[Show abstract][Hide abstract] ABSTRACT: We have used telemedicine clinics supplemented by online education to provide effective care for children with diabetes. Before the programme began, the mean interval between visits was 149 days; in year 1 of the programme it was 98 days, and in year 2 it was 89 days. Before the programme, there were on average 13 hospitalizations a year (47 days) and this decreased to 3.5 hospitalizations a year (5.5 days). Emergency department visits decreased from 8 to 2.5 per year. On 10 occasions after the programme started, ketosis was managed by telephone intervention alone, relying on family-initiated calls. Over 90% of patients and family members expressed satisfaction with the telemedicine service and wished to continue using it. In all, 95% felt little self-consciousness. Over 90% felt their privacy was respected. The programme saved US dollar 27,860 per year. The present study demonstrated improved access to specialized health care via telemedicine in combination with online education improved health status and reduced costs by reducing hospitalizations and emergency department visits.
Journal of Telemedicine and Telecare 02/2005; 11 Suppl 1:74-6. · 1.74 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Increasing demands on practitioners' time and increasing complexity of patient education and management have created a demand for creative solutions to providing for those needs. Telemedicine can answer some of those needs. Further documentation of the efficacy and cost-effectiveness of telemedicine and education is important but should not hinder the provision of care that is required yet unavailable by traditional means.
[Show abstract][Hide abstract] ABSTRACT: Five adolescents with diabetes participated in an intensive outpatient treatment programme designed to improve adherence to their regimen and improve metabolic control. Families reported blood sugar levels, injections and food intake daily by telephone. After four weeks they were offered a video-phone. Nine subjects were recruited but four of them dropped out. Of the remaining five, one subject used a video-phone and one subject reported blood sugar results by email. Most of the children improved their metabolic control and all five subjects showed reduced HbA(1c) levels during the three months of the study. The use of telehealth facilitated the treatment of adolescents with poor glycaemic control.
Journal of Telemedicine and Telecare 02/2003; 9(2):117-21. · 1.74 Impact Factor