The effect of Smart Care ubiquitous health service on hypertension management

Abstract

The purpose of this study was to identify the effect of the Smart Care ubiquitous healthcare service on hypertension management. Fifty one patients with inadequately controlled blood pressure (Systolic Blood Pressure ≥ 140 mmHg despite prescribed antihypertensive medication) from 4 local clinics participated in this study. Remote biometric monitoring and healthcare consultation via videophone was provided to the participants during 24 week-Smart Care service. The average number of blood pressure monitoring and the average day of remote consult using Smart Care Service system was 121 and 14.8 per participant. As a result of analyzing change in blood pressure during 24 weeks, there was a significant difference in blood pressure between baseline and 24 weeks. Systolic blood pressures of 86.3% participants were dropped within a normal range at 24 week. Smart Care u-health service could be effective in reducing blood pressure.

Effectiveness of the Smart Care Service for Diabetes Management

“…We believe that we have reached a point at which society needs to agree that, to bring about meaningful changes in lifestyles and health indicators in patients with diabetes, remote IT-based health management service needs to replace the existing home monitoring systems so that patients can have access to feedback and real-time care from medical specialists [ 11 ]. As a first of its kind, the Smart Care service establishes a central service center and provides patients with specialist health consultations through telephone, video, and online messaging on a regular and on-demand basis.…”

“…Kim [ 10 ] reported improvements in HbA1c just through providing patients with simple mobile phone texts and Web-based feedback. There are ongoing studies actively testing a variety of software and u-Health medical equipment in search of alternative methods of medical communication for the self-care of patients with chronic illness [ 11 , 12 , 13 , 14 , 15 ]. The u-Health service is expected to change the venue of medical service from conventional hospitals to personal everyday spaces, making it easier for patients to self-manage their chronic conditions [ 5 , 16 , 17 ].…”

“…An exemplary demonstration project that combines IT and the u-Health service is the Smart Care service developed by the Ministry of Knowledge and Economy of Korea [ 1 , 2 , 11 ]. The Smart Care system, currently under development for public use, is an IT-based everyday medical service intended to reduce medical costs, especially for low-income households [ 11 ]. The outcomes of u-Health service funded publicly and/or privately for the treatment of chronic illnesses will provide basic clinical data to facilitate further u-Health service projects.…”

“…The outcomes of u-Health service funded publicly and/or privately for the treatment of chronic illnesses will provide basic clinical data to facilitate further u-Health service projects. These will also expedite similar projects, accelerating the commercialization of the u-Health service in the near future [ 5 , 9 , 11 , 12 , 13 , 14 , 15 ].…”

The Effect of the Telemedicine Service System Application for the Patients with Hypertension at Community Health Practitioner Posts in Gangwon Province

“…그러나 의료자원의 대부분이 도시지역에 집중됨에 따라 농촌지역은 양질의 의료서비스에서 점점 더 소외되고 있 고, 인구의 상당수가 노인인구인 농촌지역은 의료 환경 차 원을 넘어 전반적인 건강의 불균형이 초래되고 있다 (Lee, 2004). 이러한 의료의 취약 계층에 보건의료서비스의 접근 성을 높여 의료혜택의 불균형과 의료자원을 효율적으로 배분하기 위해 정부는 공공주도의 IT 융합 의료 서비스의 개발 및 보급과 함께 u-Health 공공시범사업을 추진하였다 (Chung, Moon, & Lee, 2013 (Lee, 2005;Kim et al, 2008) (Gangwondo, department of health policy, 2013). 또한 원격관리서비스에 대한 지불의사금액을 추정한 연구가 있었으며 (Kim et al, 2007), 원격관리서비스의 질과 접근성이 환자만족도, 치료 순응도, 재이용의도에 미치는 영향관계를 분석하여 효과 성을 확인한 연구 (Lee, 2010)와 원격관리시스템을 이용한 만성질환자 및 서비스 제공자의 원격관리서비스 질, 효과 및 만족도 연구가 이루어졌다 (Gangwondo & Hallym University, 2013;Ryu et al, 2004Ryu et al, , 2006 (Kwon, Park, & Choi, 2013) [ Figure 1…”