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Posted on Apr 21, 2017 in Perspective Pieces | 0 comments

“The BUS Framework: A comprehensive tool in creating an mHealth App utilizing Behavior Change Theories, User-Centered Design, and Social Marketing”

“The BUS Framework: A comprehensive tool in creating an mHealth App utilizing Behavior Change Theories, User-Centered Design, and Social Marketing”

Sajani Patel1, Monisha Arya2,3,4

1School of Social Sciences, Rice University, Houston, Texas; 2Department of Medicine Section of Infectious Diseases, Baylor College of Medicine, Houston, TX; 3Department of Medicine Section of Health Services Research, Baylor College of Medicine, Houston, Texas; 4Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey VA Medical Center, Houston, Texas

Corresponding Author: sajani.patel@alumni.rice.edu

Journal MTM 6:1:39–45, 2017

doi:10.7309/jmtm.6.1.6


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Posted on Apr 21, 2017 in Perspective Pieces | 0 comments

mHealth: Vehicle for Health System Strengthening in Sri Lanka

mHealth: Vehicle for Health System Strengthening in Sri Lanka

Dr. Madapathage Gayan Buddhika Senanayake, MBBS, MD1, Dr. Gunasena Sunil Senanayake, MBBS, MD2

1Junior Public Health Professional – Health System Management, Department of Health System Development, South East Asian Regional Office for World Health Organization, New Delhi, India; 2Regional Advisor – Health System Management and Patient Safety, Department of Health System Development, South East Asian Regional Office for World Health Organization, New Delhi, India

Corresponding Author: buddhikaoffice@gmail.com

Journal MTM 6:1:34–38, 2017

doi:10.7309/jmtm.6.1.5


Sri Lanka has a unique primary healthcare system with diverse community based healthcare services. Emerging health challengers in sustainable development era needs to be addressed with special emphasis on universal health coverage.

mHealth technology is an evidence based intervention to cater the novel healthcare priorities. mHealth needs to be integrated into the existing health system functions, rather stand-alone resolutions. mHealth applications are used for behaviour change communication, point-of-care diagnosis, vital event registration, data collection, electronic health records, provider-to-provider communication, human resource management and supply chain management initiatives. Incorporating these mHealth interventions at community level are essential in resolving future health challengers in Sri Lanka.


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Posted on Jul 28, 2016 in Perspective Pieces | 0 comments

The Future of Automated Mobile Eye Diagnosis

Cassie A. Ludwig, BS1, Mia X. Shan, BS, BAH1, Nam Phuong H. Nguyen1, Daniel Y. Choi, MD1, Victoria Ku, BS1, Carson K. Lam, MD1

1Byers Eye Institute, Stanford University School of Medicine 2405 Watson Drive, Palo Alto, CA, USA 94305

Corresponding Author: carsonl@stanford.edu

Journal MTM 5:2:44–50, 2016

doi: 10.7309/jmtm.5.2.7


The current model of ophthalmic care requires the ophthalmologist’s involvement in data collection, diagnosis, treatment planning, and treatment execution. We hypothesize that ophthalmic data collection and diagnosis will be automated through mobile devices while the education, treatment planning, and fine dexterity tasks will continue to be performed at clinic visits and in the operating room by humans. Comprehensive automated mobile eye diagnosis includes the following steps: mobile diagnostic tests, image collection, image recognition and interpretation, integrative diagnostics, and user-friendly, mobile platforms. Completely automated mobile eye diagnosis will require improvements in each of these components, particularly image recognition and interpretation and integrative diagnostics. Once polished and integrated into greater medical practice, automated mobile eye diagnosis has the potential to increase access to ophthalmic care with reduced costs, increased efficiency, and increased accuracy of diagnosis.


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Posted on Jul 28, 2016 in Perspective Pieces | 0 comments

Pretesting mHealth: Implications for Campaigns among Underserved Patients

Disha Kumar, BS, BA1,2, Monisha Arya, MD, MPH3,4

1Rice University, 6100 Main Street, Houston, Texas 77005, USA; 2School of Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, Texas 77030, USA; 3Department of Medicine, Section of Infectious Diseases and Section of Health Services Research, Baylor College of Medicine, One Baylor Plaza, Houston, Texas 77030, USA; 4Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center 2002 Holcombe Blvd (Mailstop 152), Houston, Texas 77030, USA

Corresponding Author: disha.kumar@bcm.edu

Journal MTM 5:2:38–43, 2016

doi: 10.7309/jmtm.5.2.6


Background: For health campaigns, pretesting the channel of message delivery and process evaluation is important to eventual campaign effectiveness. We conducted a pilot study to pretest text messaging as a mHealth channel for traditionally underserved patients.

Aims: The primary objectives of the research were to assess 1) successful recruitment of these patients for a text message study and 2) whether recruited patients would engage in a process evaluation after receiving the text message.

Methods: Recruited patients were sent a text message and then called a few hours later to assess whether they had received, read, and remembered the sent text message.

Results: We approached twenty patients, of whom fifteen consented to participate. Of these consented participants, ten (67%) engaged in the process evaluation and eight (53%) were confirmed as receiving, reading, and remembering the text message.

Conclusion: We found that traditionally underserved and under-researched patients can be recruited to participate in a text message study, and that recruited patients would engage in a process evaluation after receiving the text message.


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Posted on Oct 14, 2015 in Perspective Pieces | 0 comments

Mobile Solutions For Physicians Shackled by Electronic Medical Records

Jordan Koll1, Gregory Hansen, MD, MPH2

1Public Health Agency of Canada, Winnipeg, Manitoba, Canada; 2Department of Pediatrics, University of Manitoba, Winnipeg, Manitoba, Canada

Corresponding Author: Gregory.Hansen@umanitoba.ca

Journal MTM 4:3:32–34, 2015

doi:10.7309/jmtm.4.3.6


Within Health Delivery Organizations (HDOs), leaders, information technologists and privacy officers have been focused on the acquisition, implementation, and security of enterprise Electronic Medical Record (EMR) systems. Unfortunately the investment of money, human resources and time is at the expense of addressing daily physician workflow complexities. To optimize patient centered care, we must unshackled the physician from the EMR desktop and move them closer to the patient. For this reason, physicians should engage with key stakeholders to identify the financial, legal, administrative and human resource challenges of delivering efficient workflow solutions alongside the deployment of enterprise EMRs.

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