Researchers Study Impact of Diabetes Telemonitoring in Patient-Centered Medical Homes

New AHRQ-funded research uncovered important implementation considerations for telemonitoring of blood glucose and blood pressure in diabetes patients receiving care in patient-centered medical homes. The article and abstract, “Implementing Home Blood-Glucose and Blood-Pressure Telemonitoring in Primary Care Practices for Patients With Diabetes: Lessons Learned,” appeared online December 18 in Telemedicine and E-Health. Researchers gathered perspectives from stakeholders, including patients, nurse care coordinators, and physicians, to understand the impact of using information technology to monitor diabetes patients from a distance. Stakeholders emphasized the need to involve and prepare physicians and patients about how to effectively use telemonitoring. They also stressed the importance of considering workflows, flow of information, and human factors to optimize use of the technology.

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Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

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Benefit from new technologies... enable people to have remote access to CBT

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