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Impact of a digital health intervention on asthma resource utilization

Authors
  • Merchant, Rajan1
  • Szefler, Stanley J.2
  • Bender, Bruce G.3
  • Tuffli, Michael4
  • Barrett, Meredith A.4
  • Gondalia, Rahul4
  • Kaye, Leanne4
  • Van Sickle, David5
  • Stempel, David A.4
  • 1 Dignity Health, Woodland Clinic Medical Group, 632 W Gibson Rd, Woodland, CA, 95695, USA , Woodland (United States)
  • 2 University of Colorado School of Medicine and Children’s Hospital Colorado, Breathing Institute, 13123 East 16th Ave, Aurora, CO, 80045, USA , Aurora (United States)
  • 3 National Jewish Health, Division of Pediatric Behavioral Health, Department of Pediatrics, 1400 Jackson St, Denver, CO, 80206, USA , Denver (United States)
  • 4 Propeller Health, 47 Maiden Lane, San Francisco, CA, 94108, USA , San Francisco (United States)
  • 5 Propeller Health, 634 W Main Street #102, Madison, WI, 53703, USA , Madison (United States)
Type
Published Article
Journal
World Allergy Organization Journal
Publisher
BioMed Central
Publication Date
Dec 03, 2018
Volume
11
Issue
1
Identifiers
DOI: 10.1186/s40413-018-0209-0
Source
Springer Nature
Keywords
License
Green

Abstract

Digital health interventions have been associated with reduced rescue inhaler use and improved controller medication adherence. This quality improvement project assessed the benefit of these interventions on asthma-related healthcare utilizations, including hospitalizations, emergency department (ED) utilization and outpatient visits. The intervention consisted of electronic medication monitors (EMMs) that tracked rescue and controller inhaler medication use, and a digital health platform that presented medication use information and asthma control status to patients and providers. In 224 study patients, the number of asthma-related ED visits and combined ED and hospitalization events 365 days pre- to 365 days post-enrollment to the intervention significantly decreased from 11.6 to 5.4 visits (p < 0.05) and 13.4 to 5.8 events (p < 0.05) per 100 patient-years, respectively. This digital health intervention was successfully incorporated into routine clinical practice and was associated with lower rates of asthma-related hospitalizations and ED visits.

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