title: The Role of Technology in Chronic Disease Care.
abstract: Chronic disease represents the epidemic of our time, present in half the adult population and responsible for 86% of United States (US) healthcare costs and 70% of deaths. The major chronic diseases are primarily due to health risk behaviors that are widely communicable across populations. As a nation, the US has performed poorly in managing chronic disease, in large part because of a failed delivery model of care. New opportunities exist as a result of recent advances in home-based wireless devices, apps and wearables, enabling health delivery systems to monitor disease metrics in near real time. These technologies provide a framework for patient engagement and a new model of care delivery utilizing integrated practice units, both of which are needed to navigate the healthcare needs of the 21st century.
authors.affiliation: Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - University of Queensland School of Medicine, New Orleans, LA. Electronic address: rmilani@ochsner.org.
authors.forename: Richard V
authors.initials: RV
authors.lastname: Milani
authors.affiliation: Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - University of Queensland School of Medicine, New Orleans, LA.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Bober
authors.affiliation: Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - University of Queensland School of Medicine, New Orleans, LA.
authors.forename: Carl J
authors.initials: CJ
authors.lastname: Lavie
mesh_terms: D020811:Biomedical Technology / Q000639:trends*; D002908:Chronic Disease / Q000453:epidemiology / Q000628:therapy*; D019033:Delivery of Health Care, Integrated / Q000639:trends*; D004059:Diffusion of Innovation; D005544:Forecasting; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D063731:Mobile Applications / Q000639:trends*; D010342:Patient Acceptance of Health Care; D040242:Risk Reduction Behavior; D017216:Telemedicine / Q000639:trends*
keywords: Apps; Chronic disease; Integrated practice unit; Wearables