Patient and Clinician Perspectives on the Effectiveness of Current Telemedicine Approaches in Endocrinology Care for Type 2 Diabetes: Qualitative Study.

IF 2.6 Q2 Medicine JMIR Diabetes Pub Date : 2025-03-11 DOI:10.2196/60765

Margaret Zupa, Megan Hamm, Lane Alexander, Ann-Marie Rosland

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Abstract

Background: Since the rapid widespread uptake in 2020, the use of telemedicine to deliver diabetes specialty care has persisted. However, evidence evaluating patient and clinician perspectives on benefits, shortcomings, and approaches to improve telemedicine care for type 2 diabetes is limited.

Objective: This study aims to assess clinician and patient perspectives on specific benefits and limitations of current telemedicine care delivery for type 2 diabetes and views on approaches to enhance telemedicine effectiveness for patients who rely on it.

Methods: We conducted semistructured qualitative interviews with diabetes specialty clinicians and adults with type 2 diabetes. We used a qualitative description approach to characterize participant perspectives on care delivery for type 2 diabetes via telemedicine.

Results: Both clinicians (n=15) and patients (n=13) identify significant benefits of telemedicine in overcoming both physical (geographic and transportation) and scheduling (work commitments and wait times) barriers to specialty care for type 2 diabetes. In addition, telemedicine may enhance communication around diabetes care by improving information sharing between patients and clinicians. However, clinicians identify limited availability of home blood glucose data and vital signs as factors, which impair the optimal management of type 2 diabetes and related comorbid conditions via telemedicine. Previsit preparation, involvement of multidisciplinary providers, and frequent brief check-ins were identified by patients and clinicians as potential strategies to improve the quality of telemedicine care for adults with type 2 diabetes.

Conclusions: Patients and clinicians identify key strengths of telemedicine in enhancing access to diabetes specialty care for adults with type 2 diabetes and describe approaches to ensure that telemedicine delivers high-quality diabetes care to patients who rely on it.

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患者和临床医生对当前远程医疗方法在2型糖尿病内分泌护理中的有效性的看法：定性研究。

背景：自2020年迅速普及以来，远程医疗在糖尿病专科护理中的应用一直在持续。然而，评估患者和临床医生对改善2型糖尿病远程医疗护理的益处、缺点和方法的观点的证据是有限的。目的：本研究旨在评估临床医生和患者对当前2型糖尿病远程医疗服务的具体好处和局限性的看法，以及对依赖远程医疗的患者提高远程医疗有效性的方法的看法。方法：我们对糖尿病专科临床医生和2型糖尿病成人患者进行了半结构化定性访谈。我们使用定性描述方法来描述参与者对2型糖尿病远程医疗服务的看法。结果：临床医生（n=15）和患者（n=13）都认为远程医疗在克服2型糖尿病专科护理的物理（地理和交通）和日程安排（工作承诺和等待时间）障碍方面有显著的好处。此外，远程医疗可以通过改善患者和临床医生之间的信息共享来加强糖尿病护理方面的沟通。然而，临床医生发现家庭血糖数据和生命体征的有限可用性是影响远程医疗对2型糖尿病和相关合并症的最佳管理的因素。患者和临床医生认为，会诊前准备、多学科提供者的参与以及频繁的简短检查是提高成人2型糖尿病远程医疗护理质量的潜在策略。结论：患者和临床医生确定了远程医疗在提高成人2型糖尿病患者糖尿病专科护理可及性方面的主要优势，并描述了确保远程医疗为依赖它的患者提供高质量糖尿病护理的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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