12/24/2023 0 Comments Type 2 diabetes pilot license![]() 6 While there are clear benefits to the telemedicine medium for patient care such as improved time and resource efficiency in insulin titrations and counseling of glucose logs, the inherent limitations of telemedicine such as lack of physical examination and communication gaps created through technology difficulties raise concerns for long-term sustainability as a medium for the management of chronic conditions. Patients and providers have reported high levels of satisfaction after utilizing telemedicine. This article explores the idea of advanced telemedicine training and telemedicine as a primary practice focus through examining patient outcomes of providers who have undergone advanced training. As we look to the future beyond the COVID-19 pandemic, it is necessary to establish the criteria for suitability and optimal telemedicine delivery. 5 Indeed, the rapid adoption of telemedicine has been a prominent result of the COVID-19 pandemic to minimize the interruption of essential clinical services. Our traditional health care system is heavily reliant on in-person consultations, perhaps causing inequity for individuals who are unable to physically attend. 3 Telemedicine has been widely recognized for decades as a valuable method of improving access to health care services that would otherwise be difficult to obtain, perhaps due to location (rural and remote) or other barriers (frailty, lack of transportation, or other physical or mental health conditions). Since the emergence of COVID-19, many physician groups and hospital systems have rapidly adopted telemedicine as an alternative to in-office visits at a time of social distancing. 1 Virtual health care and telemedicine platforms provide chronic disease patients with enhanced access to medical services compared with the pretechnological era. Telemedicine is defined as the use of electronic information and telecommunication technology to deliver health care, including direct patient care, health education, and population health management. medicine, a standard of best practices should be evaluated and available for providers who wish to continue telehealth care delivery. For telemedicine to become a mainstay in U.S. Advanced telemedicine training and its effect on clinical outcomes in the management of chronic disease warrant further investigation. The average number of visits for patients with an increase in HbA1c was 2.62.Ĭonclusions: Outcomes of telemedicine providers with training are comparable with the standard of care. The average number of visits for patients with a decrease in HbA1c was 3.45. The largest decrease in BMI was 9.5 kg/m 2 and the largest increase was +0.7 kg/m 2. The mean change in BMI for the 16 patients who met the inclusion criteria for evaluating BMI ( n = 16) was −2.175 kg/m 2. The largest decrease in HbA1c was 5.4%, and the most significant increase was 3.9%. Results: The mean change in HbA1c for the 42 patients who met the inclusion criteria for evaluating HbA1c ( n = 42) was −0.429%. Visit consistency, mediation data, and compliance data were also studied. Glycated hemoglobin (HbA1c) percentage and body mass index (BMI) were used as quantitative endpoints. After establishing exclusion criteria, the charts of 59 T2DM patients were evaluated. Methods: A retrospective chart review was conducted in 104 deidentified patients with diabetes from 28 specialized telemedicine agency physicians who had received specialized telemedicine training. The purpose of this retrospective chart review was to analyze the effect of advanced training in telemedicine on clinical outcomes in type II diabetes mellitus (T2DM) in the United States. However, the sustainability of the permanent integration of telemedicine in the management of chronic disease beyond the pandemic is still enigmatic. Background: COVID-19 caused a dramatic increase in the scope and utilization of telemedicine.
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