ICMCC

the international council on medical & care compunetics

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24
July, 2014
Thursday

diabetes

Two Studies Highlight Benefits of Electronic Health Records

Healthfinder.gov

“The use of electronic health records reduces diabetes patients’ rates of emergency-room visits and hospitalizations, according to a new study.
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11 September 2013 | No Comments »
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Automated Detection and Classification of Type 1 Versus Type 2 Diabetes Using Electronic Health Record Data

Klompas M et al, Diabetes Care, 2012

OBJECTIVE
To create surveillance algorithms to detect diabetes and classify type 1 versus type 2 diabetes using structured electronic health record (EHR) data.

RESEARCH DESIGN AND METHODS
We extracted 4 years of data from the EHR of a large, multisite, multispecialty ambulatory practice serving ∼700,000 patients. We flagged possible cases of diabetes using laboratory test results, diagnosis codes, and prescriptions. We assessed the sensitivity and positive predictive value of novel combinations of these data to classify type 1 versus type 2 diabetes among 210 individuals. We applied an optimized algorithm to a live, prospective, EHR-based surveillance system and reviewed 100 additional cases for validation.
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11 December 2012 | No Comments »
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[Electronic medical records and diabetes in Spain]

Navarro-Pérez J et al, Avances en Diabetología, 2011

Introduction
Optimising care for people with diabetes goes through the incorporation of information and communication technology to a chronic care model.

Objectives
To determine the development of electronic medical records related to diabetes in different regions of Spain.
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18 November 2011 | No Comments »
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Determining Patient Preferences for Remote Monitoring

Basoglu N et al, Journal of Medical Systems, 2010

This paper presents the patient preferences for an application in remote health monitoring. The data was collected through a mobile service prototype. Analytical Hierarchy Process and Conjoint Analysis were used to extract the patient preferences. The study was limited to diabetes and obesity patients in Istanbul, Turkey.
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18 October 2010 | No Comments »
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Evolution of a web-based, prototype Personal Health Application for diabetes self-management

Fonda SJ et al, Journal of Biomedical Informatics, 43(5 S1)

Behaviors carried out by the person with diabetes (e.g., healthy eating, physical activity, judicious use of medication, glucose monitoring, coping and problem-solving, regular clinic visits, etc.) are of central importance in diabetes management. To assist with these behaviors, we developed a prototype PHA for diabetes self-management that was based on User-Centered Design principles and congruent with the anticipatory vision of Project Health Design (PHD). This article presents aspects of the prototype PHA’s functionality as conceived under PHD and describes modifications to the PHA now being undertaken under new sponsorship, in response to user feedback and timing tests we have performed.
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12 October 2010 | No Comments »
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Transforming online communities into support environments for chronic disease management through cell phones and social networks

Wickramasinghe N, Goldberg S. International Journal of Networking and Virtual Organisations, 7(6)

Diabetes is a chronic disease that increases exponentially. Its consequences are long-term and problematic. To date, there is no cure and patients must rely on appropriate and constant monitoring to maintain a state of health that is as good as possible.
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1 October 2010 | No Comments »
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Asynchronous and Synchronous Teleconsultation for Diabetes Care: A Systematic Literature Review

Verhoeven F et al, Journal of Diabetes Science and Technology, 4(3)

AIM:
A systematic literature review, covering publications from 1994 to 2009, was carried out to determine the effects of teleconsultation regarding clinical, behavioral, and care coordination outcomes of diabetes care compared to usual care. Two types of teleconsultation were distinguished: (1) asynchronous teleconsultation for monitoring and delivering feedback via email and cell phone, automated messaging systems, or other equipment without face-to-face contact; and (2) synchronous teleconsultation that involves real-time, face-to-face contact (image and voice) via videoconferencing equipment (television, digital camera, webcam, videophone, etc.) to connect caregivers and one or more patients simultaneously, e.g., for the purpose of education.
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2 June 2010 | No Comments »
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Mobile Phone Technology for Children with Type 1 and Type 2 Diabetes: A Parent Survey

Peña, Venessa et al, Journal of Diabetes Science and Technology, 3(6)

Purpose:
The novel application of information technology has the potential to improve care for children with diabetes. We surveyed parents of children with type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) to (1) identify their concerns related to their children’s diabetes and (2) assess the relationship between these concerns and parental attitudes toward a glucometer integrated into a mobile phone that could provide parents and health care providers with a child’s real-time glucose readings via text message and a secure Web site.
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9 December 2009 | No Comments »
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The attitudes of multiprofessional teams to telehealth adoption in northern Finland health centres

Vuononvirta, Tiina et al, J Telemed Telecare, 15(6)

A telehealth network was established between seven health centres, the local university and the university hospital in the Oulu Arc Subregion in a rural area of northern Finland. During the period 2004-2007, the videophone network was used for different types of teleconsultation (orthopaedics, psychiatry, diabetes, rehabilitation), continuing education and various patient care and administrative meetings. Qualitative research with observation and interviews with 30 professionals (physicians, nurses, psychiatric nurses, physiotherapists) was carried out in early 2007 to find out health-care professionals’ attitudes toward telehealth and to see how the attitudes were connected to telehealth usage.
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2 September 2009 | No Comments »
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The effect of telemedicine on outcome and quality of life in pregnant women with diabetes

