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Samuel Alfano , Do, Medical Director, Clinical Informatics, Crozer-Keystone Health System
Remote care is the most common, with programs focused on Telehealth and enhanced communication between providers and patients. This includes electronic visits; email and texting between patients, providers, and other members of the healthcare team; and traditional Telehealth programs that provide access in areas where care is lacking.
Connecting patients and their data to global positioning systems, twitter accounts, and local and governmental databases will allow us to include social determinants of health into our care plan for patients
Self-care is growing in popularity, especially among our younger patients. They are often looking for guidance and goals to improve their health. Provider-defined goals can be combined with digital technology to give immediate feedback and advice. Apps that can be linked with a patient’s portal and help guide exercise programs, diet choices and medication adherence already exist and will increase in popularity as the current generation ages. New technology is emerging to link these apps with biosensors to measure blood pressure, heart rhythm, blood sugar, and other biomarkers are available or in development at this time.
Connecting patients and their data to global positioning systems, twitter accounts, and local and governmental databases will allow us to include social determinants of health into our care plan for patients. Examples include identifying the availability of fresh food and vegetables for our diabetic patients or monitoring weather and alerting patients with pulmonary disease. Case managers access to crime statistics, bus routes, pharmacies, and social services can help make sure patients are safe, compliant and can participate in their care plan. We are just starting to understand how this “outside” data can be used to improve the lives of the patients we serve.
The traditional practice of medical care is changing rapidly. Providing care in unique and novel ways will allow patients enhanced access to care while making the use of providers and facilities more efficient. Providers and patients will always need to interact face to face. Touch is a very powerful part of the practice of medicine. Connected care should not be aimed to limit these interactions but should enhance our ability to provide this care.