Department of Medicine, The George Washington University School of Medicine, Washington, District of Columbia 20037, USA.
J Health Commun. 2012;17 Suppl 1:67-72. doi: 10.1080/10810730.2012.650613.
Cell phone-assisted self-management of diabetes offers a new approach to improving chronic care; however, introducing this new technology presents many challenges to a health care team. The George Washington University-District of Columbia Cell Phone Diabetes Project enrolled 32 patients with Type 2 diabetes from a community clinic using patients' cell phones connected to the Well Doc Diabetes Manager System with monitoring by case managers and monthly reports to primary care providers. Despite monetary incentives (cell phone rebates), dropout rate was high (50%), because of lack of use or inability to afford low-cost cell phone service. Active patients had sustained system use with improved diabetes standard-of-care goals and reduced hospitalizations and emergency department visits. On the basis of this pilot program, the authors assessed the multiple links in the chain (patients, case managers, primary care providers, support staff, medical record systems, disease management software, cell phones) that affect the success of a mHealth chronic care strategy.
手机辅助糖尿病自我管理为改善慢性病护理提供了一种新方法；然而，向医疗团队引入这项新技术带来了许多挑战。乔治华盛顿大学-哥伦比亚特区手机糖尿病项目从一个社区诊所招募了 32 名 2 型糖尿病患者，这些患者的手机连接到 Well Doc 糖尿病管理系统，由个案管理员进行监测，并每月向初级保健提供者报告。尽管有金钱奖励（手机回扣），但由于使用率低或无法负担低成本手机服务，患者的流失率很高（50%）。积极参与的患者持续使用该系统，糖尿病标准护理目标得到改善，住院和急诊就诊次数减少。基于该试点项目，作者评估了影响移动医疗慢性病管理策略成功的多个环节（患者、个案管理员、初级保健提供者、支持人员、病历系统、疾病管理软件、手机）。
