3:00 - 3:20 pmSaturday, September 6
LK 120
How can mHealth tools become a two-way street between patients and their care teams?
LK 120
How can mHealth tools become a two-way street between patients and their care teams?
Professor, UC Davis School of Nursing
A cross-cutting theme that emerged at Medicine X in 2013 was the frequently experienced mismatch between patients’ and providers’ current interests or abilities to share and meaningfully use information... Read more

Description

A cross-cutting theme that emerged at Medicine X in 2013 was the frequently experienced mismatch between patients’ and providers’ current interests or abilities to share and meaningfully use information collected via mobile health (mHealth) technology.  People living with chronic conditions are increasingly using commercially available mHealth tools like smartphone applications and remote monitoring devices to support their self-management. Such mHealth tools may be the next disruptive technology in healthcare.  But, today’s self-management tools are predominantly stand-alone applications for consumers that are not designed to integrate smoothly or effectively with primary healthcare teams or practice modes, even when providers encourage patients to use them. For mHealth tools to reach their full potential to support patient self-management and engagement in care, they will need to provide effective and acceptable communication between patients and their care teams. These systems must  be designed to be responsive to the needs and preferences of both patients and their  multidisciplinary care team members, support collaborative workflows, and work seamlessly with  clinical information systems. One area of promise is the use of mHealth tools to significantly improve patient care through more collaborative medication management.  Sustained medication use is critical to self-management of many chronic conditions and inconsistent medication use is a common problem.  This presentation will discuss next steps toward integrating mHealth medication management tools into primary care practice, engagement of of patients and primary care teams in using technology-mediated communication and monitoring of medications.  Specifically, we will discuss the need to first understand and articulate the necessary design specifications and user requirements of stakeholders including patients and  care team members (i.e., nurses, care managers, physician assistants, physicians, and pharmacists) and how they  could potentially interact with mHealth medication management support tool interfaces. We will also discuss our team’s approach to understanding: (a) patient preferences for the design and use of shared patient-provider team technology to support long-term medication management, and; (b) multidisciplinary care team member preferences for team role-specific and disease-specific information and functionality needs related to this shared technology. To engage care teams in bi-directional and effective communication with patients using mHealth tools, development of these tools should be based on an understanding of clinical information needs and health care decision making processes.

Sheryl Catz, Ph.D. is a professor at the Betty Irene Moore School of Nursing at UC Davis, where she teaches courses in research methods, mentors students and conducts research in the areas HIV, health behavior promotion, chronic disease management and health information technology. A clinical psychologist, Catz’s interdisciplinary research focuses on the interface between behavior, care and health outcomes. Her research interests include the use of health information technology as a platform for nurses and other health professionals to deliver evidence-based prevention and chronic disease management interventions.  Through her research, Catz hopes to explore how technology, such as the internet, electronic health records and smartphones can be used to improve communications between patients and clinicians while also improving overall care

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