1 Division of Pediatric Endocrinology, Oregon Health and Science University , Portland, Oregon.
2 Biostatistics and Design Program, Oregon Health and Science University , Portland, Oregon.
Telemed J E Health. 2018 Jan;24(1):86-88. doi: 10.1089/tmj.2017.0072. Epub 2017 Jun 27.
We reviewed the impact of telehealth videoconferencing clinics on outcomes of care in pediatric patients with type 1 diabetes in rural Oregon.
We performed a chart review as well as the review of patient satisfaction questionnaires from 27 patients seen in the first year of the program.
The number of yearly visits to diabetes clinic increased from average 1.5 to 2.7, which was statistically significant (p < 0.0001). Glycemic control remained stable, and there was no difference in the amount of emergency department visits or hospitalizations related to diabetes. Patients expressed high satisfaction with the service and majority considered it equal to in-person visits.
We conclude that telehealth videoconferencing visits have the potential to improve care in pediatric diabetes patients, particularly the patients living in areas distant from subspecialty centers.
我们回顾了远程医疗视频诊所对俄勒冈州农村 1 型糖尿病患儿护理结果的影响。
我们对该项目实施的第一年中接受治疗的 27 名患者的图表进行了回顾，并对患者满意度调查问卷进行了回顾。
糖尿病诊所的年就诊次数从平均 1.5 次增加到 2.7 次，具有统计学意义（p<0.0001）。血糖控制保持稳定，与糖尿病相关的急诊就诊次数或住院次数无差异。患者对该服务的满意度很高，大多数人认为其与面对面就诊相当。
我们的结论是，远程医疗视频访问有可能改善儿科糖尿病患者的护理，特别是那些居住在远离专科中心的地区的患者。
