Nittari Giulio, Ricci Giovanna, Savva Demetris, Gibelli Filippo, Bailo Paolo, Ausania Francesco, De Leo Domenico
Telemedicine and Telepharmacy Centre, School of Medicinal and Health Products Sciences, University of Camerino, Camerino, 62032, Italy.
Section of Legal Medicine, School of Law, University of Camerino, Camerino, 62032, Italy.
Nutr Metab Cardiovasc Dis. 2023 Nov;33(11):2280-2286. doi: 10.1016/j.numecd.2023.07.021. Epub 2023 Jul 22.
This study aimed to evaluate the quality and efficiency of telemedicine in managing patients with chronic diabetic ulcers and provide an overview of the main medico-legal implications associated with telemedicine management of diabetic foot complications.
A total of 50 patients with type 2 diabetes mellitus were enrolled from a diabetic foot outpatient clinic in Cyprus between March and May 2022. Participants completed a survey concerning telemedicine services, and the demographic variables and average responses to the PACIC (Patient Assessment of Chronic Illness Care) questions were examined using descriptive analysis. The majority of patients (84%) were male, with a mean age of 60.9 ± 13.05 years. The average PACIC score was 4.42 (min. 2.7 and max. 5.0). Voice calls were the most preferred method of telemedicine delivery, accounting for 53% of all services.
Telemedicine can effectively manage chronic patients, such as those with diabetic ulcers, by reducing the burden on resources and maintaining service quality. However, healthcare professionals must be well-versed in medico-legal implications to adhere to legal and ethical guidelines, protect patient privacy, and maintain high standards of care while using telemedicine for chronic condition treatment.
本研究旨在评估远程医疗在管理慢性糖尿病溃疡患者方面的质量和效率，并概述与糖尿病足并发症远程医疗管理相关的主要医疗法律问题。
2022年3月至5月期间，从塞浦路斯的一家糖尿病足门诊招募了50例2型糖尿病患者。参与者完成了一项关于远程医疗服务的调查，并使用描述性分析检查了人口统计学变量以及对PACIC（慢性病护理患者评估）问题的平均回答。大多数患者（84%）为男性，平均年龄为60.9±13.05岁。PACIC平均得分为4.42（最低2.7分，最高5.0分）。语音通话是最受欢迎的远程医疗服务方式，占所有服务的53%。
远程医疗可以通过减轻资源负担并维持服务质量，有效地管理慢性疾病患者，如糖尿病溃疡患者。然而，医疗保健专业人员必须精通医疗法律问题，以便在使用远程医疗治疗慢性病时遵守法律和道德准则，保护患者隐私，并维持高标准的护理。
