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Telemed J E Health ; 20(6): 563-9, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24666038

RESUMO

BACKGROUND: The U.S. Army Medical Department conducted a pilot mobile health project to determine the requirements for coordination of care for "Wounded Warriors" using mobile messaging. The primary objective was to determine if a secure mobile health (mhealth) intervention provided to geographically dispersed patients would improve contact rates and positively impact the military healthcare system. METHODS AND MATERIALS: Over 21 months, volunteers enrolled in a Health Insurance Portability and Accountability Act-compliant, secure mobile messaging initiative called mCare. The study included males and females, 18-61 years old, with a minimum of 60 days of outpatient recovery. Volunteers were required to have a compatible phone. The mhealth intervention included appointment reminders, health and wellness tips, announcements, and other relevant information to this population exchanged between care teams and patients. RESULTS: Provider respondents reported that 85% would refer patients to mCare, and 56% noted improvement in appointment attendance (n=90). Patient responses also revealed high acceptability of mCare and refined the frequency and delivery times (n=114). The pilot project resulted in over 84,000 outbound messages and improved contact rates by 176%. CONCLUSIONS: The mCare pilot project demonstrated the feasibility and administrative effectiveness of a scalable mhealth application using secure mobile messaging and information exchanges, including personalized patient education.


Assuntos
Confidencialidade , Militares/estatística & dados numéricos , Aplicativos Móveis , Telecomunicações/organização & administração , Telemedicina/métodos , Adolescente , Adulto , Telefone Celular/estatística & dados numéricos , Pessoas com Deficiência/reabilitação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medicina Militar/instrumentação , Medicina Militar/métodos , Avaliação de Resultados em Cuidados de Saúde , Projetos Piloto , Recuperação de Função Fisiológica , Medição de Risco , Transtornos de Estresse Pós-Traumáticos/reabilitação , Envio de Mensagens de Texto/instrumentação , Estados Unidos , Adulto Jovem
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