Integrating #mHealth in the health care process #2

Analyzing the process of care for diabetic patients from A to Z

Continuing with the series of posts dedicated to the project we are working from our hospital, today I’ll focus in a little more detail about the methodological approach we are following to identify the best alternatives for addressing this integration.

The first goal in this phase is to describe the entire care process, from beginning to end, so first identify which are the one or more entry door(s) for patients in the diabetes care process beyond wherever it occurs, and secondly identifying individual patient profiles and his life style from medium to long term.

Given the nature of our health system (Catalan Health System), and this disease’s peculiarities, most of diabetes diagnosis occurs at the primary care level, by the physician, in the case of adults, and the pediatrician for younger patients.

Diabetes Diagnosis

Another possible entry door is occurring more casually following medical examinations and analyzes requested for other purposes, company health reviews, to enter gyms, health coverage hiring health insurances … that crop suspicious results derived in a diagnosis of this disease.

From here on, we performed a detailed description of the different profiles of frequently patients, depending on the type of diagnosed diabetes.

Type 1 or Type 2 in its two possible variants, complex and say less complex or normal. The latter is one that can be handled by the General Practitioner (GP) without too much trouble.

Another level of analysis required, is to know in detail what are the actions that take place during the first year after being diagnosed with diabetes, and how is the patient follow up after the first period.

The differentiation between the year in which the patient “debut” in sickness and the following is very important in this type of pathology. It is in the first year, when the patient is educated in managing their illness, so they can live a life as normal as possible under the circumstances of this chronic disease.

Image from Canal Diabetes

Imagen obtenida de Canal Diabetes

Therefore, this step is very important for the subsequent management and monitoring of the disease, because it will largely determine the likelihood that in the future this patient can be monitored from the hospital relying on any of the existing devices today.

This is another important point to work together along with the cycle of life of patients and types of devices necessary for the management of the disease, as they will be crucial in the design of this project and decisions arising from this.

It is in this sense that we’ll zoom in deeply once we have well drawn the whole process in detail.

This description allows us to identify the impact on the hospital’s information systems of the information we decide to incorporate and provided by patients’ devices registered daily and ubiquitously.

Define which indicators should be systematically feed and register in the hospital’s information systems from mobile devices will be one of the key issues to be decided by the medical team.

I invite you to read my next post to continue analyzing exhaustively the process as the project evolves.

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