KMID : 1100520170230010067
|
|
Healthcare Informatics Research 2017 Volume.23 No. 1 p.67 ~ p.73
|
|
Cost-Effective Mobile-Based Healthcare System for Managing Total Joint Arthroplasty Follow-Up
|
|
Bitsaki Marina
Koutras George Heep Hansjoerg Koutras Christos
|
|
Abstract
|
|
|
Objectives: Long-term follow-up care after total joint arthroplasty is essential to evaluate hip and knee arthroplasty outcomes, to provide information to physicians and improve arthroplasty performance, and to improve patients¡¯ health condition. In this paper, we aim to improve the communication between arthroplasty patients and physicians and to reduce the cost of follow-up controls based on mobile application technologies and cloud computing.
Methods: We propose a mobilebased healthcare system that provides cost-effective follow-up controls for primary arthroplasty patients through questionsabout symptoms in the replaced joint, questionnaires (WOMAC and SF-36v2) and the radiological examination of knee or hip joint. We also perform a cost analysis for a set of 423 patients that were treated in the University Clinic for Orthopedics in Essen-Werden.
Results: The estimation of healthcare costs shows significant cost savings (a reduction of 63.67% for readmission rate 5%) in both the University Clinic for Orthopedics in Essen-Werden and the state of North Rhine-Westphalia when the mobile-based healthcare system is applied.
Conclusions: We propose a mHealth system to reduce the cost of follow-up assessments of arthroplasty patients through evaluation of diagnosis, self-monitoring, and regular review of their health status.
|
|
KEYWORD
|
|
Replacement Arthroplasty, Cost-Benefit Analysis, Mobile Applications, Database Management Systems
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|