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Study Finds That Adding Telemonitoring To Support Diabetes Management Did Not Change Patient Outcomes
Adding telemonitoring to routine diabetes care did not significantly
change patient outcomes, according to a new AHRQ-funded study. The
study, “Effect of Home Telemonitoring on Glycemic and Blood Pressure
Control in Primary Care Clinic Patients with Diabetes,” appeared online January 3 in Telemedicine and e-Health.
Researchers compared 53 people who received routine care with 55 people
who got routine care plus telemonitoring. After 12 weeks of care,
hemoglobin A1c and blood pressure levels were not significantly
different between the two groups. The study findings and abstract
suggest that the addition of technology alone is unlikely to lead to
improved outcomes, and that telemonitoring should be limited to patients
whose care plans change significantly. The study said more research is
needed to determine how primary care practices can effectively use
telemonitoring to support patients’ abilities to manage diabetes.
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Ethics and HIT
Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
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.