Journal
JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED
Volume 25, Issue 4, Pages 1853-1897Publisher
JOHNS HOPKINS UNIV PRESS
DOI: 10.1353/hpu.2014.0157
Keywords
Diabetes education; diabetes self-management education; disease management; population health management; population health improvement; telehealth; telemedicine; access; cost-effective; economic; systematic review
Funding
- NATIONAL CANCER INSTITUTE [K01CA134554] Funding Source: NIH RePORTER
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Nearly 26 million people diagnosed with diabetes mellitus in the U.S. must actively engage in self-management of the disease. Telehealth is a population-based approach with the potential to optimize resources and increase access to diabetes self-management education/training (DSME/T). We conducted a systematic literature review on diabetes education and telehealth (2009-April 2014) to determine whether remote DSME/T sufficiently improves behavioral, clinical, and economic outcomes and access. Twenty-five out of 213 identified systematic literature reviews or meta-analyses (two on mobile health were identified via a Google search) met our criteria and were fully reviewed; 22 additional studies and reports of diabetes-related technologies and interventions were also identified. Telemedicine has the potential to offer great utility, but guidelines for high research standards must be introduced, adopted, and proactively refined to determine the strengths of this technology for DSME/T, behavioral change, cost-effective care, and improved access in chronic disease self-management.
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