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Use in healthcare

Text messaging is a rapidly growing trend in Healthcare. A randomized controlled trial of text messaging intervention for diabetes in Bangladesh was one of the first robust trials to report improvement in diabetes management in a low-and-middle income country. A recent systematic review and individual participants data meta analysis from 3,779 participants reported that mobile phone text messaging could improve blood pressure and body mass index. Another study in people with type 2 diabetes showed that participants were willing to pay a modest amount to receive a diabetes text messaging program in addition to standard care. "One survey found that 73% of physicians text other physicians about work- similar to the overall percentage of the population that texts." A 2006 study of reminder messages sent to children and adolescents with type 1 diabetes mellitus showed favorable changes in adherence to treatment. A risk is that these physicians could be violating the Health Insurance Portability and Accountability Act. Where messages could be saved to a phone indefinitely, patient information could be subject to theft or loss, and could be seen by other unauthorized persons. The HIPAA privacy rule requires that any text message involving a medical decision must be available for the patient to access, meaning that any texts that are not documented in an EMR system could be a HIPAA violation.