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Letter to the Editor
We are pleased to see positive results from the use of tablet computers (tablets) in engaging patients, as presented by Greyson and colleagues.[1] Patient engagement is correlated with better patient‐reported health outcomes.[2] But how do we justify any additional costs in the current climate?
The answer lies in the value delivered.[3] Achieving high‐value care means delivering the best outcomes at the lowest cost. Indeed, a growing number of studies are demonstrating improved outcomes with mobile technology. In Cleveland, tablet‐based self‐reporting in cancer patients improved communication of symptoms to physicians.[4] In Australia, chronic obstructive pulmonary disease patients engaged in tablet‐facilitated physical rehabilitation reported improved symptoms and exercise tolerance.[5] In Haiti, tablet‐delivered education sustainably improved knowledge of human immunodeficiency virus prevention and behavior among internally displaced women.[6]
What the extant literature is lacking, however, are studies demonstrating the cost‐effectiveness of mobile interventions. Digital platforms are unlikely to gain traction without these data. Some exceptions exist, but they are in the minority.[7] It is clear that engaged patients demonstrate better outcomes. However, future studies exploring the use of digital platforms would be well advised to include measures of cost‐effectiveness to build a true value‐based rationale for their integration into daily practice.
- , , , , . Tablet computers for hospitalized patients: a pilot study to improve inpatient engagement [published online ahead of print February 13, 2014]. J Hosp Med. doi: 10.1002/jhm.2169.
- , , , . Patient engagement as a risk factor in personalized health care: a systematic review of the literature on chronic disease. Genome Med. 2014;6(2):16.
- , . The strategy that will fix health care. Harvard Business Review 2013;91(10):50–70.
- , , , , , . Connected health: cancer symptom and quality‐of‐life assessment using a tablet computer: a pilot study [published online ahead of print November 7, 2013]. Am J Hosp Palliat Care. doi: 10.1177/1049909113510963.
- , , , , , . Telerehabilitation for people with chronic obstructive pulmonary disease: feasibility of a simple, real time model of supervised exercise training. J Telemed Telecare. 2013;19(4):222–226.
- , , , , . A psycho‐educational HIV/STI prevention intervention for internally displaced women in Leogane, Haiti: results from a non‐randomized cohort pilot study. PLoS One. 2014;9(2):e89836.
- , , , , . Smartphone and tablet self management apps for asthma. Cochrane Database Syst Rev. 2013;11:CD010013.
We are pleased to see positive results from the use of tablet computers (tablets) in engaging patients, as presented by Greyson and colleagues.[1] Patient engagement is correlated with better patient‐reported health outcomes.[2] But how do we justify any additional costs in the current climate?
The answer lies in the value delivered.[3] Achieving high‐value care means delivering the best outcomes at the lowest cost. Indeed, a growing number of studies are demonstrating improved outcomes with mobile technology. In Cleveland, tablet‐based self‐reporting in cancer patients improved communication of symptoms to physicians.[4] In Australia, chronic obstructive pulmonary disease patients engaged in tablet‐facilitated physical rehabilitation reported improved symptoms and exercise tolerance.[5] In Haiti, tablet‐delivered education sustainably improved knowledge of human immunodeficiency virus prevention and behavior among internally displaced women.[6]
What the extant literature is lacking, however, are studies demonstrating the cost‐effectiveness of mobile interventions. Digital platforms are unlikely to gain traction without these data. Some exceptions exist, but they are in the minority.[7] It is clear that engaged patients demonstrate better outcomes. However, future studies exploring the use of digital platforms would be well advised to include measures of cost‐effectiveness to build a true value‐based rationale for their integration into daily practice.
We are pleased to see positive results from the use of tablet computers (tablets) in engaging patients, as presented by Greyson and colleagues.[1] Patient engagement is correlated with better patient‐reported health outcomes.[2] But how do we justify any additional costs in the current climate?
The answer lies in the value delivered.[3] Achieving high‐value care means delivering the best outcomes at the lowest cost. Indeed, a growing number of studies are demonstrating improved outcomes with mobile technology. In Cleveland, tablet‐based self‐reporting in cancer patients improved communication of symptoms to physicians.[4] In Australia, chronic obstructive pulmonary disease patients engaged in tablet‐facilitated physical rehabilitation reported improved symptoms and exercise tolerance.[5] In Haiti, tablet‐delivered education sustainably improved knowledge of human immunodeficiency virus prevention and behavior among internally displaced women.[6]
What the extant literature is lacking, however, are studies demonstrating the cost‐effectiveness of mobile interventions. Digital platforms are unlikely to gain traction without these data. Some exceptions exist, but they are in the minority.[7] It is clear that engaged patients demonstrate better outcomes. However, future studies exploring the use of digital platforms would be well advised to include measures of cost‐effectiveness to build a true value‐based rationale for their integration into daily practice.
- , , , , . Tablet computers for hospitalized patients: a pilot study to improve inpatient engagement [published online ahead of print February 13, 2014]. J Hosp Med. doi: 10.1002/jhm.2169.
- , , , . Patient engagement as a risk factor in personalized health care: a systematic review of the literature on chronic disease. Genome Med. 2014;6(2):16.
- , . The strategy that will fix health care. Harvard Business Review 2013;91(10):50–70.
- , , , , , . Connected health: cancer symptom and quality‐of‐life assessment using a tablet computer: a pilot study [published online ahead of print November 7, 2013]. Am J Hosp Palliat Care. doi: 10.1177/1049909113510963.
- , , , , , . Telerehabilitation for people with chronic obstructive pulmonary disease: feasibility of a simple, real time model of supervised exercise training. J Telemed Telecare. 2013;19(4):222–226.
- , , , , . A psycho‐educational HIV/STI prevention intervention for internally displaced women in Leogane, Haiti: results from a non‐randomized cohort pilot study. PLoS One. 2014;9(2):e89836.
- , , , , . Smartphone and tablet self management apps for asthma. Cochrane Database Syst Rev. 2013;11:CD010013.
- , , , , . Tablet computers for hospitalized patients: a pilot study to improve inpatient engagement [published online ahead of print February 13, 2014]. J Hosp Med. doi: 10.1002/jhm.2169.
- , , , . Patient engagement as a risk factor in personalized health care: a systematic review of the literature on chronic disease. Genome Med. 2014;6(2):16.
- , . The strategy that will fix health care. Harvard Business Review 2013;91(10):50–70.
- , , , , , . Connected health: cancer symptom and quality‐of‐life assessment using a tablet computer: a pilot study [published online ahead of print November 7, 2013]. Am J Hosp Palliat Care. doi: 10.1177/1049909113510963.
- , , , , , . Telerehabilitation for people with chronic obstructive pulmonary disease: feasibility of a simple, real time model of supervised exercise training. J Telemed Telecare. 2013;19(4):222–226.
- , , , , . A psycho‐educational HIV/STI prevention intervention for internally displaced women in Leogane, Haiti: results from a non‐randomized cohort pilot study. PLoS One. 2014;9(2):e89836.
- , , , , . Smartphone and tablet self management apps for asthma. Cochrane Database Syst Rev. 2013;11:CD010013.