npj/ Digital Medicine January 15, 2018
Bruce R. Schatz

Abstract

How can health systems make good use of digital medicine? For healthcare infrastructure, the answer is population measurement, monitoring people to compute status for clustering cohorts. In chronic care, most effective is measuring all the time, to track health status as it gradually changes. Passive monitors run in the background, without additional tasks to activate monitors, especially on mobile phones. At its core, a health system is a “sorting problem”. Each patient entering the system must be effectively sorted into treatment cohorts. Health systems have three primary problems: Case Finding (which persons have which diagnoses), Risk Stratification (which persons are which status), and Care Routing (which persons need which treatments). The issue is then which measures can be continuously...

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