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Title: Using smartphones for accountable care and evidence-based decision making in the management of gestational diabetes: an Australian case study.
Epworth Authors: Wickramasinghe, Nilmini
Other Authors: Teoh, Say Yen
Mercieca, Paul
Keywords: Chair of Healthcare Information, Epworth HealthCare, Melbourne, Victoria, Australia
Evidence-based Decision Making
Accountable Care
Management of Gestational Diabetes
Quasi-experimental Approach.
Diabetes, Gestational
Evidence-Based Practice
Disease Management
Cell Phones
Smart Phones
Issue Date: Oct-2015
Publisher: AIS Electronic Library (AISeL)
Citation: Communications of the Association for Information Systems, October 2015, Vol. 37, Article 33, pages 705-716.
Abstract: Better managing diabetes has become a global priority, especially given the exponential increase in the number of diabetes patients and the financial implications of treating this silent epidemic. In this paper, we focus on how it might be possible to use a mobile technology solution to support and enable superior diabetes monitoring and management. To test this solution, we examined the context of gestational diabetes and adopted a non-blinded randomized control trial with two-arm cross over applied to a private hospital in Victoria, Australia. Further, we use an accountable care system as the theoretical lens and, from this, develop a conceptual framework to bridge evidence-based management with technologies. Theoretically, we unpack McCleallan, McKethan, Lewis, Roski, and Fisher’s (2010) study with our conceptual framework that comprises providers for information (evidence-based management) and technology (smartphone). We enhance Muhlestein, Croshaw, Merrill, Pena, and James’ (2013) accountable care paradigm with three concepts: 1) quality of life, 2) evidence-based management, and 3) affordable care. From the perspective of practice, far-reaching implications have arisen particularly for hospital management pertaining to the cost and quality of care issues. In particular, it appears that adapting mobile technology solutions such as smartphones to support various aspects of care and patient-clinician interactions is a prudent choice to minimize costs and yet provide high quality care.
Description: Not in PubMed.
ISSN: 1529-3181
Journal Title: Communications of the Association for Information Systems (CAIS)
Type: Journal Article
Affiliated Organisations: School of Business IT and Logistics, RMIT University, Australia
Deakin University, Melbourne, Victoria, Australia
Type of Clinical Study or Trial: Crossover Design
Appears in Collections:Health Informatics

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