Telemedicine as a tool for intensive management of diabetes: the DIABTel experience

Gómez, Enrique J.; Hernando, M. Elena; García, Ángel Hernández; Pozo, Francisco del; Cermeño, Julman; Corcoy, Rosa; Brugués, Eulàlia; Leiva, Alberto de

doi:10.1016/s0169-2607(02)00039-1

Cited by 137 publications

(128 citation statements)

References 20 publications

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“…[25][26][27][28][29][30] This project, however, differs from prior studies because it was nurse-based, the recruitment process did not target patients with only poor glycemic control, and computer experience or computer literacy was not required for eligibility. Additionally, this study also disproves the myth that seniors will not be attracted to the Internet as a way of communication.…”

Section: Discussionmentioning

confidence: 99%

The Effects of a Web-Based Intervention on the Physical Outcomes Associated with Diabetes Among Adults Age 60 and Older: A Randomized Trial

Bond

Burr

Wolf

et al. 2007

Diabetes Technology & Therapeutics

110

117

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Section: Discussionmentioning

confidence: 99%

The Effects of a Web-Based Intervention on the Physical Outcomes Associated with Diabetes Among Adults Age 60 and Older: A Randomized Trial

Bond

Burr

Wolf

et al. 2007

Diabetes Technology & Therapeutics

110

117

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“…Nearly all of those systems focused on adult populations in primary care 6-10 or populations with specific chronic illnesses, such as diabetes mellitus 11,12 or heart failure. 13,14 Such systems typically include access to key parts of the EHR, such as laboratory results, medications, and visits.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Personal Health Records: Current Trends and Key Challenges

Britto

Wimberg

2009

Pediatrics

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Personal health records may enhance pediatric care and outcomes. Few systems have been developed or customized for pediatrics, and evaluations are scarce. Special considerations in pediatrics include pediatric content such as growth charts, complex privacy and confidentiality considerations, and the changing developmental needs of children and adolescents. Pediatrics 2009;123:S97-S99 P EDIATRICIANS HAVE LONG used tools such as immunization cards and well-child booklets to provide families with access to key information about their children's health. In the past 15 years, electronic records and the Internet have become increasingly important and available mechanisms through which to provide families with data about their children's health and to assist families in tracking their children's health and development. Families also create their own paper and electronic records of their children's health and health care needs. Electronic systems, known as personal health records (PHRs), may play key roles in enhancing partnerships between families and health care providers, promoting self-care, and enhancing family decision-making regarding the health of children and adolescents. Furthermore, they can provide key health information when a child becomes ill away from home or in a disaster. This article reviews PHR types and characteristics, summarizes some existing systems, and describes special challenges for PHRs in pediatrics.PHRs have been defined by the Markle Foundation as an "electronic application through which individuals can access, manage and share their health information, and that of others for whom they are authorized, in a private, secure, and confidential environment." 1 An ideal PHR would be lifelong and would integrate information from many sources, such as health care systems, pharmacies, and insurers, as well as family-entered information such as symptoms, health concerns, and self-monitoring findings. It would be controlled by the patient or family, and it would be private and secure. It would facilitate communication between families and providers, using functions such as secure e-mail. 1 No existing systems meet all of these criteria, partly because of the difficulty of merging data from multiple sources into a single data system. Privacy concerns and lack of a strong business case for PHRs have also hindered their development.In the early 1990s, many commercial vendors developed Internet-based, stand-alone systems. These systems required consumers to enter and to maintain their own health information. Although some of these systems remain, they have never become popular, likely because of the onerous nature of maintaining the information. Therefore, PHRs linked to electronic health records (EHRs) and other sources of health information have become the preferred model. 1,2 Recently, several large software makers announced their plans to develop secure PHRs that could link to physicians ' and hospitals' EHRs. 3,4 Once these systems overcome the technical challenges of integrating informatio...

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“…Notable examples include VIE-DIAB [18], DIABTel [19], and the Intelligent Control Assistant for Diabetes (INCA) [20]. Telemedicine systems use mobile phones, email, and online applications to enhance data transfer and communication between patients and physicians.…”

Section: Related Researchmentioning

confidence: 99%

Case-Based Decision Support for Patients with Type 1 Diabetes on Insulin Pump Therapy

Marling

Shubrook

Schwartz

Lecture Notes in Computer Science

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Abstract. This paper presents a case-based approach to decision support for diabetes management in patients with Type 1 diabetes on insulin pump therapy. To avoid serious disease complications, including heart attack, blindness and stroke, these patients must continuously monitor their blood glucose levels and keep them as close to normal as possible. Achieving and maintaining good blood glucose control is a difficult task for these patients and their health care providers. A prototypical case-based decision support system was built to assist with this task. A clinical research study, involving 20 patients, yielded 50 cases of actual problems in blood glucose control, with their associated therapeutic adjustments and clinical outcomes, for the prototype's case base. The prototype operates by: (1) detecting problems in blood glucose control in large quantities of patient blood glucose and life event data; (2) finding similar past problems in the case base; and (3) offering the associated therapeutic adjustments stored in the case base to the physician as decision support. Results from structured evaluation sessions and a patient feedback survey encourage continued research and work towards a practical tool for diabetes management.

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Telemedicine as a tool for intensive management of diabetes: the DIABTel experience

Cited by 137 publications

References 20 publications

The Effects of a Web-Based Intervention on the Physical Outcomes Associated with Diabetes Among Adults Age 60 and Older: A Randomized Trial

The Effects of a Web-Based Intervention on the Physical Outcomes Associated with Diabetes Among Adults Age 60 and Older: A Randomized Trial

Pediatric Personal Health Records: Current Trends and Key Challenges

Case-Based Decision Support for Patients with Type 1 Diabetes on Insulin Pump Therapy

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