Patient Preference and Satisfaction with the Use of Telemedicine for Glycemic Control in Patients with Type 2 Diabetes: A Review.
Patient Preference and Satisfaction with the Use of Telemedicine for Glycemic Control in Patients with Type 2 Diabetes: A Review.
复制标题
DOI：
10.2147/ppa.s271449
复制
发表时间：
2021
影响因子：
2.2
通讯作者：
Lee SWH
中科院分区：
文献类型：
--
作者：
Sim R;Lee SWH
远程医疗有可能改善对各种慢性病的护理和管理，如2型糖尿病。为了确保远程医疗计划的成功，有必要了解患者的满意度和他们的偏好。这篇综述旨在整理和提供与可能影响2型糖尿病患者远程医疗表现的做法相关的证据。我们搜索了三个电子数据库，以研究患者对在2型糖尿病患者中使用远程医疗的满意度和偏好。编制了一个评价矩阵，以便从所收录的文章中收集数据。总共确定了20篇文章，并以叙述性的方式综合了关于确定的关键成果的数据。患者对使用远程医疗治疗2型糖尿病总体上感到满意。用户报告说，远程医疗是有益的，因为它提供了持续的监测，改善了与医疗保健提供者的联系，并减少了等待时间。在采用远程医疗平台时，大多数患者表示倾向于将移动医疗(MHealth)作为远程医疗模式，特别是在得到医生认可的情况下。为了提高可用性和可持续性，患者建议加强与糖尿病教育相关的模块，并在采用远程医疗时提供足够的技术和医生支持。患者还表达了拥有一个足够灵活的平台以适应他们的需求的重要性。个性化的远程医疗策略加上适当的医生认可，极大地影响了患者进行远程医疗的决定。今后的工作应侧重于改善远程医疗基础设施和增加医生的参与，特别是在实施阶段。
Telemedicine has the potential to improve patient care and management for various chronic diseases such as type 2 diabetes. To ensure the success of any telemedicine program, there is a need to understand the patients’ satisfaction and their preferences. This review aims to collate and provide evidence related to practices that may influence the performance of telemedicine for patients with type 2 diabetes. We searched three electronic databases for studies examining patients’ satisfaction and preferences for using telemedicine in type 2 diabetes. An evaluation matrix was developed to collect the data from the included articles. A total of 20 articles were identified and data on the key outcomes identified were narratively synthesized. Patients were generally satisfied with the use of telemedicine for management of type 2 diabetes. Users reported that telemedicine was beneficial as it provided constant monitoring, improved access to healthcare providers, and reduced waiting time. When adopting a telemedicine platform, most patients expressed preference for mobile health (mHealth) as the telemedicine modality, especially if it has been endorsed by their physician. To improve usability and sustainability, patients suggested that modules related to diabetes education be enhanced, together with sufficient technical and physician support when adopting telemedicine. Patients also expressed the importance of having a sufficiently flexible platform that could be adapted to their needs. Personalized telemedicine strategies coupled with appropriate physician endorsement greatly influences a patient’s decision to undertake telemedicine. Future work should focus on improving telemedicine infrastructure and increasing physician’s involvement, especially during the implementation phase.