Al-Badri Marwa, Hamdy Osama
Joslin Diabetes Center, Affiliated with Harvard Medical School, Boston, MA 02215, USA. Email:
Medical Director of Inpatient Diabetes Program, Joslin Diabetes Center, Boston, MA 02215, USA.
Ther Adv Endocrinol Metab. 2021 Mar 23;12:2042018821995368. doi: 10.1177/2042018821995368. eCollection 2021.
Diabetes is a chronic disease that affects nearly 463 million people globally and involves multiple co-morbid conditions that require effective treatment and continuous management. These include lifestyle and behavioral modifications, compliance to diabetes medications and close patient monitoring, all of which can be efficiently conducted telehealth. Integrating digital technology of telehealth and mobile health into diabetes care may improve diabetes management and increase its efficiency. In this review, we examine recent advances in healthcare technology of diabetes. Moreover, we present an example of a comprehensive virtual diabetes clinic, the "Joslin HOME," as an innovative digital ecosystem for future application in diabetes care. This model utilizes digital health technology and comprises frequent short visits with easy two-way scheduling, focused documentation and simple billing methods. In this new model, a multidisciplinary team is connected with their patients using telehealth and mobile health to overcome the barriers of distance and location. It may possibly extend quality diabetes care to remote, underserved or rural areas.
糖尿病是一种慢性疾病,全球近4.63亿人受其影响,且涉及多种需要有效治疗和持续管理的合并症。这些包括生活方式和行为改变、遵守糖尿病药物治疗以及密切的患者监测,所有这些都可以通过远程医疗有效地进行。将远程医疗和移动医疗的数字技术整合到糖尿病护理中可能会改善糖尿病管理并提高其效率。在本综述中,我们研究了糖尿病医疗技术的最新进展。此外,我们展示了一个综合虚拟糖尿病诊所“乔斯林家庭诊所”的例子,作为未来应用于糖尿病护理的创新数字生态系统。该模式利用数字健康技术,包括频繁的短程就诊、便捷的双向预约、重点记录和简单的计费方式。在这个新模式中,多学科团队通过远程医疗和移动医疗与患者建立联系,以克服距离和地理位置的障碍。它可能会将优质的糖尿病护理扩展到偏远、服务不足或农村地区。