Calculating the return on investment of mobile healthcare
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* Corresponding author: Nancy E Oriol nancy_oriol@hms.harvard.edu
- Equal contributors
BMC Medicine 2009, 7:27 doi:10.1186/1741-7015-7-27
Misquoted adherence estimate
Nancy Oriol (2011-06-08 17:14) Harvard Medical School, The Family Van
On page 8, the authors incorrectly state that: "NCPP estimations assume a 30% non-compliance with treatment". In fact, as stated in their methods (Priorities among effective clinical preventive services: results of a systematic review and analysis. Am J Prev Med 2006, 31(1):52-61) , NCPP specifically addresses patient adherence in its calculation of effectiveness of each intervention as follows: "Effectiveness = (percent who would accept the preventive service once offered) X (sensitivity of screening or assessment) X (adherence with follow-up treatment or advice to change behavior) X (effectiveness of prevention, treatment, or behavior change)". For example, in calculating the effectiveness of brief counseling services such as smoking cessation, NCPP projected patient adherence to be less than 1%
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