Accessibility concerns undercut technology’s promise to improve chronic conditions

Physicians view digital apps, remote monitoring and wearables as new and exciting tools to help care for patients with chronic conditions, but many are still wary that technology is inaccessible to low-income populations.

Chronic conditions like diabetes and heart disease are major contributors to increasing healthcare costs. Healthcare providers, insurers and the federal government have targeted high-cost chronic illnesses, often enlisting technology to improve care and streamline services.

Remote monitoring and mobile apps are among the most promising tools to care for patients with any number of chronic conditions, several physicians told Medical News Today. Wireless remote monitoring has emerged as an effective tool for patients at risk of heart failure. Mobile apps and wearables provide physicians with real-time data and provide patients with convenient at-home alternatives to care, rather than utilizing expensive acute care services.

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“Wearable technology will, without a doubt, change the way we approach chronic disease and treatment,” Judith Marcin, M.D., a family practice specialist in Chicago, told Medical News Today.

However, integrating data from wearables into EHR systems is an ongoing challenge, and research shows that the majority of mHealth apps available to patients lack clinical utility for chronic conditions. AMA CEO James Madara has characterized some mobile health apps as “digital snake oil,” but urged physicians to get more involved in app development to ensure evidence-based solutions are available to patients.

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Marcin was quick to point out another potential barrier: Technology is often less accessible for low-income patients who usually require chronic care services the most. Others noted that caring for a majority of Spanish-speaking patients adds another barrier to adopting English-based apps.