-base to guide care delivery, their use is not a part of routine practice. The gap between the availability of evidence-based practice (EBP) recommendations and application to improve patient care and population health is linked to poor health outcomes. Translation science, also known as implementation science, is testing implementation interventions to improve uptake and use of evidence to improve patient outcomes and population health. It also helps clarify what implementation strategies work for whom, in what settings, and why. This scientific field emerged to investigate which implementation strategies work to promote use of EBPs, and uncover the mechanisms by which they work. Advancements in translation science can expedite and sustain the successful integration of evidence in practice to improve care delivery, population health, and health outcomes. This article offers an introductory overview of translation science and addresses issues in this field of science such as variation in terminology; theories and models; implementation strategies; and context and implementation related to EBPs.

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