title: Scalable office-based health care.
abstract: The goal of health care is to provide high-quality care at an affordable cost for its patients. However, the population it serves has changed dramatically since the popularization of hospital-based health care. With available new technology, alternative health care delivery methods can be designed and tested. This study examines scalable office-based health care for small business, where health care is delivered to the office floor. This delivery was tested in 18 individuals at a small business in Minneapolis, Minnesota. The goal was to deliver modular health care and mitigate conditions such as diabetes, hyperlipidaemia, obesity, sedentariness and metabolic disease. The modular health care system was welcomed by employees - 70% of those eligible enrolled. The findings showed that the modular health care deliverable was feasible and effective. The data demonstrated significant improvements in weight loss, fat loss and blood variables for at risk participants. This study leaves room for improvement and further innovation. Expansion to include offerings such as physicals, diabetes management, smoking cessation and prenatal treatment would improve its utility. Future studies could include testing the adaptability of delivery method, as it should adapt to reach rural and under-served populations.
authors.affiliation: Endocrine Research Unit, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: Gabriel A
authors.initials: GA
authors.lastname: Koepp
authors.forename: Chinmay U
authors.initials: CU
authors.lastname: Manohar
authors.forename: Shelly K
authors.initials: SK
authors.lastname: McCrady-Spitzer
authors.forename: James A
authors.initials: JA
authors.lastname: Levine
mesh_terms: D000328:Adult; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D008875:Middle Aged; D008910:Minnesota; D017146:Models, Organizational; D017063:Outcome Assessment, Health Care; D017132:Workplace