The efficiency of telemedicine to optimize metabolic control in patients with type 1 diabetes mellitus: Telemed study.
Source: Esmatjes, E., et al. 2014 - Pubmed ID: 24528195
Setting: Spain, Five hospitals
Study design:
RCT
Follow up: 6 months
Patient group:
Sample size:
Total: 154 ( 118)
IG: 78 (54)
CG: 76 (64)
Inclusion criteria:
- Diagnosed with type 1 diabetes at least 5 years previously
- 18–55 years
- HbA1c >8%
Type of technology:
Home monitoring
- Glucometer
Webpage (Medical Guard)
- Data transfer
Phone call
- Teleconsultation
Intervention:
Intervention: Patients carry out three self-monitoring of blood glucose tests per day and opload data once a month following response from diabetes team via telephone
Duration: 6 months
Add on: –
Control group: All the visits at hospital
Clinical effect:
- Total time spent by pt follow up visits ↓
- Estimated transportation cost ↓
- Length of appointments with diabetes team ↓
- HbA1c↓
Patient safety: NA
Patient experiences/
Staff experiences:
Patient experiences:
- Total time spent by pt follow up visits ↓
- Estimated transportation cost ↓
Staff experiences: NA
Investment:
Equipment/Materials
- Blood glucose
Staff resources
- Development of webpage/platform (www.medicalguard.net)
Running:
Staff resources
- Training pt.
- Telephone consultation
Organization: NA
Health care utilization:
- Length of appointments with diabetes team ↓