| New direction for enhancing quality in diabetes care: utilizing telecommunications and paraprofessional outreach workers backed by an expert medical team. | |
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MedLine Citation:
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PMID: 20406123 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Abstract This article assesses the value of using telecommunications with Promatoras (paraprofessional outreach workers) and an expert medical team of registered nurses (RNs) and endocrinologists in an at-risk type 2 diabetic Hispanic population recruited for a telemedicine feasibility project from a free clinic. Nineteen patients agreed to enter the program and 16 completed the program in 3.5 years of study. A Promatoras is the primary educator and the point of communication to patient or medical personnel overseeing each patient's home glucose monitoring, medical records, and medications, regularly communicating by telephone and e-mail with patients and diabetes specialists. Between clinic visits, all routine care, including body weight, blood glucose, and blood pressure monitoring, was shared over the Internet, and each patient was interviewed by audio and camera. The endocrinologist was in his office, while the primary care physician, patient, and Promotora volunteers were at the free clinic. Four variables were considered in this longitudinal study: weight, systolic blood pressure, diastolic blood pressure, and HbA1c. Estimates of means, correlations, t-tests, and slopes of the repeated measures were obtained, and comparisons were made between first and last values. The most important sign of improvement in the patients' situation was the significant decrease in HbA1c to 7.2% from 9.6% (p = 0.001). |
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Authors:
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Penelope Ann Mayes; Abraham Silvers; J Joseph Prendergast |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Telemedicine journal and e-health : the official journal of the American Telemedicine Association Volume: 16 ISSN: 1556-3669 ISO Abbreviation: Telemed J E Health Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-21 Completed Date: 2010-08-06 Revised Date: 2011-07-27 |
Medline Journal Info:
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Nlm Unique ID: 100959949 Medline TA: Telemed J E Health Country: United States |
Other Details:
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Languages: eng Pagination: 358-63 Citation Subset: IM |
Affiliation:
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Endocrine Metabolic Medical Center, 350 Cambridge Ave., Palo Alto, CA 94306, USA. office@endocrinemetabolic.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Allied Health Personnel* California Diabetes Mellitus, Type 2 / therapy* Disease Management Female Hispanic Americans Home Care Services* Humans Male Middle Aged Patient Care Team* Quality of Health Care* Telecommunications* |
| Comments/Corrections | |
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