Sim Ruth, Lee Shaun Wen Huey
School of Pharmacy, Monash University Malaysia, Subang Jaya, Selangor, Malaysia.
School of Pharmacy, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Selangor, Malaysia.
Patient Prefer Adherence. 2021 Feb 10;15:283-298. doi: 10.2147/PPA.S271449. eCollection 2021.
Telemedicine has the potential to improve patient care and management for various chronic diseases such as type 2 diabetes. To ensure the success of any telemedicine program, there is a need to understand the patients' satisfaction and their preferences. This review aims to collate and provide evidence related to practices that may influence the performance of telemedicine for patients with type 2 diabetes.
We searched three electronic databases for studies examining patients' satisfaction and preferences for using telemedicine in type 2 diabetes. An evaluation matrix was developed to collect the data from the included articles. A total of 20 articles were identified and data on the key outcomes identified were narratively synthesized.
Patients were generally satisfied with the use of telemedicine for management of type 2 diabetes. Users reported that telemedicine was beneficial as it provided constant monitoring, improved access to healthcare providers, and reduced waiting time. When adopting a telemedicine platform, most patients expressed preference for mobile health (mHealth) as the telemedicine modality, especially if it has been endorsed by their physician. To improve usability and sustainability, patients suggested that modules related to diabetes education be enhanced, together with sufficient technical and physician support when adopting telemedicine. Patients also expressed the importance of having a sufficiently flexible platform that could be adapted to their needs.
Personalized telemedicine strategies coupled with appropriate physician endorsement greatly influences a patient's decision to undertake telemedicine. Future work should focus on improving telemedicine infrastructure and increasing physician's involvement, especially during the implementation phase.
远程医疗有潜力改善对2型糖尿病等各种慢性病的患者护理与管理。为确保任何远程医疗项目的成功，有必要了解患者的满意度及其偏好。本综述旨在整理并提供与可能影响2型糖尿病患者远程医疗效果的实践相关的证据。
我们在三个电子数据库中检索了关于2型糖尿病患者使用远程医疗的满意度和偏好的研究。制定了一个评估矩阵以从纳入的文章中收集数据。共识别出20篇文章，并对所确定的关键结果的数据进行了叙述性综合分析。
患者总体上对使用远程医疗管理2型糖尿病感到满意。用户报告称远程医疗有益，因为它提供持续监测、改善了与医疗服务提供者的联系并减少了等待时间。在采用远程医疗平台时，大多数患者表示更喜欢移动健康（mHealth）作为远程医疗模式，尤其是如果该模式得到了他们医生的认可。为提高可用性和可持续性，患者建议加强与糖尿病教育相关的模块，并在采用远程医疗时提供足够的技术和医生支持。患者还表示拥有一个足够灵活、能适应其需求的平台很重要。
个性化的远程医疗策略加上适当的医生认可会极大地影响患者接受远程医疗的决定。未来的工作应集中在改善远程医疗基础设施并增加医生的参与度，尤其是在实施阶段。
