Klynn AlibocusWhat success have you seen in Cell/mobile driven patient adherence schemes?
I'm one step removed from the patient/end customer in this space, but as the Director of Medical Marketing at TI, I believe any and all success will be born out of an automated systemwheras the patient is removed from the process. Any body worn device that behavesindependently, monitoring and communicating via GSM/GPRS, or other means to a 'hub' ordirectly would be a hit.
I'd like to see this kind of adherence scheme pushed further to use not only datacommunications, but exploit the full potential for integrated ubiquitous communications. Ibelieve to be a successful offering, monitoring (automated or not) is not enough. Ultimately,the benefits of adherence must be communicated to the patient, otherwise even the bestmonitoring technology is wasted. I think real person-to-person interaction is more valuable inachieving this goal than delivering predefined adherence tips, for example.In my opinion, given the cost of patient monitoring, the remote partner in adherence schemesmay not even be a caregiver (especially in a cost-sensitive deployment), but a peer (such as apartner in a patient social network site).
I would hardly call patient adherence programs "schemes." If done properly, the use of mobiledevices can be quite beneficial and convenient for some patients. Cegedim Dendrite has goodand comprehensive adherence methodology, which includes the use of mobile devices as acomponent of proactive care.
As the Director of Confidant Hawaii, we are currently conducting a study with a local hospitaland university on the use of cell phone technology to improve compliance and improve patientcommunication concerning Gestational Diabetes. There are drawbacks due to the carriers andnetworks involved, but the results have shown the patient is more likely to take glucosereadings at the correct times as directed and since it is automated, there is little error in thereadings obtained. In addition, the system provides automatic feedback based on the readingsand the clinical staff has an easy way to message the patient with information and instructions.
Mikko K. Leino
Using cell phones, text or mobile applications, for reporting readings is one thing. Formedication compliance, Helsinki, Finland-based Addoz has a product with embedded GSMconnectivity. Daily medication is prepared to compartments by caregiver, and the automaticdispenser device reminds the patient to take them on time. If the medication is not takendespite the reminders within one hour's grace time, the device sends out an alert by SMS.There's a case study where reminders combined with back-up calls from the care centre topatients has provided 97% medication compliance rate. With GSM connectivity, there's noneed for other infrastructure like care phones. However, medication dispenser may also have aproprietary social alarm transmitter, in which case alerts are first received by a carephone andthen forwarded to the care centre.
Ouch, Steven. Compliancy is a complicated psychological issue for most clients. While somemay simply forget, others are concerned about side-effects, trust their own feelings and