Division of Pediatric Endocrinology, University of California Davis School of Medicine, Sacramento, CA, USA.
Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA.
J Diabetes Sci Technol. 2023 Jul;17(4):901-908. doi: 10.1177/19322968231157367. Epub 2023 Mar 10.
Widespread uptake of telehealth in response to the COVID-19 pandemic has highlighted geographic, demographic, and economic disparities in access to virtual care. However, research studies and clinical programs that predate the pandemic demonstrate the potential for telehealth-based interventions to improve access to and outcomes of type 1 diabetes (T1D) care for individuals in geographically or socially marginalized communities. In this expert commentary, we discuss telehealth-based care models that have been successful in improving care for marginalized T1D populations. We also outline the policy changes needed to expand access to such interventions to reduce established disparities in T1D care and promote better health equity among people living with T1D.
远程医疗在应对 COVID-19 大流行期间得到了广泛应用，这突显了在获得虚拟护理方面存在的地理、人口和经济方面的差距。然而，在大流行之前的研究和临床项目已经证明，基于远程医疗的干预措施有可能改善地理上或社会上处于边缘地位的社区中个体的 1 型糖尿病（T1D）护理的可及性和结果。在本专家评论中，我们讨论了一些基于远程医疗的护理模式，这些模式在改善边缘化 T1D 人群的护理方面取得了成功。我们还概述了扩大这些干预措施的可及性所需的政策变化，以减少 T1D 护理方面已有的差距，并促进 T1D 患者之间更好的健康公平。
