Mississippi Diabetes Telehealth Network: A Collaborative Approach to Chronic Care Management
| Autor: | Sheila D. Keller, William H. Replogle, Tearsanee Carlisle Davis, Kim W Hoover |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Telemedicine medicine.medical_specialty 020205 medical informatics Remote patient monitoring Chronic care management Health Informatics 02 engineering and technology Telehealth Quality of life (healthcare) Mississippi Health Information Management Diabetes mellitus Health care 0202 electrical engineering electronic engineering information engineering Diabetes Mellitus Medicine Humans Longitudinal Studies Prospective Studies business.industry Rural health Disease Management General Medicine medicine.disease Emergency medicine Quality of Life business |
| Zdroj: | Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 26(2) |
| ISSN: | 1556-3669 |
| Popis: | Background/Introduction: Ineffective management of chronic illness and lack of referral sources in underserved areas has contributed to increased health care spending and a decline in quality of life for the affected. In 2016, 15.4% of the adult population of Mississippi had diabetes. Telehealth in the home is a viable way to bring a care team to patients to assist them as they manage their illnesses. The purpose of the study was to determine the relationship between the Mississippi Diabetes Telehealth Network clinical care model and selected diabetes outcomes over time. Methods: A prospective, longitudinal cohort study design evaluated the relationship between using telehealth for chronic care management and diabetes outcomes over a 12-month period. Eligible participants were patients over 18 years old diagnosed with diabetes at a rural health clinic with an hemoglobin A1c (HbA1c) ≥7.0%. Rolling enrollment continued until the pool of eligible participants was depleted. A total of 171 were enrolled. Results: There was a significant difference in HbA1c values from baseline to 3-, 6-, 9-, and 12-month values. A significant difference was found between baseline and 12-month measures for total cholesterol, low density lipoproteins (LDL), high density lipoproteins (HDL), triglycerides, creatinine clearance, glomerular filtration rate, and potassium. There were no differences in baseline and 12-month measures for weight, blood pressure, blood urea nitrogen (BUN), and microalbumin. Discussion/Conclusions: Even with the limited sample size and design, remote patient monitoring and telehealth may be an effective tool for assisting home-based patients in the self-management of diabetes in rural areas. The maximum benefit was achieved after 3-4 months on the program and maintained over the 12-month period. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|