Monitoring seasonal differences in non-communicable disease outcomes using telemedicine and healthcheckups in Bangladesh

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Background: Telemedicine has been recognized as a key approach in delivering non-communicable disease prevention and management services to unreached populations. Most existing research pertaining to telemedicine and the patients’ clinical outcomes has been conducted in Europe and North America, with a marked lack of such research in the developing countries in Asia, particularly with regard to implementing case studies in non-clinical settings. Introduction: Utilizing a case study involving telemedicine and mobile health checkups performed using a portable health clinic (PHC) system, this study presents the seasonal changes in office workers’ non-communicable disease outcomes. Methods: Data were collected from 73 office workers at Grameen Compounds, who completed four quarterly interventions of telemedicine and health checkups in August 2018 (baseline), November 2018 (3 months), February 2019 (6 months) and June 2019 (9 months). Data included basic sociodemographic and health checkup information. Paired sample t-tests and McNemar tests were conducted to compare changes in both continuous and categorical values of non-communicable disease outcomes, including blood pressure (BP), blood glucose (BG), and serum uric acid (SUA), by quarter. Results: Levels of SUA decreased significantly after 3 months (P=0.001) and 6 months (P=0.000). Levels of BG decreased significantly after 6 months (P=0.008). Levels of systolic and diastolic BP were reduced significantly after 9 months (P=0.000 and P=0.008, respectively) compared with the baseline. The percentages of hyperuricemia was significantly lower after 3 and 6 months (P=0.000 both times). The percentages of hypertension and type 2 diabetes were also significantly lower after 6 months (P=0.039). However, these percentages began to increase again after 9 months. Conclusions: Levels of blood pressure, blood glucose, and SUA showed different seasonal trends in improvement and relapse within a year. Evaluations of telemedicine and mobile health checkup services need to consider seasonal changes in fruit intake, level of exercise, and duration of resulting effects on non-communicable disease outcomes.

収録刊行物

  • 決断科学

    決断科学 8 9-22, 2021-03-23

    九州大学持続可能な社会のための決断科学センター

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