Ted Eytan, MD

e-Health. Patient empowerment. Washington, DC.
  • About
  • Portfolio
  • Contact
  • Subscribe to Updates
Search

Wireless Messaging System Has No Impact on Blood Glucose Levels, but Patients Believe It Improves Quality of Care (…and their blood pressure was reduced)

26 May

Posted by Ted Eytan as Connectivity for Californians, del.icio.us bookmarks
Tags: adherence , chcfp , hypertension
Popularity: 14%

  • Wireless Messaging System Has No Impact on Blood Glucose Levels, but Patients Believe It Improves Quality of Care - From the AHRQ Innovations Exchange. I thought the title of the Exchange article was interestingly different than the actual title of the study that it references, so I pulled the actual paper and read it. There was not a significant drop in HbA1c (a long term measure of diabetic control) after 3 months of the study, but half of the intervention patients who were hypertensive before the study were not after the study, a significant difference. I think that’s interesting, especially among patients with diabetes.

Related Posts

    • Cardiorespiratory Fitness and Adiposity as Mortality Predictors in Older Adults
    • E-mail Access and Improved Communication Between Patient and Surgeon, Archives of General Surgery
    • Health 2.0 Through the Eyes of a Diabetic - One Year Later - ReadWriteWeb
    • Hypertension, Health 2.0, and Indirect Costs, Now it’s Getting Interesting
    • Disparities in Cancer Care; MCG gets grant to build PHR; 47% of messages sent among care team providers are about the act of communicating

3 Responses

  1. e-Patient Dave

    May 26th, 2008 at 11:33 pm

    1

    Um, I hovered over the “actual title” link and got a nice realistic “Access Denied.” :) Care to share what it said?

    I too think this is fascinating. My gut says there’s something to be said for peace of mind. Can we quantify (in statistics and $) the benefits of lower blood pressure? I think so, and that should make insurers (and everyone else) run not walk toward this technology.

  2. Ted Eytan

    May 27th, 2008 at 9:47 am

    2

    Hey Dave,

    I think the capture service (not affiliated with me) is unable to capture that page. If you click the link you’ll go to PubMed to see the actual study reference.

    With regard to blood pressure - insurers and Medicare are already paying for blood pressure management, with less than satisfactory results - only 35% of patients under control, most of them insured and seeing doctors. This happens to be a condition with not a lot of patient involvement going on, with some great opportunities. The question is more about how the money that is already being spent (in the 55-60 billion dollar range) could be used effectively,

    Ted

  3. Alex Sicre

    May 27th, 2008 at 4:37 pm

    3

    From what I read, it seems as if the study wasn’t long enough to see a significant change in HbA1c levels as it takes 6 - 8 months to lower said levels, and the study was only 3 - 6 months long. The 26% drop for hypertensive patients is impressive. Reminders really can make a positive impact.

    We have 1.4M users getting Intelecare reminders for high blood pressure medications and 700K for diabetes - but I am not sure of the co-morbidity between the two groups. Our usage has shown that our reminders (email, text and voice) do help patients increase their medical adherence and improve their conditions across the board for disease states. We just launched a program with Diabetes Sisters, so hopefully we will have some data next year regarding lowering glucose levels.

    Alex


RSS feed for comments on this post · TrackBack URI

Leave a reply

Random header image... Refresh for more!

Recent Comments

  • "I agree with many of the..." (Jennifer Kahnweiler on The Welch Way : About You: Being an extrovert in business)

  • "Hi Daerick, You’re right and I should..." (Ted Eytan on Health 2.0 Through the Eyes of a Diabetic - One Year Later - ReadWriteWeb)

  • "Hi Ted, Thanks for highlighting this article..." (Daerick Lanakila on Health 2.0 Through the Eyes of a Diabetic - One Year Later - ReadWriteWeb)

  • "Dave, tell me how it goes...." (Ted Eytan on 2 Minutes To Working Smarter - Walking Meetings)

  • more comments..

Popular: May

  1. A Few Links Regarding the Continuity of Care Record (CCR) Standard
  2. Mobile applications for illness managment; Historical Scientific Misconduct; A Good LEAN Summary
  3. My Definition of Health 2.0 : The Transition to Personal, Participatory Health Care
  4. Giving a great presentation from Al Gore; Genie Industries LEAN approach; Wisdom of Patients Paper
  5. The RUC Speaks of Medical Home;Gathering Data on Hypertension;HealthPlan-Hospital Conflict in Arizona
  6. Flip this A3 : Project Plan for Connectivity for California Consumers
  7. The Patient is Still the Focus: 21st Century Family Medicine in Sebastopol, California

Recent Links

Meta

  • Log in
  • RSS Feed
  • RSS Comments Feed
  • Valid XHTML
  • XFN
  • WordPress

