| Telemedicine: What more is needed for its integration in everyday life? | |
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MedLine Citation:
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PMID: 22208714 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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The Health Authorities have huge expectations of telemedicine (TM): improved patient access to healthcare, a solution to the shortage of doctors in the face of an exponentially expanding disease, and reduced healthcare costs with improved quality. There are a host of applications for TM in the area of diabetes. TM has been validated and has been widely used to screen for diabetic retinopathy, and a number of studies are currently underway for the follow-up of diabetic foot ulcers. However, the main indication of TM remains the follow-up and control of blood glucose. In this area, many studies have been conducted to improve glycaemic control. While most of these studies have failed to show any benefits vs. conventional care, a small number have demonstrated great efficacy of this approach with regard to glycaemia. Using these studies, we attempt to define the key qualities of a successful TM system. How can we extend the results of these experiments beyond the framework of clinical studies and integrate them in daily practice so as to improve diabetes management? This is the key challenge for TM, implementation of which will require reorganization of healthcare, given the evolution of medical demographics. This reorganization will involve healthcare providers specialized in diabetes that may intervene in assigning physicians for especially distressed patients. However, such reorganization will require medico-economic evaluation before it can be implemented on a larger scale. |
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Authors:
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S Franc; A Daoudi; S Mounier; B Boucherie; H Laroye; C Peschard; D Dardari; O Juy; E Requeda; L Canipel; G Charpentier |
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Publication Detail:
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Type: JOURNAL ARTICLE |
Journal Detail:
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Title: Diabetes & metabolism Volume: 37S4 ISSN: 1878-1780 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2012-1-2 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9607599 Medline TA: Diabetes Metab Country: - |
Other Details:
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Languages: ENG Pagination: S71-S77 Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier Masson SAS. All rights reserved. |
Affiliation:
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Centre d'Etudes et de Recherche pour l'Intensification du Traitement du Diabète (CERITD), Corbeil-Essonnes, France; Sud-Francilien Hospital, Department of Diabetes, Corbeil-Essonnes, France. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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