TY  - JOUR
AU  - Herranz, Carmen
AU  - Martín-Moreno Banegas, Laura
AU  - Dana Muzzio, Fernando
AU  - Siso-Almirall, Antoni
AU  - Roca, Josep
AU  - Cano, Isaac
PY  - 2023
DA  - 2023/6/14
TI  - A Practice-Proven Adaptive Case Management Approach for Innovative Health Care Services (Health Circuit): Cluster Randomized Clinical Pilot and Descriptive Observational Study
JO  - J Med Internet Res
SP  - e47672
VL  - 25
KW  - continuum of care management
KW  - innovative healthcare services
KW  - collaborative tools
KW  - digital health transformation
KW  - usability
KW  - acceptability
KW  - health care service
KW  - Health Circuit
KW  - health management
KW  - management
KW  - support
KW  - digital aid
KW  - aid
KW  - care
KW  - prototype
KW  - surgery
KW  - testing
AB  - Background: Digital health tools may facilitate the continuity of care. Enhancement of digital aid is imperative to prevent information gaps or redundancies, as well as to facilitate support of flexible care plans. Objective: The study presents Health Circuit, an adaptive case management approach that empowers health care professionals and patients to implement personalized evidence-based interventions, thanks to dynamic communication channels and patient-centered service workflows; analyze the health care impact; and determine its usability and acceptability among health care professionals and patients. Methods: From September 2019 to March 2020, the health impact, usability (measured with the system usability scale; SUS), and acceptability (measured with the net promoter score; NPS) of an initial prototype of Health Circuit were tested in a cluster randomized clinical pilot (n=100) in patients with high risk for hospitalization (study 1). From July 2020 to July 2021, a premarket pilot study of usability (with the SUS) and acceptability (with the NPS) was conducted among 104 high-risk patients undergoing prehabilitation before major surgery (study 2). Results: In study 1, Health Circuit resulted in a reduction of emergency room visits (4/7, 13% vs 7/16, 44%), enhanced patients’ empowerment (P<.001) and showed good acceptability and usability scores (NPS: 31; SUS: 54/100). In study 2, the NPS was 40 and the SUS was 85/100. The acceptance rate was also high (mean score of 8.4/10). Conclusions: Health Circuit showed potential for health care value generation and good acceptability and usability despite being a prototype system, prompting the need for testing a completed system in real-world scenarios. Trial Registration: ClinicalTrials.gov NCT04056663; https://clinicaltrials.gov/ct2/show/NCT04056663 
SN  - 1438-8871
UR  - https://www.jmir.org/2023/1/e47672
UR  - https://doi.org/10.2196/47672
UR  - http://www.ncbi.nlm.nih.gov/pubmed/37314850
DO  - 10.2196/47672
ID  - info:doi/10.2196/47672
ER  -