Barriers and Facilitators to Diabetes Device Adoption for People with Type 1 Diabetes.

Barriers and Facilitators to Diabetes Device Adoption for People with Type 1 Diabetes.
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1型糖尿病患者采用糖尿病器械的障碍和促进因素。

DOI:
10.1007/s11892-022-01469-w
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发表时间:
2022-07
影响因子:
4.2
通讯作者:
Commissariat, Persis, V
Commissariat, Persis, V
中科院分区:
医学2区
文献类型:
--
作者:
Tanenbaum, Molly L.;Commissariat, Persis, V

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糖尿病技术(胰岛素泵、持续血糖监测、自动胰岛素输注系统)已取得显著进步,并为用户提供了益处。本文综述了目前糖尿病器械采用和持续使用的障碍,并概述了增加和维持器械采用的已知和潜在促进因素。糖尿病设备采用的障碍继续存在于系统、提供者和个人层面。促进持续采用的已知促进因素包括一致的保险覆盖、对提供者和诊所的支持、对技术用户的结构化教育和支持,以及设备用户根据需要获得支持(例如,在线资源)。糖尿病器械采用的系统性障碍仍然存在,而越来越多的证据表明最新器械和系统的益处越来越多。目前正在努力开发基于证据的结构化教育计划,以支持器械的采用和持续使用。
Diabetes technology (insulin pumps, continuous glucose monitoring, automated insulin delivery systems) has advanced significantly and provides benefits to the user. This article reviews the current barriers to diabetes device adoption and sustained use, and outlines the known and potential facilitators for increasing and sustaining device adoption. Barriers to diabetes device adoption continue to exist at the system-, provider- and individual-level. Known facilitators to promote sustained adoption include consistent insurance coverage, support for providers and clinics, structured education and support for technology users, and device user access to support as needed (e.g., through online resources). Systemic barriers to diabetes device adoption persist while growing evidence demonstrates the increasing benefits of newest devices and systems. There are ongoing efforts to develop evidence-based structured education programs to support device adoption and sustained use.
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