title: Analysis of the implementation of a personalized care model in diabetes mellitus as an example of chronic disease with information and communication technology support.
abstract: Diabetes mellitus affects 13.8% of the adult population in Spain, representing some 8.2% of total Spanish health spending, which may be reduced by optimizing treatment and disease monitoring. Areas covered: This perspective article aims to evaluate the possible clinical and economic outcomes of implementing a theoretical personalized care model in diabetes supported by information and communications technology in Spain vs. conventional care. Moreover, we assessed the value of emminens® eConecta, a solution designed to support the operational implementation of this model, which enables the connection and participation of patients and health professionals, facilitates patient education, decision-making, access to information, and data analysis. We carried out a review of the available evidence, consultations with experts and a clinical and cost estimation. Expert commentary: The experts consulted considered that the proposed model is consistent with Spanish strategies on chronicity, supports the management of chronicity/diabetes, and may improve the most important aspects of disease management. In the literature, this type of care models improved or provided equal disease control compared with conventional care, potentiated self-management strategies and reduced the high use of resources. Cost estimation showed a reduction of -12% in total direct costs and around -34% in the costs of outpatient visits.
authors.affiliation: a Oblikue Consulting , Barcelona , Spain.
authors.forename: N
authors.initials: N
authors.lastname: López-Martínez
authors.affiliation: a Oblikue Consulting , Barcelona , Spain.
authors.forename: J L
authors.initials: JL
authors.lastname: Segú
authors.affiliation: b Primary Care Management , Madrid Health Service , Madrid , Spain.
authors.forename: J
authors.initials: J
authors.lastname: Vázquez-Castro
authors.affiliation: a Oblikue Consulting , Barcelona , Spain.
authors.forename: M
authors.initials: M
authors.lastname: Brosa
authors.affiliation: c emminens® Healthcare Services , Madrid , Spain.
authors.forename: L
authors.initials: L
authors.lastname: Bohigas
authors.affiliation: c emminens® Healthcare Services , Madrid , Spain.
authors.forename: M J
authors.initials: MJ
authors.lastname: Comellas
authors.affiliation: c emminens® Healthcare Services , Madrid , Spain.
authors.forename: L
authors.initials: L
authors.lastname: Kalfhaus
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003142:Communication; D003657:Decision Making; D003920:Diabetes Mellitus / Q000191:economics / Q000628:therapy*; D017048:Health Care Costs / Q000706:statistics & numerical data; D006801:Humans; D008490:Medical Informatics / Q000379:methods; D008962:Models, Theoretical; D057285:Precision Medicine / Q000379:methods*; D012648:Self Care / Q000379:methods; D013030:Spain
keywords: Chronicity; Spain; diabetes mellitus; patient centred management; web-based programs