Back to Search Start Over

Diabetes population management by telephone visits.

Authors :
Fischer HH
Villacres A
Durfee MJ
McCullen K
Mackenzie TD
Source :
Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2011 Jun; Vol. 17 (5), pp. 396-8. Date of Electronic Publication: 2011 Apr 14.
Publication Year :
2011

Abstract

Introduction: Little has been published on the impact of telephone visits on diabetes outcome performance.<br />Research Design and Methods: An attending and resident physician prioritized telephone visits based on glycemic, blood pressure, and lipid performance. The resident and attending panel was compared with all other diabetic patients at the clinic for baseline and end-intervention performance.<br />Results: The intervention patients had an absolute percentage of increase versus control patients of 14.9 (p<0.01), 13.9 (p<0.01), and 8.3 (p=0.01) for HbA1c <9%, low-density lipoprotein <100 mg/dL, and blood pressure <130/80 mm Hg, respectively.<br />Conclusions: This pilot study suggests that provider-driven telephone visits may be a means for healthcare systems to improve chronic disease outcomes as they transition to new paradigms of chronic care delivery.<br />Limitations: This study was neither randomized nor blinded, was susceptible to an interventionist effect, and did not analyze for differences in baseline medication use.

Details

Language :
English
ISSN :
1556-3669
Volume :
17
Issue :
5
Database :
MEDLINE
Journal :
Telemedicine journal and e-health : the official journal of the American Telemedicine Association
Publication Type :
Academic Journal
Accession number :
21492033
Full Text :
https://doi.org/10.1089/tmj.2010.0191