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Home telemonitoring of chronic diseases seems to be a promising patient management approach that produces accurate and reliable data, empowers patients, influences their attitudes and behaviors, and potentially improves their medical conditions. Future studies need to build evidence related to its clinical effects, cost effectiveness, impacts on services utilization, and acceptance by health care providers.

The present study investigates the relationships between a multidimensional, theoretically grounded configuration of high-involvement human resources (HR) practices and turnover intentions. Precisely, it addresses two research questions: What high-involvement HR practices are needed to implement an effective strategy for retaining highly skilled professionals? Do procedural justice, organizational commitment, and citizenship behaviors mediate the effects of high-involvement HR practices on turnover intentions? A survey instrument containing previously validated measures was developed and sent to Quebec members of the Canadian Information Processing Society. Data from 394 respondents were used to test the research model. Key findings reveal that nonmonetary recognition and competency development, and, to a lesser extent, fair rewards and information-sharing practices, are negatively and directly related to turnover intentions. The authors also observed that procedural justice, affective and continuance commitment, and citizenship behaviors partially mediate the effects of high-involvement HR practices on the turnover intentions of highly skilled professionals.

BackgroundDiabetes is a common chronic disease that places an unprecedented strain on health care systems worldwide. Mobile health technologies such as smartphones, mobile applications, and wearable devices, known as mHealth, offer significant and innovative opportunities for improving patient to provider communication and self-management of diabetes.ObjectiveThe purpose of this overview is to critically appraise and consolidate evidence from multiple systematic reviews on the effectiveness of mHealth interventions for patients with diabetes to inform policy makers, practitioners, and researchers.MethodsA comprehensive search on multiple databases was performed to identify relevant systematic reviews published between January 1996 and December 2015. Two authors independently selected reviews, extracted data, and assessed the methodological quality of included reviews using AMSTAR.ResultsFifteen systematic reviews published between 2008 and 2014 were eligible for inclusion. The quality of the reviews varied considerably and most of them had important methodological limitations. Focusing on systematic reviews that offered the most direct evidence, this overview demonstrates that on average, mHealth interventions improve glycemic control (HbA1c) compared to standard care or other non-mHealth approaches by as much as 0.8% for patients with type 2 diabetes and 0.3% for patients with type 1 diabetes, at least in the short-term (≤12 months). However, limitations in the overall quality of evidence suggest that further research will likely have an important impact in these estimates of effect.ConclusionsFindings are consistent with clinically relevant improvements, particularly with respect to patients with type 2 diabetes. Similar to home telemonitoring, mHealth interventions represent a promising approach for self-management of diabetes.