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Implementing Mobile Health-Enabled Integrated Care for Complex Chronic Patients: Intervention Effectiveness and
Jordi de Batlle1,2, Mireia Massip1, Eloisa Vargiu3
1Group of Translational Research in Respiratory Medicine, Institut de Recerca Biomedica de Lleida, Lleida, Spain.
JMIR Mhealth and Uhealth
|January 14, 2021
Summary
Mobile health (mHealth)-enabled integrated care for chronic patients reduced unplanned healthcare visits and costs. This patient-centered model proved cost-effective, improving health status and system efficiencies.
Area of Science:
- Healthcare delivery innovation
- Digital health interventions
- Chronic disease management
Background:
- Integrated care models enhance health and social care by reducing fragmentation and promoting patient-centered, preventive strategies.
- eHealth technologies serve as crucial facilitators for the successful implementation of integrated care.
Purpose of the Study:
- To evaluate the effectiveness and cost-effectiveness of an integrated care model.
- The model was specifically designed for complex chronic patients and enabled by mobile health (mHealth) technology.
Main Methods:
- A pragmatic, two-arm implementation trial was conducted over 3 months in a rural Spanish region.
- Elderly patients with COPD or heart failure received integrated care via the CONNECARE model and its supporting eHealth platform (app, sensors, web platform) or usual care.
- Outcomes included SF-12 health status, unplanned visits/admissions (6-month follow-up), and cost-effectiveness analysis (ICER).
Main Results:
- Integrated care patients showed improvements in SF-12 physical and total scores, though not statistically significant between groups.
- A significant reduction of 57% in unplanned visits and 50% in hospital admissions for chronic diseases was observed in the integrated care group.
- The integrated care program demonstrated cost savings and proved cost-effective based on the ICER.
Conclusions:
- Implementing a patient-centered, mHealth-enabled integrated care model effectively reduces unplanned healthcare contacts and associated costs.
- This approach empowers patients and connects healthcare professionals across primary, hospital, and social care settings.
- System-wide, cross-organizational care pathways supported by mHealth represent a successful strategy for integrated care delivery.
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