Patient Compliance Risk Study

November 27, 2008

Patient Compliance Risk Study
~James Dunn

Coordinate research related to patient mental status as it relates to the patient managing their own health care.

The research involves “Patient Compliance as it relates to Diabetes Influenced Mental Impairments”. The focus primarily is upon the area of patient non-compliance following surgery, and secondarily upon cross-correlated risks on patient outcome versus pre-surgery lab results. Often times with the increasing progression of diabetes, a patient will not follow physician instructions. This makes it difficult to determine what level of patient care should be prescribed to affect the best outcome for the patient.

The intent is to coordinate a research team and develop a proposal for a grant from the American Diabetes Association. The area of research would be a combination of coordinating statistical data from patient blood work and having the patient complete the SF-36 or SF-12. Based upon the pre-cursors found in the blood labs and the answers provided by the patient, the physician would better be able to determine the compliance index of the patient, and the risk factors for a particular surgery.

The intent is that the “system” be set up on a secure web server. The physicians would have their staff work with the patients at a kiosk to enter all of the responses needed for the SF-36. The patient would answer questions about their profession and any medications they are currently taking. Physicians would enter their standard set of data for each patient. Data for labs done would be collected by a hired staff using grant monies. When patients return for post-op visits their condition and missed appointments would be recorded, along with their overall recovery rate. The data would be cross-correlated automatically as data is entered.

To be compliant with HIPAA, each patient would be given a random number for identification, which would be entered into their medical records. Thus allowing for outside consultation with perhaps a statistician or other professional.

If successful, the importance of patient mental awareness could change the way medicine is practiced in many ways, including: allowing physicians to quickly assess patient compliance risks related to each type of surgery, providing a system allowing physicians to track recovery rates for their patients, establish metrics for physicians to use when evaluating patient on-going health changes, training physicians to detect patients needing psychiatric assistance so as to maintain their quality of life, …

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