1 Centre for 430948 Online Health, The University of Queensland , Australia.
2 Department of Diabetes and Endocrinology, The 1966 Princess Alexandra Hospital , Australia.
J Telemed Telecare. 2017 Dec;23(10):842-849. doi: 10.1177/1357633X17733295. Epub 2017 Sep 29.
This study aimed to describe patient-related characteristics of those attending the diabetes telehealth service delivered from a tertiary hospital and compare these with the characteristics of patients attending face-to-face visits at the same hospital's diabetes outpatient service. This analysis could inform diabetes telehealth service improvements. To our knowledge, there has been no prior evaluation of a diabetes telehealth service in Australia. A cross-sectional survey was conducted as part of the Australian National Diabetes Audit in May 2016 for all patients attending the diabetes telehealth service and diabetes outpatient service. The diabetes telehealth service was serving a greater proportion of females, indigenous people and patients with a longer mean duration of type 2 diabetes mellitus. Type 2 diabetes mellitus patients in the diabetes telehealth service group had a higher average glycated haemoglobin of 9.1% (76 mmol/mol) vs 8.1% (65 mmol/mol) in the diabetes outpatient service group. The diabetes telehealth service had more people with initial visits; had higher self-reported smoking rates in type 2 diabetes mellitus patients; and had adequate access to allied health supports as recommended for diabetes management. Diabetes telehealth service patients had more complex diabetes as evidenced by a higher proportion of indigenous clients, higher glycated haemoglobin and longer mean duration of diabetes.
本研究旨在描述在一家三级医院接受糖尿病远程医疗服务的患者的相关特征，并将这些特征与在同一医院的糖尿病门诊服务接受面对面就诊的患者的特征进行比较。这一分析可以为糖尿病远程医疗服务的改进提供信息。据我们所知，澳大利亚还没有对糖尿病远程医疗服务进行过评估。作为 2016 年 5 月澳大利亚国家糖尿病审计的一部分，进行了一项横断面调查，调查对象为所有接受糖尿病远程医疗服务和糖尿病门诊服务的患者。糖尿病远程医疗服务服务的患者中，女性、土著居民和 2 型糖尿病患者的平均患病时间较长的比例更高。与糖尿病门诊服务组的 8.1%（65mmol/mol）相比，糖尿病远程医疗服务组的 2 型糖尿病患者的糖化血红蛋白平均水平更高，为 9.1%（76mmol/mol）。糖尿病远程医疗服务组有更多的初诊患者；2 型糖尿病患者的自我报告吸烟率更高；并且根据糖尿病管理的建议，有足够的机会获得联合健康支持。糖尿病远程医疗服务患者的糖尿病更复杂，表现为土著患者比例更高、糖化血红蛋白水平更高和平均糖尿病患病时间更长。
