Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The demand for innovative patient follow-up

Jacob Adney
Tech
July 16, 2017
Share
Tweet
Share

Alan Rickman, Carrie Fisher, Debbie Reynolds, and George Michael. In just this past year, we have lost these four, and millions more, to chronic diseases. The CDC states chronic diseases like heart disease, stroke, and cancer are the leading causes of death and disability in the U.S. All of our lives have been affected by one, if not many, of these illnesses.

As health care professionals, we counsel patients to eat better, live healthier, become smaller, faster, and stronger. But we can only advocate for a patient’s health when they are in the clinic. When (or if) they return, often their condition is the same or worse.

One popular mantra among the fitness community is “six-pack abs are made in the kitchen, not the gym,” meaning 1 hour spent exercising can be completely undone by 23 hours spent eating tasty treats. This same principle applies to the treatment of chronic diseases: the path to changing a patient’s life for the better requires more longitudinal treatment than just a single visit counseling session.

The visit quickly becomes a race against the clock. Physicians, nurses, medical assistants, physician assistants, and all other health care professionals have limited time, just like our patients. As much as we may want to coach each one of our patients on to a healthier lifestyle, follow-up takes a huge amount of time and manpower. Thinking we can follow up, especially with chronic diseases, with every patient every day simply is impossible.

But the demands on time are about to grow with MACRA on the horizon, if not the elephant already in the room. Health care professionals must give better treatment for less money. The future depends on the capacity for innovation, particularly those innovations that improve health care efficiency.

Quality improvement trials and other research attempt to address the increasing demand for maximizing efficiency. The boom of modern technology allows for simplification and automation of some complex processes. Unfortunately, many new technologies will not reach patients due to high expense, high maintenance requirement, or simply a better or cheaper product coming available.

Innovations that rely on time-tested and everyday technologies are often the most affordable and reliable. A very promising example is text-based interventions. Text-based interventions rely on the widespread use of cell phones, but do not require iOS Supple Leopard or Android Unicorn Frappucino. They utilize SMS text messaging, and are thus accessible using any phone. With intelligent automation, health care professionals can set alerts for specific responses while tracking patient adherence and improvement. Cost lowers for both the patient and the physician; patient adherence maximizes by the convenience of using a device they always have on-hand. Further, diseases requiring longitudinal following (like COPD, asthma, or depression) can be continuously monitored with relatively small manpower.

Such novelty produces unique challenges, most notably privacy concerns with cell phones. By requesting only actionable, relevant symptom data (like blood pressure, inhaler use frequency, or survey responses), privacy is ensured. Physicians can respond to dangerously high blood pressures while the system continues to remind and record the data of other patients, comparing it against past submitted values for consistency.

Novel applications of technology in health care such as this empower physicians and patients to participate cooperatively in care. The new demands on the health care system require professionals and patients to work together closely for the best outcomes. These demands can only be met with a revolution of innovation. We in health care have incredible minds; let us put them to use once more on behalf of our patients’ health.

Jacob Adney is a medical student.

Image credit: Shutterstock.com

Prev

Working in the ED has made me a better parent

July 16, 2017 Kevin 0
…
Next

This physician-comedian says to eat less. Watch how he does it.

July 16, 2017 Kevin 0
…

Tagged as: Mobile health

Post navigation

< Previous Post
Working in the ED has made me a better parent
Next Post >
This physician-comedian says to eat less. Watch how he does it.

ADVERTISEMENT

Related Posts

  • The triad of health care: patient, nurse, physician

    Michele Luckenbaugh
  • A universal patient medical record

    Michael R. McGuire
  • A message from a patient to health care workers: Always remember your humanity

    Michele Luckenbaugh
  • A health care headache from a patient’s perspective

    Sandi Russ
  • Why health care fails to deliver better value in patient care

    Kristan Langdon, DNP and Timothy Lee, MPH
  • Identifying social determinants of health is critical to the patient interview

    David Velasquez

More in Tech

  • How AI is reshaping preventive medicine

    Jalene Jacob, MD, MBA
  • Why clinicians must lead health care tech innovation

    Kimberly Smith, RN
  • Why medical notes have become billing scripts instead of patient stories

    Sriman Swarup, MD, MBA
  • a desk with keyboard and ipad with the kevinmd logo

    AI in health care is moving too fast for the human heart

    Tiffiny Black, DM, MPA, MBA
  • Why AI in health care needs the same scrutiny as chemotherapy

    Rafael Rolon Rivera, MD
  • The silent cost of choosing personalization over privacy in health care

    Dr. Giriraj Tosh Purohit
  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • Why transplant equity requires more than access

      Zamra Amjid, DHSc, MHA | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why AI in health care needs stronger testing before clinical use [PODCAST]

      The Podcast by KevinMD | Podcast
    • How AI is reshaping preventive medicine

      Jalene Jacob, MD, MBA | Tech
    • How transplant recipients can pay it forward through organ donation

      Deepak Gupta, MD | Physician
    • Inside the high-stakes world of neurosurgery

      Isaac Yang, MD | Conditions
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
    • How doctors can think like CEOs [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 5 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • Why transplant equity requires more than access

      Zamra Amjid, DHSc, MHA | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why AI in health care needs stronger testing before clinical use [PODCAST]

      The Podcast by KevinMD | Podcast
    • How AI is reshaping preventive medicine

      Jalene Jacob, MD, MBA | Tech
    • How transplant recipients can pay it forward through organ donation

      Deepak Gupta, MD | Physician
    • Inside the high-stakes world of neurosurgery

      Isaac Yang, MD | Conditions
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
    • How doctors can think like CEOs [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The demand for innovative patient follow-up
5 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...