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Related Experiment Video

Updated: Sep 17, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Electronically-Delivered Push Notifications Improve Patient Adherence to Preventive Care.

Lenard I Lesser1, Esha Datta2, Raj Behal2

  • 1From the Population Health, One Medical (LIL); One Medical (ED); One Medical (RB). LLesser@onemedical.com).

Journal of the American Board of Family Medicine : JABFM
|June 27, 2025
PubMed
Summary

Automated outreach reminders significantly increased patient completion of preventive care services, including annual exams, cancer screenings, and diabetes monitoring. This system can help close care gaps for asymptomatic individuals due for screenings.

Keywords:
Cancer ScreeningCohort StudiesDiabetes MellitusPopulation HealthPreventive Health ServicesPrimary Health CareQuality ImprovementText Messaging

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Area of Science:

  • Public Health
  • Health Informatics
  • Preventive Medicine

Background:

  • Preventive care is crucial for patient health and cost-effectiveness.
  • Many patients do not receive recommended health screenings on time.

Purpose of the Study:

  • To assess an automated system's effectiveness in prompting patients for overdue preventive care.
  • The system targeted annual examinations, cervical cancer screening, and diabetes monitoring labs.

Main Methods:

  • A quality improvement project developed a population health algorithm and outreach system.
  • The system sent email and smartphone notifications to patients overdue for preventive services.
  • A matched control group design compared service completion rates in the 4 weeks post-outreach.

Main Results:

  • The intervention group showed a 9.0% increase in annual preventive visits compared to controls.
  • Cervical cancer screening increased by 3.2% in the intervention group.
  • Diabetes monitoring saw significant gains: 5.2% more bloodwork and 20.8% more urine microalbumin tests.

Conclusions:

  • Population health outreach using automated reminders improved patient adherence to necessary preventive services.
  • Broader deployment of such systems could reduce care gaps and enhance health outcomes for asymptomatic individuals.
  • Automated reminders are effective in increasing uptake of essential preventive health screenings.