Dalfrà, Maria Grazia et al, J Telemed Telecare, 15(5)

We evaluated the effect of a telemedicine system on maternal and fetal outcome in women with diabetes. A total of 276 pregnant women were enrolled in the study. Women were sequentially assigned to a telemedicine or a control group. There were 88 women with gestational diabetes in the telemedicine group and 115 in the control group; there were 17 women with type 1 diabetes in the telemedicine group and 15 in the control group. Women in telemedicine groups were asked to submit their blood glucose data every week, and had a medical examination at the diabetes clinic once a month. Women in the control groups had a medical examination every two weeks. Subjective outcomes were investigated using the following questionnaires: CES-D for depression, SF-36 for health-related quality of life (QoL), Stress and Distress for the impact of diabetes.
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22 July 2009 | No Comments »
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Attitudes and practices of recording diabetic patient information within an Australian general practice setting: an exploratory study

Civil, Mike et al, Informatics in Primary Care, 17(1)

Background:
An accurate diabetes register enables a general practice to effectively monitor and manage the services for their patients with diabetes. This pilot project builds on the National Primary Care Collaboratives Program (a quality improvement programme for general practice) as the first change principle for managing chronic diseases.
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12 July 2009 | No Comments »
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Individualized electronic decision support and reminders to improve diabetes care in the community: COMPETE II randomized trial

Holbrook, Anne et al, CMAJ, 181(1-2)

Background:
Diabetes mellitus is a complex disease with serious complications. Electronic decision support, providing information that is shared and discussed by both patient and physician, encourages timely interventions and may improve the management of this chronic disease. However, it has rarely been tested in community-based primary care.
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7 July 2009 | No Comments »
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Improving primary care for patients with complex chronic diseases: Can health information technology play a role?

Grant, Richard W., and Blackford Middleton, CMAJ, 181 (1-2)

The primary care of patients with type 2 diabetes mellitus remains suboptimal despite the availability of potent medications and clear evidence-based guidelines. With its increasing prevalence, its substantial economic burden and impact on health, and an extensive list of measurable health care parameters, type 2 diabetes has understandably become a focus of many quality-improvement efforts.
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7 July 2009 | No Comments »
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Diabetes Quality of Care and Outpatient Utilization Associated With Electronic Patient-Provider Messaging: A Cross-Sectional Analysis

Harris, Lynne T. et al, Diabetes Care, vol. 32 no. 7

OBJECTIVE
To test the hypothesis that electronic patient-provider messaging is associated with high care quality for diabetes and lower outpatient utilization.
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6 July 2009 | No Comments »
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Costs to Medicare of the Informatics for Diabetes Education and Telemedicine (IDEATel) home telemedicine demonstration

Moreno, Lorenzo et al, Diabetes Care, vol. 32 no. 7

OBJECTIVE
To estimate the impacts on Medicare costs of providing a particular type of home telemedicine to eligible Medicare beneficiaries with type 2 diabetes.
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6 July 2009 | No Comments »
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Understanding workflow in telehealth video visits: Observations from the IDEATel project

Kaufman, David R. et al, Journal of Biomedical Informatics, 42(2)

Home telemedicine is an emerging healthcare paradigm that has the potential to transform the treatment of chronic illness. The purpose of this paper is to: (1) develop a theoretical and methodological framework for studying workflow in telemediated clinician-patient encounters drawing on a distributed cognition approach and (2) employ the framework in an in-depth analysis of workflow in the IDEATel project, a telemedicine program for older adults with diabetes.
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2 July 2009 | No Comments »
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Content and Frequency of Writing on Diabetes Bulletin Boards: Does Race Make a Difference?

Case, Siobhan et al, J Med Internet Res, 11(2)

Background:
Diabetes-related disparities are well documented among racial minority groups in the United States. Online programs hold great potential for reducing these disparities. However, little is known about how people of different races utilize and communicate in such groups. This type of research is necessary to ensure that online programs respond to the needs of diverse populations.
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1 July 2009 | No Comments »
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School-Centered Telemedicine for Children with Type 1 Diabetes Mellitus

Izquierdo, Roberto et al, The Journal of Pediatrics, Article in Press, Corrected Proof

Objectives
To test the feasibility and effectiveness of telemedicine to improve care of children with type 1 diabetes in schools.
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26 May 2009 | No Comments »
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Comparison of information content of structured and narrative text data sources on the example of medication intensification

Turchin, Alexander et al, J Am Med Inform Assoc, 16(3)

OBJECTIVE
To compare information obtained from narrative and structured electronic sources using anti-hypertensive medication intensification as an example clinical issue of interest.
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19 May 2009 | No Comments »
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The Effects of Redesigning the IDEATel Architecture on Glucose Uploads

Hilliman CA et al, Telemedicine and e-Health. 15(3)

The Informatics for Diabetes Education and Telemedicine (IDEATel) project has demonstrated significant changes in clinical outcome measures over the past years. This report describes upgrades and innovations in the system that allow a much more rapid upload of data and thus significant system improvement.
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22 April 2009 | No Comments »
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