0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Viewpoint | Innovations in Health Care Delivery

A Patient-Designed Do-It-Yourself Mobile Technology System for Diabetes Promise and Challenges for a New Era in Medicine

Joyce M. Lee, MD, MPH1; Emily Hirschfeld, BA2; James Wedding, PE3
[+] Author Affiliations
1Pediatric Endocrinology, Child Health Evaluation and Research Unit, University of Michigan, Ann Arbor
2Child Health Evaluation and Research Unit, University of Michigan, Ann Arbor
3Nightscout Foundation
JAMA. 2016;315(14):1447-1448. doi:10.1001/jama.2016.1903.
Text Size: A A A
Published online

Extract

This Viewpoint uses the Nightscout Project, a patient-developed mobile technology system, to discuss safety, legal, and regulatory challenges to the broader use of mobile health technology.

The US health care system has typically embraced a top-down model of health production, in which large-scale organizations, such as pharmaceutical or medical device companies or academic health centers, produce the tools and technologies for improving health. The underlying assumption is that physicians, researchers, and industry professionals are health experts rather than the patients. However, in 2014, the Nightscout Project, an innovative do-it-yourself mobile technology system for type 1 diabetes, was created by patients for patients and was rapidly scaled to a US and global population within a relatively short period. This bottom-up, patient-driven approach to health production has important lessons for a new era of medicine powered by patient engagement, mobile technology, cloud computing, and social media. This Viewpoint describes the Nightscout Project, including the challenges it poses for the current health care system, and the opportunities yielded from this new form of health production.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

3,515 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Diabetes, Foot Ulcer

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Diabetic Peripheral Neuropathy

brightcove.createExperiences();