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Comments

David Bear, MD

A Deloittle Health Consumer survey indicates strong interest in home monitoring, especially help with medications. Medication non-compliance is an extensively documented source of greater than $100B in costs. A user friendly system which requires no new learning for patient or caregiver,eliminates errors in pill selection before they occur,and, through coaching and positive reinforcement, builds and documents adherence behavior will yield rapid ROI. Senticare has developed the Pillstation Monitored System, now commencing trials with public and private payors.

Adam Peters

I wrote up a school paper on this subject and the numbers seem to ring true. My paper was partly based on a Veteran's Affairs study from early in this decade. Even with the cost of the infrastructure there was a ROI. The part that I feel is really missing though is the motivation for the patient to utilize the remote monitoring. The patient needs some type of feedback or reinforcement. If they are just downloading or plugging numbers from their results into a system and only get feedback or interaction when things are dramatically bad then the user will likely lose interest and fall out of compliance.

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