Please use this identifier to cite or link to this item: http://buratest.brunel.ac.uk/handle/2438/10505
Title: Whole population management of patients with diabetes
Authors: Clarke, M
Fursse, J
Gokalp, H
Sharma, U
Jones, RW
Keywords: Blood pressure measurement;Diseases;Electronic health records;Health care;Patient monitoring
Issue Date: 2014
Publisher: Institute of Electrical and Electronics Engineers Inc.
Citation: 2014 IEEE Healthcare Innovation Conference (HIC 2014), 197 - 198, Seattle, WA , (8-10 Oct. 2014 )
Abstract: An increasingly aging population is presenting greater prevalence of people with diabetes, co-morbidities and the complications. Moreover, poor management of diabetes increases risk of complications. There is need to monitor these patients more closely to ensure optimum management. However current management is based on simple clinic based blood pressure and HbA1c readings, which prove insensitive to detect problems of lifestyle and habits. We therefore developed a platform that could be deployed to all diabetes patients to take daily blood pressure and blood glucose measurements that were sent automatically to the clinician. Data was reviewed after a two week monitoring period. Those that were deemed well controlled were asked to return the devices, which were cycled to the next patient. Others were asked to make an appointment with the clinician for review. 37% of patients required intervention. When stratified for risk using parameters from the EPR we found the greatest change in HbA1c in the low risk group, with the high risk group having little change. The greatest problem was denial in the recently diagnosed and lapse in others, resulting in poor adherence to medication and lifestyle.
URI: http://ieeexplore.ieee.org/xpl/articleDetails.jsp?arnumber=7038908
http://bura.brunel.ac.uk/handle/2438/10505
DOI: http://dx.doi.org/10.1109/HIC.2014.7038908
ISBN: 9781467363648
Appears in Collections:Dept of Computer Science Research Papers

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