[Results of a telemedicine program for primary care patients with type 2 diabetes]

Gac Sanit. 2015 Jan-Feb;29(1):55-8. doi: 10.1016/j.gaceta.2014.08.003. Epub 2014 Nov 11.
[Article in Spanish]

Abstract

Objective: To evaluate the impact of a telemedicine program on self-perceived health in patients with type 2 diabetes in primary care, as well as patient acceptance of and satisfaction with this program.

Method: We conducted an 18-month follow-up through telemedicine in 52 diabetic patients. The study design was non-experimental (before and after). In addition to weekly electronic transmission of fasting glucose levels, we regularly provided advice to patients about healthy habits.

Results: No statistically significant differences were observed when mean blood glucose values were compared during follow-up. However, at the end of participation, the mean score in self-perceived health was significantly higher than at the initial assessment (70.5±12.8 vs. 62.8±15.0, p=0.02). After 18 months of participation in the telemedicine program, 57.7% of patients were satisfied and 38.5% were very satisfied.

Conclusions: Although glycemic control did not improve during the follow-up, electronic transmission of information was found to be feasible and satisfactory for patients. The patients reported a higher level of self-perceived health.

Keywords: Atención primaria de salud; Diabetes mellitus tipo 2; Diabetes mellitus type 2; Primary health care; Telemedicina; Telemedicine.

MeSH terms

  • Adult
  • Blood Glucose / analysis
  • Blood Glucose Self-Monitoring*
  • Controlled Before-After Studies
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / psychology
  • Diabetes Mellitus, Type 2 / therapy*
  • Electronic Health Records
  • Electronic Mail*
  • Female
  • Follow-Up Studies
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Primary Health Care / organization & administration*
  • Program Evaluation
  • Self Concept
  • Spain
  • Surveys and Questionnaires
  • Telemedicine*

Substances

  • Blood Glucose