The Challenge of Sustainable Access to Telemonitoring Tools for People with Diabetes in Europe: Lessons from COVID-19 and Beyond View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-08-14

AUTHORS

Pratik Choudhary, Virginia Bellido, Matthijs Graner, Bernd Altpeter, Americo Cicchetti, Isabelle Durand-Zaleski, Finn Børlum Kristensen

ABSTRACT

Telemedicine in diabetes care has been evolving over several years, particularly since the advent of cloud-connected technologies for diabetes management, such as glucose monitoring devices, including continuous glucose monitoring (CGM) systems, that facilitate sharing of glucose data between people with diabetes and their healthcare professionals in near-real time. Extreme social distancing and shielding in place for vulnerable patients during the COVID-19 pandemic has created both the challenge and the opportunity to provide care at a distance on a large scale. Available evidence suggests that glucose control has in fact improved during this period for people with diabetes who are able to use CGM devices for remote glucose monitoring. The development of telemedicine as part of the standard of care in diabetes faces significant challenges in the European context, particularly in terms of providing consistent and effective care at a distance to large populations of patients while using robust systems that can be supported by large regional and national healthcare services. These challenges include a fragmented approach to healthcare technology assessment and reimbursement, lack of eHealth education and literacy, particularly amongst healthcare professionals, lack of data integration, as well as concerns about electronic health records, patient consent and privacy. Here we review the benefits of and challenges to wider application of telemedicine and telemonitoring in the post-pandemic future, with the aim to ensure that the value of these eHealth services is provided to patients, healthcare providers and health systems. More... »

PAGES

2311-2327

References to SciGraph publications

  • 2016-12-20. Flash Glucose-Sensing Technology as a Replacement for Blood Glucose Monitoring for the Management of Insulin-Treated Type 2 Diabetes: a Multicenter, Open-Label Randomized Controlled Trial in DIABETES THERAPY
  • 2018-06-21. Diabetes care providers’ opinions and working methods after four years of experience with a diabetes patient web portal; a survey among health care providers in general practices and an outpatient clinic in BMC PRIMARY CARE
  • 2020-04-06. Effectiveness of telemedicine for pregnant women with gestational diabetes mellitus: an updated meta-analysis of 32 randomized controlled trials with trial sequential analysis in BMC PREGNANCY AND CHILDBIRTH
  • 2020-07-10. Germany’s digital health reforms in the COVID-19 era: lessons and opportunities for other countries in NPJ DIGITAL MEDICINE
  • 2019-10-31. The Impact of Flash Glucose Monitoring on Glycaemic Control as Measured by HbA1c: A Meta-analysis of Clinical Trials and Real-World Observational Studies in DIABETES THERAPY
  • 2020-08-31. Severity and mortality of COVID 19 in patients with diabetes, hypertension and cardiovascular disease: a meta-analysis in DIABETOLOGY & METABOLIC SYNDROME
  • 2020-05-11. Glycaemic Control Among People with Type 1 Diabetes During Lockdown for the SARS-CoV-2 Outbreak in Italy in DIABETES THERAPY
  • 2021-02-02. Glycemic control of children and adolescents with type 1 diabetes improved after COVID-19 lockdown in Italy in ACTA DIABETOLOGICA
  • 2019-09-06. Users’ acceptability of a mobile application for persons with type 2 diabetes: a qualitative study in BMC HEALTH SERVICES RESEARCH
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s13300-021-01132-9

    DOI

    http://dx.doi.org/10.1007/s13300-021-01132-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1140426614

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34390477


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