Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Mar 28, 2023
Open Peer Review Period: Mar 28, 2023 - Apr 13, 2023
Date Accepted: May 21, 2023
(closed for review but you can still tweet)
Health Circuit, a practice-proven adaptive case management approach for innovative healthcare services: Cluster randomized clinical pilot and descriptive observational study
ABSTRACT
Background:
Digital health tools may facilitate care continuum. However, enhancement of digital aid is imperative to prevent information gaps or redundancies, as well as to facilitate support of flexible care plans.
Objective:
The study presents Health Circuit, an adaptive case management approach to support innovative healthcare services, and analyses its healthcare impact, as well as its usability and acceptability by healthcare professionals and patients.
Methods:
In 2018-19, health impact, usability (SUS) and acceptability (NPS) of an initial prototype of Health Circuit was tested in a cluster randomized clinical pilot (n=100) in patients with high risk for hospitalization (Study I). In 2021, a pre-market pilot of Health Circuit was conducted in 104 high risk patients undergoing prehabilitation before major surgery (Study II).
Results:
In Study I, Health Circuit resulted in reduction of emergency room visits [4 (13%) vs 7 (44%)], enhanced patients’ empowerment (p<0.001) and showed good acceptability/usability scores (NPS 31 and SUS 54/100). In Study II, NPS scored 40 and SUS 85/100. The acceptance rate was also high (mean score of 8.4/10).
Conclusions:
Health Circuit showed potential for healthcare value generation, good both acceptability and usability despite being a prototype system, prompting the need for testing a completed system in real-world scenarios. Clinical Trial: NCT04056663 (clinicaltrials.gov, August 14, 2019)
Citation
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