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. 2011 May;24(2):69-74.
doi: 10.1258/hsmr.2010.010015.

Scalable office-based health care

Gabriel A Koepp  1 , Chinmay U Manohar, Shelly K McCrady-Spitzer, James A Levine
Affiliations

Scalable office-based health care

Gabriel A Koepp et al. Health Serv Manage Res. 2011 May.

Abstract

The goal of health care is to provide high-quality care at an affordable cost for its patients. However, the population it serves has changed dramatically since the popularization of hospital-based health care. With available new technology, alternative health care delivery methods can be designed and tested. This study examines scalable office-based health care for small business, where health care is delivered to the office floor. This delivery was tested in 18 individuals at a small business in Minneapolis, Minnesota. The goal was to deliver modular health care and mitigate conditions such as diabetes, hyperlipidaemia, obesity, sedentariness and metabolic disease. The modular health care system was welcomed by employees - 70% of those eligible enrolled. The findings showed that the modular health care deliverable was feasible and effective. The data demonstrated significant improvements in weight loss, fat loss and blood variables for at risk participants. This study leaves room for improvement and further innovation. Expansion to include offerings such as physicals, diabetes management, smoking cessation and prenatal treatment would improve its utility. Future studies could include testing the adaptability of delivery method, as it should adapt to reach rural and under-served populations.

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Figures

Figure 1
Figure 1. Scalable Office-based Health Care
(A) Mobile office health assessment laboratory (integrated into pre-existing office space). Integration of Health Environment; (B) Deployment of shared treadmill desks, (C) Managerial change to a standard meeting. (D) Bar-code system for demonstrating activity levels over the 6 month of the intervention for subjects electing to lose weight and those who chose to be weight stable.
Figure 2
Figure 2. Body composition changes in 6 months Scalable Office-based Health Care in 18 subjects at baseline and after a 6 month intervention
Data are shown as mean ± standard error of the mean. Pre-intervention versus post-intervention, * P<0.01, ** P<0.005, *** P<0.001.
See this image and copyright information in PMC

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