Specialist Perspectives on Delivering High-Quality Telemedicine for Diabetes: A Mixed Methods Survey Study.
Specialist Perspectives on Delivering High-Quality Telemedicine for Diabetes: A Mixed Methods Survey Study.
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专业观点对糖尿病的高质量远程医疗：一项混合方法调查研究。
DOI：
10.1210/jendso/bvad039
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发表时间：
2023-03-06
影响因子：
4.1
通讯作者：
Rosland, Ann-Marie
中科院分区：
文献类型：
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作者：
Zupa, Margaret F.;Alexopoulos, Anastasia-Stefania;Esteve, Lucy;Rosland, Ann-Marie
由于关于提高远程医疗护理质量的因素的证据有限，最近指导适当使用远程医疗进行内分泌护理的建议在很大程度上依赖于专家意见。在这项研究中，我们评估了一线专家对通过远程医疗提高糖尿病护理质量的因素和策略的看法，远程医疗已经广泛使用了2年多。2个学术卫生系统的成人糖尿病专家最近使用基于视频的远程医疗提供糖尿病护理，他们被邀请参加2022年3月至4月期间的在线调查研究。李克特式的问题，随后是相关的开放式问题，评估了关键资源的可用性、影响质量的因素以及糖尿病远程医疗的预期效益。有效率为52%（56/111）。超过一半（54%）的参与者报告说，面对面护理比远程医疗的糖尿病护理总体质量更好。参与者报告了支持高质量护理的临床数据，如家庭血糖读数和生命体征，这些数据通常无法通过远程医疗获得。患者因素，包括合并症和沟通障碍，降低了远程医疗的预期收益，而地理和移动障碍增加了预期收益。提供者描述了可促进高质量远程医疗糖尿病护理的多种卫生保健环境资源，包括对共享患者生成的健康数据和协调多学科护理的更大支持。经过2年的持续使用，糖尿病专家认为远程医疗是提高医疗服务可及性的重要途径。然而，专家们确定了需要额外的支持，以增加对具有复杂临床需求的患者适当使用和提供高质量远程医疗护理。
Recent recommendations guiding appropriate use of telemedicine for endocrinology care have largely relied on expert opinion due to limited evidence on factors that increase quality of telemedicine care. In this study, we assessed the perspectives of front-line specialists on factors and strategies perceived to increase quality of diabetes care delivered via telemedicine after more than 2 years of widespread use. Adult diabetes specialists in 2 academic health systems who recently used video-based telemedicine to provide diabetes care were invited to participate in an online survey study between March and April 2022. Likert-style questions, followed by related open-ended questions, assessed perspectives on availability of key resources, factors affecting quality, and anticipated benefits from telemedicine for diabetes. Response rate was 52% (56/111). More than half (54%) of participants reported better overall quality of diabetes care with face-to-face care vs telemedicine. Participants reported clinical data supporting high-quality care, such as home blood glucose readings and vital signs, were often not available with telemedicine. Patient factors, including comorbidities and communication barriers, reduced anticipated benefit from telemedicine, while geographic and mobility barriers increased expected benefit. Providers described multiple health care setting resources that could promote high-quality telemedicine diabetes care, including greater support for sharing patient-generated health data and coordinating multidisciplinary care. After 2 years of sustained use, diabetes specialists identified telemedicine as an important way to enhance access to care. However, specialists identified additional supports needed to increase appropriate use and delivery of high-quality telemedicine care for patients with complex clinical needs.
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影响因子：
16.2
作者：
Shah, BR;Hux, JE;van Walraven, C
通讯作者：
van Walraven, C
影响因子：
3.1
作者：
Doyle, Louise;Brady, Anne-Marie;Byrne, Gobnait
通讯作者：
Byrne, Gobnait
影响因子：
5
作者：
Liu, Winnie;Saxon, David R;Rasouli, Neda
通讯作者：
Rasouli, Neda
DOI：
10.2337/cd19-0008
发表时间：
2020-01-01
期刊：
Clinical diabetes : a publication of the American Diabetes Association
影响因子：
--
作者：
Grunberger, George;Sze, David;Miller, Eden M
通讯作者：
Miller, Eden M
2型糖尿病的管理，控制和结果在美国老年退伍军人的大流行期间：一项观察性研究。
影响因子：
5.7
作者：
Aubert CE;Henderson JB;Kerr EA;Holleman R;Klamerus ML;Hofer TP
通讯作者：
Hofer TP