Wireless Medication Management System: Design and performance evaluation

U. Varshney
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引用次数: 14

Abstract

To keep healthcare costs under control, a high-level of medication adherence, or compliance with medication regimen, must be achieved. In this paper, we show how wireless technologies can be used to improve medication adherence. More specifically, we present the design, operation, and evaluation of a wireless medication system, termed Smart Medication Management System (SMMS). We also present multiple metrics for quality of service and an analytical model for evaluating the medication adherence. The performance results show that very high medication adherence is achievable by SMMS for single and multiple medications even for patients with mild cognitive deficiency. The performance of context-aware reminders as implemented by SMMS is found to be most effective as compared to other interventions. Several powerful "composite" interventions are also proposed and evaluated for medication adherence. The results also show that with increasing hospitalization cost the healthcare savings due to improved medication adherence become even more significant. The proposed work forms the basis to provide personalized interventions to patients for improving medication adherence in multiple surroundings using wireless technologies.
无线用药管理系统的设计与性能评价
为了控制医疗保健成本,必须实现高水平的药物依从性,或遵守药物治疗方案。在本文中,我们展示了如何使用无线技术来提高药物依从性。更具体地说,我们介绍了一种称为智能药物管理系统(SMMS)的无线药物系统的设计、操作和评估。我们还提出了服务质量的多个指标和评估药物依从性的分析模型。性能结果表明,即使对于轻度认知缺陷的患者,SMMS也可以实现非常高的单药和多药依从性。与其他干预措施相比,由SMMS实施的上下文感知提醒的性能被发现是最有效的。还提出了几种强有力的“复合”干预措施,并对药物依从性进行了评估。结果还表明,随着住院费用的增加,由于改善药物依从性而节省的医疗费用变得更加显著。提出的工作为使用无线技术在多种环境下为患者提供个性化干预以提高药物依从性奠定了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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