Calendar

May 2008
S M T W T F S
« Apr   Jun »
 123
45678910
11121314151617
18192021222324
25262728293031

Photographing Now

  • Previous

Reading Now

  • Previous Reads

Doing Now

  • @carlosrizo use busysync. Works great. ☺ # 5 hours ago
  • via Twitter (follow me)

Tags

    adoption ahrq airlines AMA Apple apple_in_the_enterprise blogs Boston California California Healthcare Founcation CCHIT ccr chcf chcfp cmio costs DC disparities disruption diversity ehr employer Employers employment enterprise2.0 GenX GenY Georgia google Group Health Cooperative health2.0 health2con health_plans HIT_before_HIE hypertension Informatics innovation Institute for Family Health iPhone Kaiser Permanente Kaiser_Permanente Leadership leadership_blogs LEAN listening location macintosh media medical home medical_education medical_home medications Microsoft my own cio New York npr optimism participation participatory medicine patient access Patient and Family Centered Care patient voice patient_access patient_centered_care patient_empowerment patient_involvement Photos phr physicians presentations primary care privacy purchasers reimbursement RHIO rowe safety safety net Seattle socialnetworking standards statistics toyota transparency Twitter walking Washington Web2.0 where we came from wordpress

Archives

  • December 2008
  • November 2008
  • October 2008
  • September 2008
  • August 2008
  • July 2008
  • June 2008
  • May 2008
  • April 2008
  • March 2008
  • February 2008
  • January 2008
  • December 2007
  • November 2007
  • October 2007
  • September 2007
  • January 2007
  • December 2006
  • September 2006
  • July 2000

Categories

  • Connectivity for Californians
  • del.icio.us bookmarks
  • Health Information Technology
  • Now Reading
  • Opinion
  • Photo Friday
  • Updates

Recent Entries

  • The Health Care Blog: Confessions of A Physician EMR Champion, Part 2: Empowering Health IT for the Connected Medical Home
  • Now Reading: "What's the ROI on that scanner you just bought?" - Use of Medical Imaging in the United States
  • Health 2.0 Through the Eyes of a Diabetic - One Year Later - ReadWriteWeb
  • Walk and talk: the new meeting room | Teaching Expertise
  • 2 Minutes To Working Smarter - Walking Meetings
  • Social Networking For Work Explored : NPR
  • The Welch Way : About You: Being an extrovert in business
  • Snapshot of Presidential Candidate Social Networking Stats: Nov 3, 2008
  • Disruptive Women in Health Care » Blog Archive » Cancer Schmancer
  • Work- and dataflows for managing hypertension outside of the doctor's office
  • Photo Friday: Andrew Jackson and an Incredible month for Washington, DC
  • Engage with Grace
  • detnews.com | Webvideo | Ford's most advanced assembly plant operates in rural Brazil
  • Park It DC
  • Health Care Renewal: Medical Informatics and Leadership of Clinical Computing: Ivy League University Decides On An Enlightened Approach
  • Patient Accessible Electronic Health Records: Exploring Recommendations for Successful Implementation Strategies | Wiljer | Journal of Medical Internet Research
  • Global Neighbourhoods: The Power of ReTweeting

Recent Comments

  • Jennifer Kahnweiler: I agree with many of the
  • Ted Eytan: Hi Daerick, You're right and I should
  • Daerick Lanakila: Hi Ted, Thanks for highlighting this article
  • Ted Eytan: Dave, tell me how it goes.
  • e-Patient Dave: Brillliant. I'm takin' it to
  • Susannah Fox: Thanks, Ted, for citing our work
  • Ted Eytan: Hi Nedrra, Thank you for taking the
  • Nedrra: I went through three days in
  • Jan O: Ted, I'm late to the game but
  • Photo Friday: Andrew Jackson and an Incredible month for Washington, DC | Ted Eytan, MD: [...] far removed from an interest
  • ICMCC Newspage » Blog Archive » Engage with Grace: [...] our preferences as patients, regarding
  • e-Patient Dave: Um, who's Ron Sparks? (Is
  • e-Patient Dave: Thanks, Ted. The slide images
  • Jenn: I tried using Yammer but it
  • Ted Eytan: Eva, Glad this idea came across intact
  • Maarten den Braber: Excellent idea Ted, there's definitely potential
  • Eva P: This is great - perfect example

Most Commented

  • When physicians are ready to promote patient empowerment / engagement, what do we want them to do? (40)
  • Health 2.0 Definition, Version 2 (28)
  • New Position (19)
  • My Definition of Health 2.0 : The Transition to Personal, Participatory Health Care (17)
  • Stepping Through a Patient's Experience with Hypertension: Making the Diagnosis (16)

Ted Eytan, MD is proudly powered by WordPress - BloggingPro theme by: Design Disease Subscribe to this blog's RSS Feed