Shared care combined with telecare improves glycemic control of diabetic patients in a rural underserved community.

Source: Liou, J. K., et al. 2014 - Pubmed ID: 24320193

Setting: Taiwan, 6 health centers

Study design:

RCT

Follow up: 6 months

Patient group:

Sample size:

Total: 95

IG: 54

CG: 41

Inclusion criteria:  

– Diabetes 2

– HbA1c > 7%

Type of technology:

Video consultation

Intervention:

Intervention: Six diabetes sessions, one to start the electronic glucose management system followed by three internet education sessions. Last two sessions conducted by a shared care team (nurse, dietitian and diabetic specialist) by interactive videoconference with patient and his/her primary physician.  

Duration: 6 months

Add on: NA

 

Control group:

Usual care

Clinical effect/ Patient safety:

Clinical effect:

– HbA1c ↓

– Lipid profiles →

– Blood pressure →

Patient safety:

NA

Patient experiences/ Staff experiences:

Patient experiences:

NA

Staff experiences:

NA

Costs and organization:

Investment:

Material

– Online education material

– Home monitoring equipment

Running:

Staff resources

– time for video consultation

Organization:

Collaboration between hospital and primary care

Health care utilization:

NA

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)