Evidence map›Paper›PMID 27943039›Full record

ArticleJournal of general internal medicine2017

Follow-Up Consultation Through a Healthcare Kiosk for Patients with Stable Chronic Disease in a Primary Care Setting: A Prospective Study.

Juliana Bahadin, Eugene Shum, Grace Ng, Nicolette Tan, Pushpavalli Sellayah, Sze Wee Tan

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. The Role of Health Kiosks: Scoping Review.JMIR medical informatics · 2022
    Article
  4. Review
  5. International Perspectives on General Internal Medicine.Journal of general internal medicine · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Juliana BahadinSingHealth Polyclinics, 167 Jalan Bukit Merah, Tower 5, #15-10, Singapore, 150167, Singapore. juliana.bahadin@singhealth.com.sg.
Eugene ShumEastern Health Alliance, Centre for Innovation, 5 Tampines Central 1, Tampines Plaza, #08-01/05, Singapore, 529541, Singapore.
Grace NgSingHealth Polyclinics, 167 Jalan Bukit Merah, Tower 5, #15-10, Singapore, 150167, Singapore.
Nicolette TanEastern Health Alliance, Centre for Innovation, 5 Tampines Central 1, Tampines Plaza, #08-01/05, Singapore, 529541, Singapore.
Pushpavalli SellayahSingHealth Polyclinics, 167 Jalan Bukit Merah, Tower 5, #15-10, Singapore, 150167, Singapore.
Sze Wee TanAgency for Science, Technology and Research (A*STAR), 1 Fusionopolis Way, Connexis North Tower, #20-10, Singapore, 138632, Singapore.
Agency for Science, Technology and Research · SGSingapore-MIT Alliance for Research and Technology · SGSingHealth Polyclinics · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe global healthcare kiosk market is growing, and kiosks are projected to be a larger part of healthcare delivery in the coming decades. We developed an unmanned healthcare kiosk that automates the management of stable patients with chronic conditions to complement face-to-face primary care physician (PCP) visits.

aimThe aim of our study was to show that the kiosk could be a feasible means of delivering care for stable patients with chronic conditions and could generate cost savings for the management of patients with stable chronic disease.

methodsWe conducted a prospective single-arm study of 95 participants with well-controlled chronic cardiovascular diseases who visited our clinic in Singapore every 3 months for review and medication refill. During their subsequent appointments for chronic disease management at 3 and 6 months, participants used the kiosk instead of consulting a physician. All participants who used the kiosk were also evaluated by a nurse clinician (NC). The kiosk assessment of whether the patient was well controlled was then compared to the NC's assessment to determine rates of agreement. Patient satisfaction was evaluated through a questionnaire, and any adverse outcomes were documented.

resultsCohen's κ for agreement between the kiosk and the NC assessment of patients' chronic care control was 0.575 (95% CI, 0.437-0.713). The modest agreement was due to differences in systolic blood pressure measurements between the kiosk and the NC. The 96% of participants who completed two kiosk visits were all satisfied with the kiosk as a care delivery alternative. None of the participants managed through the kiosk suffered any adverse outcomes. Use of the kiosk resulted in a reduction of 128 face-to-face PCP visits.

conclusionsHealthcare kiosks can potentially be used to complement primary care clinician visits for managing patients with stable chronic diseases and can generate cost savings.

Indexed as

Ambulatory Care FacilitiesPatient SatisfactionReferral and ConsultationAgedCardiovascular DiseasesChronic DiseaseFemaleFollow-Up StudiesHumansMaleMiddle AgedPrimary Health CareProspective StudiesSingaporealternative care deliveryhealthcare kioskstable chronic disease

Identifiers

PMID27943039
PMCPMC5400759
OpenAlexW2560354909

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.