Piette John D
Center for Practice Management and Outcomes Research, VA Ann Arbor Health Care System, P.O. Box 130170, Ann Arbor, MI 48113-0170, USA.
Curr Diab Rep. 2002 Apr;2(2):160-5. doi: 10.1007/s11892-002-0076-4.
Despite some improvements in diabetes treatment processes, outcomes for many patients remain inadequate. Interactive health technologies (IHTs) can address many of the challenges that diabetes patients and their health systems face, and research on IHT applications for diabetes care are intensifying. This article describes recent evidence regarding the feasibility and impact of 1) clinic-based CD-ROM systems supporting behavior change; 2) automated telephone diabetes management allowing for ongoing monitoring and patient education between face-to-face clinical encounters; and 3) Web-based systems focusing on a range of diabetes management goals such as enhanced emotional support for patients and improved clinician adherence to treatment guidelines. Studies in each of these areas have been somewhat encouraging. However, intervention effects have been moderate, and researchers face significant challenges in designing and implementing definitive studies.
尽管糖尿病治疗流程有了一些改进，但许多患者的治疗效果仍然不尽人意。交互式健康技术（IHTs）可以应对糖尿病患者及其医疗系统面临的诸多挑战，并且针对糖尿病护理的IHT应用研究正在不断加强。本文介绍了有关以下方面可行性和影响的最新证据：1）支持行为改变的基于诊所的光盘系统；2）自动电话糖尿病管理，可在面对面临床会诊之间进行持续监测和患者教育；3）基于网络的系统，侧重于一系列糖尿病管理目标，如增强患者的情感支持和提高临床医生对治疗指南的依从性。这些领域的每项研究都有些令人鼓舞。然而，干预效果一般，研究人员在设计和实施确定性研究方面面临重大挑战。
