Video Telehealth Access and Changes in HbA1c Among People With Diabetes.
Video Telehealth Access and Changes in HbA1c Among People With Diabetes.
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DOI：
10.1016/j.amepre.2021.10.012
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发表时间：
2022-05
影响因子：
5.5
通讯作者：
Reed, Mary E.
中科院分区：
文献类型：
--
作者：
Graetz, Ilana;Huang, Jie;Muelly, Emilie R.;Hsueh, Loretta;Gopalan, Anjali;Reed, Mary E.
视频远程医疗可以为人们提供方便的实时访问临床医生的机会，而无需安排交通或休息时间。在糖尿病患者中，这项研究考察了远程视频保健与糖化血红蛋白变化之间的关系。这项纵向队列研究(2016-2019年)使用具有个人水平固定效应的线性回归，按基线HbA1c(2015年最后一个值)分层，以检查视频访问访问与HbA1c变化之间的关联。HbA1c值被分为3个视频访问暴露阶段：(1)视频访问前，(2)视频访问过渡年(第一次视频访问的日历年)，(3)视频访问之后。该模型比较了在患者进行任何视频访问之前收集的HbA1c值的变化，以及在过渡年之后收集的HbA1c值的变化。分析是在2020年9月进行的。在204,301名糖尿病患者中，视频访问与HbA1c降低0.15个百分点(95%CI=−0.19，−0.11)有关，在基线HbA1c升高(−0.22个百分点，95%CI=−0.32，−0.11)和没有基线HbA1c测量(−0.39个百分点，95%CI=−0.71，−0.07)的患者中降幅更大。获得视频远程健康与糖尿病患者中HbA1c的降低有关。视频远程保健为慢性病患者提供了一种新的、方便的医疗保健方式，与HbA1c恶化无关，并可能支持更好的疾病管理，特别是在基线HbA1c较高的患者中。
Video telehealth can offer people convenient, real-time access to clinicians without arranging transportation or time off work. Among people with diabetes, this study examines the association between video telehealth access and changes in HbA1c. This longitudinal cohort study (2016–2019) used linear regression with person-level fixed effects, stratified by baseline HbA1c (last value in 2015), to examine the association between video visit access and changes in HbA1c. HbA1c values were categorized into 3 periods of video visit exposure: (1) before any video visit, (2) video visit transition year (calendar year of the first video visit), and (3) after video visits. The model compared changes in HbA1c values collected before the patient had any video visits with those collected after the transition year. Analyses was conducted in September 2020. Among 204,301 people with diabetes, video visit access was associated with a statistically significant reduction of 0.15 (95% CI= −0.19, −0.11) percentage points in HbA1c, with greater reductions among patients with an elevated baseline HbA1c value (−0.22 percentage points, 95% CI= −0.32, −0.11) and with no baseline HbA1c measurement (−0.39 percentage points, 95% CI= −0.71, −0.07). Gaining access to video telehealth was associated with reductions in HbA1c among people with diabetes. Video telehealth offers people with chronic conditions a new, convenient way to access health care, is not associated with worsening HbA1c, and may support better disease management, particularly among patients with higher baseline HbA1c.
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影响因子：
2.9
作者：
Krapek, K;King, K;Lubowski, TJ
通讯作者：
Lubowski, TJ
影响因子：
105.7
作者：
Stratton, IM;Adler, AI;Holman, RR
通讯作者：
Holman, RR
DOI：
10.1001/jama.2016.2186
发表时间：
2016-05-10
期刊：
JAMA
影响因子：
--
作者：
Mehrotra A;Jena AB;Busch AB;Souza J;Uscher-Pines L;Landon BE
通讯作者：
Landon BE
影响因子：
8
作者：
Burke BL Jr;Hall RW;SECTION ON TELEHEALTH CARE
通讯作者：
SECTION ON TELEHEALTH CARE
影响因子：
39.2
作者：
Qaseem, Amir;Wilt, Timothy J.;Forciea, Mary Ann
通讯作者：
Forciea, Mary Ann