Management of Type 2 Diabetes Mellitus through Telemedicine
Management of Type 2 Diabetes Mellitus through Telemedicine
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DOI：
10.1371/journal.pone.0126858
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发表时间：
2015-05-14
期刊：
影响因子：
3.7
通讯作者：
Gnasso, Agostino
中科院分区：
文献类型：
--
作者：
Carallo, Claudio;Scavelli, Faustina Barbara;Gnasso, Agostino
研究背景2型糖尿病（T2 DM）给公众健康带来了巨大且日益增长的负担，而新的护理模式尚未在临床实践中实施;事实上，本研究的目的是测试与普通的勤奋相比，T2 DM的综合护理计划的有效性。方法“糖尿病计划卡拉布里亚”是一种用于管理糖尿病患者的新的组织模式，基于全科医生（GP）的授权和使用基于网络的电子健康记录，在全科医生和医院顾问之间的远程会诊中共享。评价了104例患者（病例）在该综合护理计划后血糖和主要心血管风险因素控制的一年变化，并与208例年龄、性别和心脏代谢特征匹配的对照患者（对照组）进行了比较，仅由顾问进行普通门诊医疗管理。两组患者在研究期间之前和之后都有日间医院。ResultsThe研究期间访问顾问的平均次数为病例组0.6 +/- 0.9，对照组1.3 +/- 1.5（p
BackgroundType 2 diabetes mellitus T2DM has a huge and growing burden on public health, whereas new care models are not implemented into clinical practice; in fact the purpose of this study was to test the effectiveness of a program of integrated care for T2DM, compared with ordinary diligence.Methods"Progetto Diabete Calabria" is a new organizational model for the management of patients with diabetes mellitus, based on General Practitioners (GPs) empowerment and the use of a web-based electronic health record, shared in remote consultations among GPs and Hospital Consultants. One-year change in glucose and main cardiovascular risk factors control in 104 patients (Cases) following this integrated care program has been evaluated and compared with that of 208 control patients (Controls) matched for age, gender, and cardiometabolic profile, and followed in an ordinary outpatient medical management by the Consultants only. Both patient groups had Day Hospitals before and after the study period.ResultsThe mean number of accesses to the Consultants during the study was 0.6 +/- 0.9 for Cases, and 1.3 +/- 1.5 for Controls (p