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:
Equipment/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)